Lisa A Brenner1,2, Trisha A Hostetter1, Sean M Barnes1,3, Kelly A Stearns-Yoder1,4, Kelly A Soberay1,5, Jeri E Forster1,4,6. 1. a Rocky Mountain Mental Illness Research, Education, and Clinical Center (MIRECC) , Denver Veterans Affairs Medical Center (VAMC) , Denver , CO , USA. 2. b Departments of Psychiatry, Neurology, and Physical Medicine and Rehabilitation , University of Colorado School of Medicine, Anschutz Medical Campus , Aurora , CO , USA. 3. c Department of Psychiatry , University of Colorado School of Medicine, Anschutz Medical Campus , Aurora , CO , USA. 4. d Department of Physical Medicine and Rehabilitation , University of Colorado School of Medicine, Anschutz Medical Campus , Aurora , CO , USA. 5. e Military Suicide Research Consortium , Denver , CO , USA. 6. f Department of Biostatistics and Informatics , Colorado School of Public Health, University of Colorado Denver , Aurora , CO , USA.
Abstract
OBJECTIVES: To explore the differences in negative psychiatric outcomes (i.e. type and number of psychiatric diagnoses, suicide risk) among Veterans with and without a history of traumatic brain injury (TBI) seeking homeless services. METHODS: Observational design with data collected at one time-point. Veterans seeking homeless services from two Veteran Affairs (VA) Medical Centres completed study measures (n = 309; 282 with a history of TBI and 27 without a history of TBI). Veterans participated in structured clinical interviews regarding psychiatric and TBI histories. RESULTS: Those with a history of TBI met the criteria for significantly more psychiatric diagnoses (p = 0.0003), and were more likely to be at risk for suicide (p = 0.007) than those without a history of TBI. CONCLUSIONS: Even among the high-risk cohort of homeless Veterans, those with a history of TBI were found to be at even greater risk for negative psychiatric outcomes. Further research is required to determine if and how the history of TBI contributes to the inability to maintain stable housing. Moreover, the findings highlight both the importance of assessing for history of TBI among this cohort, and educating providers regarding how to address the needs related to injury sequelae.
OBJECTIVES: To explore the differences in negative psychiatric outcomes (i.e. type and number of psychiatric diagnoses, suicide risk) among Veterans with and without a history of traumatic brain injury (TBI) seeking homeless services. METHODS: Observational design with data collected at one time-point. Veterans seeking homeless services from two Veteran Affairs (VA) Medical Centres completed study measures (n = 309; 282 with a history of TBI and 27 without a history of TBI). Veterans participated in structured clinical interviews regarding psychiatric and TBI histories. RESULTS: Those with a history of TBI met the criteria for significantly more psychiatric diagnoses (p = 0.0003), and were more likely to be at risk for suicide (p = 0.007) than those without a history of TBI. CONCLUSIONS: Even among the high-risk cohort of homeless Veterans, those with a history of TBI were found to be at even greater risk for negative psychiatric outcomes. Further research is required to determine if and how the history of TBI contributes to the inability to maintain stable housing. Moreover, the findings highlight both the importance of assessing for history of TBI among this cohort, and educating providers regarding how to address the needs related to injury sequelae.
Authors: Michael G Vaughn; Christopher P Salas-Wright; Rachel John; Katherine J Holzer; Zhengmin Qian; Christopher Veeh Journal: Psychiatr Q Date: 2019-03