Evidence map›Paper›PMID 32769835›Full record

Observational studyThe Journal of head trauma rehabilitation

Risk Factors for Suicidal Ideation Following Mild Traumatic Brain Injury: A TRACK-TBI Study.

Laura Campbell-Sills, Sonia Jain, Xiaoying Sun, Lauren B Fisher, Stephanie D Agtarap, Sureyya Dikmen, Lindsay D Nelson, Nancy Temkin, Michael McCrea, Esther Yuh and 3 more

Abstract readObservational Study
In one paragraph

Observational study in The Journal of head trauma rehabilitation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Effect of Traumatic Brain Injury on Sensorimotor Gating.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Laura Campbell-SillsDepartments of Psychiatry (Drs Campbell-Sills, Agtarap, and Stein) and Family Medicine and Public Health (Drs Jain and Stein and Ms Sun), University of California, San Diego, La Jolla; Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston (Dr Fisher); Departments of Rehabilitation Medicine (Dr Dikmen) and Neurological Surgery and Biostatistics (Dr Temkin), University of Washington, Seattle; Departments of Neurosurgery and Neurology, Medical College of Wisconsin, Milwaukee (Drs Nelson and McCrea); Departments of Radiology (Dr Yuh) and Neurological Surgery (Dr Manley), University of California, San Francisco; Brain and Spinal Injury Center, Zuckerberg San Francisco General Hospital, San Francisco, California (Drs Yuh and Manley); Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts (Dr Giacino); Spaulding Rehabilitation Hospital, Charlestown, Massachusetts (Dr Giacino); and VA San Diego Healthcare System, San Diego, California (Dr Stein).
Sonia Jain
Xiaoying Sun
Lauren B Fisher
Stephanie D Agtarap
Sureyya Dikmen
Lindsay D Nelson
Nancy Temkin
Michael McCrea
Esther Yuh
Joseph T Giacino
Geoffrey T Manley
TRACK-TBI Investigators

Funding

Transforming Research and Clinical Knowledge in Traumatic Brain InjuryU01NS086090 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAZ-ARRASTIA, RAMON, GIACINO, JOSEPH THOMAS · 2013 to 2017
$19.1M
Adapted Cognitive Behavioral Treatment for Depression in Patients with Moderate to Severe Traumatic Brain InjuryK23HD087464 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FISHER, LAUREN BETH · 2017 to 2021
$867k
NICHD NIH HHS K23 HD087464NINDS NIH HHS U01 NS086090
6 · The paper itself

Abstract

objectiveTo identify risk factors for suicidal ideation (SI) following mild traumatic brain injury (mTBI).

settingEleven US level 1 trauma centers.

participantsA total of 1158 emergency department patients with mTBI (Glasgow Coma Scale score = 13-15) enrolled in the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study.

designProspective observational study; weights-adjusted multivariable logistic regression models (n's = 727-883) estimated associations of baseline factors and post-TBI symptoms with SI at 2 weeks and 3, 6, and 12 months postinjury. MAIN MEASURES: Patient Health Questionnaire, Rivermead Post-Concussion Symptoms Questionnaire.

resultsPreinjury psychiatric history predicted SI at all follow-ups (adjusted odds ratios [AORs] = 2.26-6.33, P values <.05) and history of prior TBI predicted SI at 2 weeks (AOR = 2.36, 95% confidence interval [CI] = 1.16-4.81, P = .018), 3 months (AOR = 2.62, 95% CI = 1.33-5.16, P = .005), and 6 months postinjury (AOR = 2.54, 95% CI = 1.19-5.42, P = .016). Adjusting for these baseline factors, post-TBI symptoms were strongly associated with SI at concurrent (AORs = 1.91-2.88 per standard deviation unit increase in Rivermead Post-Concussion Symptoms Questionnaire score; P values <.0005) and subsequent follow-up visits (AORs = 1.68-2.53; P values <.005). Most of the associations between post-TBI symptoms and SI were statistically explained by co-occurring depression.

conclusionScreening for psychiatric and prior TBI history may help identify patients at risk for SI following mTBI. Awareness of the strong associations of post-TBI symptoms with SI may facilitate interventions to prevent suicide-related outcomes in patients with mTBI.

Indexed as

Brain ConcussionBrain Injuries, TraumaticGlasgow Coma ScaleHumansRisk FactorsSuicidal Ideation

Identifiers

PMID32769835
PMCPMC10134479

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.