ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2016
Risk of suicide after a concussion.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 100 citations in OpenAlex.
- Risk of suicidal behaviors following sport-related and non-sport-related concussion: a systematic review and meta-analysis.BMC psychiatry · 2025Pooled it
- Association of Concussion With the Risk of Suicide: A Systematic Review and Meta-analysis.JAMA neurology · 2019Pooled it
- Epidemiology of recurrent traumatic brain injury in the general population: A systematic review.Neurology · 2017Pooled it
- Review
- Direct Evidence for the Feedforward Neurovascular Coupling Mechanism in Humans During Task Onset: An EEG-fNIRS-TCD Multimodal Imaging Study.Sensors (Basel, Switzerland) · 2026Article
- Diagnosis of mTBI in an ER Setting Using Eye-Tracking and Virtual Reality Technology: An Exploratory Study.Brain sciences · 2025Article
- Association of blood-based glial fibrillary acidic protein level with depression and suicidal ideation following traumatic brain injury with Glasgow Coma Scale score 13 to 15: a TRACK-TBI study.Brain communications · 2025Article
- An umbrella review of health outcomes following traumatic brain injury.Nature. Mental health · 2025Article
- Rate of abnormalities in quantitative MR neuroimaging of persons with chronic traumatic brain injury.BMC neurology · 2024Article
- Psychometric Properties and Validation of the General Anxiety Disorder 7-Item Scale Among Adolescents With Persistent Post-Concussive Symptoms.Neurotrauma reports · 2023Article
- Trends and Factors Associated with Suicide Deaths in Older Adults in Ontario, Canada.Canadian geriatrics journal : CGJ · 2022Article
- Sports- and physical activity-related concussion and mental health among adolescents: Findings from the 2017 and 2019 Youth Risk Behavior Survey.Psychiatry research · 2022Article
- The Association Between Sports- or Physical Activity-Related Concussions and Suicidality Among US High School Students, 2017.Sports health · 2021Article
- Recurrent Traumatic Brain Injury Surveillance Using Administrative Health Data: A Bayesian Latent Class Analysis.Frontiers in neurology · 2021Article
- Bypassing TBI: Metabolic Surgery and the Link between Obesity and Traumatic Brain Injury-a Review.Obesity surgery · 2020Review
- Traumatic brain injury as an independent risk factor for problem gambling: a matched case-control study.Social psychiatry and psychiatric epidemiology · 2019Article
- Article
- Mental health outcomes after major trauma in Ontario: a population-based analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018Article
- Traumatic brain injury reduction in athletes by neck strengthening (TRAIN).Contemporary clinical trials communications · 2018Article
- Article
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4 authors at 2 institutions in 1 country.
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Abstract
backgroundHead injuries have been associated with subsequent suicide among military personnel, but outcomes after a concussion in the community are uncertain. We assessed the long-term risk of suicide after concussions occurring on weekends or weekdays in the community.
methodsWe performed a longitudinal cohort analysis of adults with diagnosis of a concussion in Ontario, Canada, from Apr. 1, 1992, to Mar. 31, 2012 (a 20-yr period), excluding severe cases that resulted in hospital admission. The primary outcome was the long-term risk of suicide after a weekend or weekday concussion.
resultsWe identified 235,110 patients with a concussion. Their mean age was 41 years, 52% were men, and most (86%) lived in an urban location. A total of 667 subsequent suicides occurred over a median follow-up of 9.3 years, equivalent to 31 deaths per 100,000 patients annually or 3 times the population norm. Weekend concussions were associated with a one-third further increased risk of suicide compared with weekday concussions (relative risk 1.36, 95% confidence interval 1.14-1.64). The increased risk applied regardless of patients' demographic characteristics, was independent of past psychiatric conditions, became accentuated with time and exceeded the risk among military personnel. Half of these patients had visited a physician in the last week of life.
interpretationAdults with a diagnosis of concussion had an increased long-term risk of suicide, particularly after concussions on weekends. Greater attention to the long-term care of patients after a concussion in the community might save lives because deaths from suicide can be prevented.
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