Geri-screen: A multicenter trial of a novel screening tool for depression and suicide risk among US trauma patients.

IF 2.9 2区 医学 Q2 CRITICAL CARE MEDICINE
Shelbie D Waddle, Lavanya Sambaraju, Xane D Peters, Kevin Borrup, Alfred Croteau, Thomas H Jacome, Lisa Allee, Brian Daley, Thomas J Schroeppel, Dorian A Lamis, Meghan Fish, Greggory Davis, Hannah Bard, Cat Nordstrom, Deborah Tuggle, Eileen M Bulger, Avery B Nathens, Brendan T Campbell
{"title":"Geri-screen: A multicenter trial of a novel screening tool for depression and suicide risk among US trauma patients.","authors":"Shelbie D Waddle, Lavanya Sambaraju, Xane D Peters, Kevin Borrup, Alfred Croteau, Thomas H Jacome, Lisa Allee, Brian Daley, Thomas J Schroeppel, Dorian A Lamis, Meghan Fish, Greggory Davis, Hannah Bard, Cat Nordstrom, Deborah Tuggle, Eileen M Bulger, Avery B Nathens, Brendan T Campbell","doi":"10.1097/TA.0000000000004536","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Depression and suicidal ideation rates among geriatric trauma patients admitted to the hospital are currently unknown. This study aimed to determine the prevalence of depressive symptoms, suicidal ideation and prior attempts, and lethal means access among older patients admitted to trauma centers in the United States. We hypothesized that a significant number of these patients may have unrecognized symptoms of depression and/or suicidal ideation not identified prior to hospital discharge.</p><p><strong>Methods: </strong>These data are from a multicenter survey study of injured older (≥55 years) patients admitted to non-ICU inpatient trauma services at five US trauma centers. Patients were approached to complete a tablet-based survey with two components: (1) validated depression and suicidal ideation screening tool (PHQ-9) and (2) household firearm ownership.</p><p><strong>Results: </strong>From November 2022 through May 2024, five level 1 trauma centers in five states administered surveys to 408 patients, who were mostly male, White, and older than 70 years. Overall, more than one-third (34.8%) screened positive for depressive symptoms and nearly 40% kept a firearm at home. Twenty percent of those patients experiencing suicidal ideation kept a firearm in the home.</p><p><strong>Conclusions: </strong>We identified high rates of depressive symptoms among older patients admitted to trauma centers, with one-third of patients having access to firearms in their home. Identifying depressive symptoms and suicidal ideation among patients admitted to trauma centers may allow for mental health intervention and lethal means safety counseling prior to hospital discharge.</p><p><strong>Level of evidence: </strong>Prognostic and Epidemiological; Level III.</p>","PeriodicalId":17453,"journal":{"name":"Journal of Trauma and Acute Care Surgery","volume":" ","pages":"885-889"},"PeriodicalIF":2.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Trauma and Acute Care Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/TA.0000000000004536","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/25 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Depression and suicidal ideation rates among geriatric trauma patients admitted to the hospital are currently unknown. This study aimed to determine the prevalence of depressive symptoms, suicidal ideation and prior attempts, and lethal means access among older patients admitted to trauma centers in the United States. We hypothesized that a significant number of these patients may have unrecognized symptoms of depression and/or suicidal ideation not identified prior to hospital discharge.

Methods: These data are from a multicenter survey study of injured older (≥55 years) patients admitted to non-ICU inpatient trauma services at five US trauma centers. Patients were approached to complete a tablet-based survey with two components: (1) validated depression and suicidal ideation screening tool (PHQ-9) and (2) household firearm ownership.

Results: From November 2022 through May 2024, five level 1 trauma centers in five states administered surveys to 408 patients, who were mostly male, White, and older than 70 years. Overall, more than one-third (34.8%) screened positive for depressive symptoms and nearly 40% kept a firearm at home. Twenty percent of those patients experiencing suicidal ideation kept a firearm in the home.

Conclusions: We identified high rates of depressive symptoms among older patients admitted to trauma centers, with one-third of patients having access to firearms in their home. Identifying depressive symptoms and suicidal ideation among patients admitted to trauma centers may allow for mental health intervention and lethal means safety counseling prior to hospital discharge.

Level of evidence: Prognostic and Epidemiological; Level III.

Geri-screen:一项针对美国创伤患者抑郁和自杀风险的新型筛查工具的多中心试验。
背景:目前尚不清楚住院的老年创伤患者的抑郁和自杀意念率。本研究旨在确定美国创伤中心收治的老年患者中抑郁症状、自杀意念、自杀未遂和致命手段的患病率。我们假设,这些患者中有相当一部分可能在出院前未被识别出的抑郁和/或自杀意念症状。方法:这些数据来自一项多中心调查研究,研究对象是美国五家创伤中心非icu住院创伤服务的受伤老年人(≥55岁)。患者被要求完成一项基于药片的调查,该调查包含两个组成部分:(1)经验证的抑郁和自杀意念筛查工具(PHQ-9)和(2)家庭枪支所有权。结果:从2022年11月到2024年5月,五个州的五个一级创伤中心对408名患者进行了调查,这些患者大多是男性,白人,年龄在70岁以上。总体而言,超过三分之一(34.8%)的人抑郁症状筛查呈阳性,近40%的人在家中持有枪支。有自杀念头的患者中有20%在家中持有枪支。结论:我们发现,在创伤中心住院的老年患者中,抑郁症状的发生率很高,其中三分之一的患者在家中可以获得枪支。在创伤中心收治的患者中识别抑郁症状和自杀意念可能允许在出院前进行心理健康干预和致命手段安全咨询。证据水平:原创性研究;II级。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
6.00
自引率
11.80%
发文量
637
审稿时长
2.7 months
期刊介绍: The Journal of Trauma and Acute Care Surgery® is designed to provide the scientific basis to optimize care of the severely injured and critically ill surgical patient. Thus, the Journal has a high priority for basic and translation research to fulfill this objectives. Additionally, the Journal is enthusiastic to publish randomized prospective clinical studies to establish care predicated on a mechanistic foundation. Finally, the Journal is seeking systematic reviews, guidelines and algorithms that incorporate the best evidence available.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信