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Early screening for PTSD and depression among injured emergency department patients: A feasibility study

Academic Emergency Medicine Jun 14, 2019

Jaramillo S, et al. - Researchers examined whether it is feasible to screen for posttraumatic sequelae among adults with minor injury in the emergency departments (ED). In addition, they sought for the relationship between ED screening and later psychological symptoms and poor quality of life (QOL) at 6 weeks post-injury. In the EDs of two Level 1 trauma centers, injured patients (n = 149) who reported serious injury and/or life threat in the past 24 hours, were made to complete the Posttraumatic Adjustment Scale to screen for posttraumatic stress disorder (PTSD) and depression. Following 6 weeks, they were made to complete assessments for symptoms of PTSD, depression, and Trauma-Specific QOL (T-QoL). Among the retained sample of 84 adults (51.2% male; M age = 33) at 6 weeks, 38% screened positive (+) for PTSD, and 76% screened positive for depression in the ED. As per regression analyses, a significant association of a (+) ED screen for both PTSD and depression with 6 weeks PTSD and depressive symptoms, respectively, was noted. Further, a lower T-QoL was observed in significant correlation to a (+) ED screen for depression and PTSD. Results thereby support that identification of patients at risk for post-injury sequelae in the ED is feasible. Patients in need of early intervention and further monitoring could be identified via screening for mental health risk may.
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