Psychiatric disorders after traumatic intracranial hemorrhage: the HEAD Helsinki study

Janne Kinnunen1, Jukka Putaala2, Ivan Marinkovic2

  • 1Department of Neurology, Meilahti Hospital, University of Helsinki and HUS Helsinki University Hospital, Helsinki, Finland. janne.kinnunen@helsinki.fi.

Acta Neurochirurgica
|October 17, 2025
PubMed

Insights

Psychiatric disorders are common after traumatic intracranial hemorrhage (tICH), affecting one in six patients. Younger age increases risk, while prior medication and lower GCS scores predict treatment needs.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Public Health

Background:

  • Psychiatric disorders following head injuries are often underestimated.
  • This study investigates the prevalence and treatment of psychiatric disorders after traumatic intracranial hemorrhage (tICH).

Purpose of the Study:

  • To assess the long-term prevalence and treatment patterns of psychiatric disorders in patients with tICH.
  • To identify factors associated with the development of psychiatric disorders and subsequent treatment needs.

Main Methods:

  • An observational, retrospective cohort study of tICH patients from the HEAD Helsinki study.
  • Data collected from Helsinki University Hospital between 2010 and 2019, including psychiatric diagnoses and treatments.
  • Logistic regression analysis used to determine associations between clinical characteristics and psychiatric outcomes.

Main Results:

  • 17.1% of tICH patients developed psychiatric disorders during a 10-year follow-up.
  • Over half of those diagnosed received secondary level psychiatric care, and 60.6% initiated new psychotropic medications.
  • Younger age was linked to psychiatric disorder development, while prior psychiatric medication and lower GCS scores predicted treatment.

Conclusions:

  • A significant proportion of patients treated for tICH develop psychiatric disorders requiring secondary care.
  • Early identification and intervention for psychiatric conditions post-tICH are crucial.
  • Younger patients and those with specific clinical indicators require closer psychiatric monitoring.
Abstract

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