OBJECTIVES: To determine if there is a gap between behavioral symptoms and previously recognized mental health conditions in youth victims of peer assault injuries and to describe gender differences in psychological symptoms. METHODS: A cross-sectional comparison of rates of previously diagnosed mental health conditions and clinical range behavioral symptoms as measured by the Child Behavior Checklist (CBCL) in 168 youths (range, 10-15 years old) presenting to the emergency department (ED) after an interpersonal assault injury. The Fisher exact test was used for comparisons. RESULTS: Mental health symptoms were common among assault-injured youths. More than half of the youths demonstrating clinical range symptoms on the attention problems or anxious/depressed scales of the CBCL had no prior diagnosis of these conditions. Girls were more likely than boys to exhibit clinical range aggressive behavior symptoms (odds ratio [OR], 3.61; 95% confidence interval [CI], 1.64-7.97). Aggressive behavior was associated with clinical range scores on the other problem scales of the CBCL. CONCLUSIONS: After an ED visit for an assault-related injury, less than half of 10 to 15 year olds with significant symptoms of common mental conditions reported having a previously diagnosed disorder, reflecting a burden of unmet psychological needs. An ED visit for an assault injury provides an opportunity to screen for emotional/behavioral symptoms and to refer to appropriate follow-up mental health care. Copyright Â
OBJECTIVES: To determine if there is a gap between behavioral symptoms and previously recognized mental health conditions in youth victims of peer assault injuries and to describe gender differences in psychological symptoms. METHODS: A cross-sectional comparison of rates of previously diagnosed mental health conditions and clinical range behavioral symptoms as measured by the Child Behavior Checklist (CBCL) in 168 youths (range, 10-15 years old) presenting to the emergency department (ED) after an interpersonal assault injury. The Fisher exact test was used for comparisons. RESULTS: Mental health symptoms were common among assault-injured youths. More than half of the youths demonstrating clinical range symptoms on the attention problems or anxious/depressed scales of the CBCL had no prior diagnosis of these conditions. Girls were more likely than boys to exhibit clinical range aggressive behavior symptoms (odds ratio [OR], 3.61; 95% confidence interval [CI], 1.64-7.97). Aggressive behavior was associated with clinical range scores on the other problem scales of the CBCL. CONCLUSIONS: After an ED visit for an assault-related injury, less than half of 10 to 15 year olds with significant symptoms of common mental conditions reported having a previously diagnosed disorder, reflecting a burden of unmet psychological needs. An ED visit for an assault injury provides an opportunity to screen for emotional/behavioral symptoms and to refer to appropriate follow-up mental health care. Copyright Â
Authors: Tina L Cheng; Donald Schwarz; Ruth A Brenner; Joseph L Wright; Cheryl B Fields; Regina O'Donnell; Peter Rhee; Peter C Scheidt Journal: Pediatrics Date: 2003-10 Impact factor: 7.124
Authors: Megan L Ranney; Jason Goldstick; Andria Eisman; Patrick M Carter; Maureen Walton; Rebecca M Cunningham Journal: Gen Hosp Psychiatry Date: 2017-03-09 Impact factor: 3.238
Authors: Megan L Ranney; John V Patena; Nicole Nugent; Anthony Spirito; Edward Boyer; Douglas Zatzick; Rebecca Cunningham Journal: Gen Hosp Psychiatry Date: 2015-12-18 Impact factor: 3.238
Authors: Kipling M Bohnert; Maureen A Walton; Megan Ranney; Erin E Bonar; Frederic C Blow; Marc A Zimmerman; Brenda M Booth; Rebecca M Cunningham Journal: Addict Behav Date: 2014-09-28 Impact factor: 3.913
Authors: Megan L Ranney; Julie Bromberg; Alyssa Hozey; T Charles Casper; Michael J Mello; Anthony Spirito; Thomas H Chun; James G Linakis Journal: Acad Pediatr Date: 2018-03-02 Impact factor: 3.107
Authors: Elizabeth D Ballard; Luther G Kalb; Roma A Vasa; Mitchell Goldstein; Holly C Wilcox Journal: Pediatr Emerg Care Date: 2015-12 Impact factor: 1.454