PURPOSE/ OBJECTIVE: Traumatic brain injury (TBI) is associated with depression, anxiety, and even suicidality in individuals with TBI and in caregivers. Moreover, emotional functioning in individuals with TBI is linked with caregiver functioning. However, no known studies to date have examined linkages in suicidal ideation in individuals with TBI and family caregivers. This is especially important in Latin America, where TBI rates are high, and where cultural norms influence family caregiving. This study examined associations among self-reported suicidal ideation in individuals with TBI and their primary caregivers over time in Mexico and Colombia. Research Method/Design: A total of 109 individuals and their primary caregivers completed measures during hospitalization for TBI and at 2- and 4-months posthospitalization. The primary outcome was Item 9 from the Spanish version of the Patient Health Questionnaire-9, assessing for thoughts of death or suicide in the previous 2 weeks. RESULTS: Patients and caregivers reported high levels of suicidal ideation (18.3%-22.4% and 12.4%-15.7%, respectively) at each time point, and suicidal ideation at one time point strongly predicted ideation at the next. When patients endorsed suicidal ideation in the hospital, their caregivers tended to endorse suicidal ideation 2 months later. Although unaccounted for variables could be driving these relationships, they may also provide possible evidence of causal preponderance between patient and caregiver suicidal ideation post-TBI. CONCLUSIONS/IMPLICATIONS: Clinicians and rehabilitation specialists can use these findings to inform suicide risk assessment by expanding these practices to caregivers of patients who endorsed suicidal ideation. Interventions after TBI should incorporate caregivers given this study showed significant interdependence of suicidality between patients and caregivers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
PURPOSE/ OBJECTIVE: Traumatic brain injury (TBI) is associated with depression, anxiety, and even suicidality in individuals with TBI and in caregivers. Moreover, emotional functioning in individuals with TBI is linked with caregiver functioning. However, no known studies to date have examined linkages in suicidal ideation in individuals with TBI and family caregivers. This is especially important in Latin America, where TBI rates are high, and where cultural norms influence family caregiving. This study examined associations among self-reported suicidal ideation in individuals with TBI and their primary caregivers over time in Mexico and Colombia. Research Method/Design: A total of 109 individuals and their primary caregivers completed measures during hospitalization for TBI and at 2- and 4-months posthospitalization. The primary outcome was Item 9 from the Spanish version of the Patient Health Questionnaire-9, assessing for thoughts of death or suicide in the previous 2 weeks. RESULTS: Patients and caregivers reported high levels of suicidal ideation (18.3%-22.4% and 12.4%-15.7%, respectively) at each time point, and suicidal ideation at one time point strongly predicted ideation at the next. When patients endorsed suicidal ideation in the hospital, their caregivers tended to endorse suicidal ideation 2 months later. Although unaccounted for variables could be driving these relationships, they may also provide possible evidence of causal preponderance between patient and caregiver suicidal ideation post-TBI. CONCLUSIONS/IMPLICATIONS: Clinicians and rehabilitation specialists can use these findings to inform suicide risk assessment by expanding these practices to caregivers of patients who endorsed suicidal ideation. Interventions after TBI should incorporate caregivers given this study showed significant interdependence of suicidality between patients and caregivers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Authors: Shaina L Gulin; Paul B Perrin; Lillian F Stevens; Teresita J Villaseñor-Cabrera; Miriam Jiménez-Maldonado; Ma Luisa Martínez-Cortes; Juan Carlos Arango-Lasprilla Journal: Fam Syst Health Date: 2014-01-13 Impact factor: 1.950
Authors: C Christodoulou; J DeLuca; J H Ricker; N K Madigan; B M Bly; G Lange; A J Kalnin; W C Liu; J Steffener; B J Diamond; A C Ni Journal: J Neurol Neurosurg Psychiatry Date: 2001-08 Impact factor: 10.154
Authors: Juan B Peña; Jill A Kuhlberg; Luis H Zayas; Ana A Baumann; Lauren Gulbas; Carolina Hausmann-Stabile; Allyson P Nolle Journal: Suicide Life Threat Behav Date: 2011-04-04
Authors: Craig J Bryan; Tracy A Clemans; Ann Marie Hernandez; Michael David Rudd Journal: J Head Trauma Rehabil Date: 2013 Jan-Feb Impact factor: 2.710
Authors: Pablo Perel; Miguel Arango; Tim Clayton; Phil Edwards; Edward Komolafe; Stuart Poccock; Ian Roberts; Haleema Shakur; Ewout Steyerberg; Surakrant Yutthakasemsunt Journal: BMJ Date: 2008-02-12