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Published on: September 25, 2014
Examining Suicidality in Adolescents Who Have Sustained Concussions
Grant L Iverson1,2,3,4, Charles E Gaudet1,2,4, Justin E Karr5
1Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA.
Concussion in adolescents is linked to increased suicidality, especially when combined with stressors like bullying and depression. Addressing these modifiable factors may reduce suicide risk in youth with concussion history.
Area of Science:
- Neuroscience
- Public Health
- Adolescent Psychology
Background:
- Previous research indicates a link between concussion and suicidality in high school students.
- This association may be attenuated or become non-significant when controlling for other adolescent life stressors.
Purpose of the Study:
- To examine predictors of suicidal ideation, planning, and attempts among adolescents who experienced a concussion in the past year.
- To investigate the role of modifiable stress factors in suicidality among concussed youth.
Main Methods:
- Utilized data from 13,677 participants in the 2019 Youth Behavior Risk Survey.
- Included 1754 adolescents (13%) who reported a concussion in the past year.
- Employed binary logistic regressions to analyze predictors including physical activity, bullying, substance use, sleep, grades, and depression.
Main Results:
- Among concussed adolescents, 25% reported suicidal ideation, 20% planning, and 15% attempts.
- In girls, bullying, illicit drug use, marijuana use, and depression predicted suicidal ideation.
- In boys, bullying and depression predicted suicidal ideation.
- Having three or more modifiable stressors significantly increased suicidality risk.
Conclusions:
- Modifiable factors like bullying, substance use, and depression are significant predictors of suicidality in adolescents with a history of concussion.
- Interventions targeting depression, substance use, bullying, and promoting physical activity may reduce suicide risk in this population.
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