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Area of Science:

  • Pediatric mental health
  • Primary care screening
  • Traumatic stress research

Background:

  • Trauma exposure and traumatic stress are significant contributors to adolescent mental health issues.
  • Despite prevalence, trauma screening is not consistently integrated into routine pediatric care.
  • Identifying youth experiencing traumatic stress is crucial for early intervention and prevention of morbidities.

Purpose of the Study:

  • To determine the rates of trauma exposure and traumatic stress symptoms in adolescents during well-child visits.
  • To examine the clinical associations between trauma, depression, anxiety, and suicidality in this population.
  • To highlight the importance of trauma screening in primary care settings.

Main Methods:

  • Analysis of 24,675 youth (aged 11-19) attending primary care well-child visits.
  • Utilized the "Triple Screen" tool, including the Pediatric Traumatic Stress Screening Tool, PHQ-A, and GAD-7.
  • Administered the Columbia Suicide Severity Rating Scale (C-SSRS) when indicated.

Main Results:

  • 15.5% of youth reported trauma exposure; 7.5% reported moderate/high traumatic stress symptoms.
  • Female and Hispanic youth showed higher rates of trauma exposure.
  • Adolescents with trauma and high traumatic stress were 10 times more likely to be at high risk for suicide.

Conclusions:

  • Trauma exposure and traumatic stress are highly prevalent among youth in primary care settings.
  • Routine trauma screening during well-child visits can effectively identify at-risk adolescents.
  • Early identification facilitates timely intervention for mental health morbidities.