Using decision tree to predict non-suicidal self-injury among young adults: the role of depression, childhood maltreatment and recent bullying victimization

European journal of psychotraumatology, Год журнала: 2024, Номер 15(1)

Опубликована: Март 6, 2024

Importance: Non-suicidal self-injury (NSSI) is a significant mental health issue requiring deeper understanding of its underlying causes, such as childhood maltreatment, adult bullying victimization, and depression. Previous studies have not adequately addressed the cumulative risks these factors on NSSI among college students. This population-based study investigates risk factors.

Язык: Английский

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Prognostic models for depression and post-traumatic stress disorder symptoms following traumatic brain injury: a CENTER-TBI study

BMJ Mental Health, Год журнала: 2025, Номер 28(1), С. e301181 - e301181

Опубликована: Янв. 1, 2025

Background Traumatic brain injury (TBI) is associated with an increased risk of major depressive disorder (MDD) and post-traumatic stress (PTSD). We aimed to identify predictors develop models for the prediction depression PTSD symptoms at 6 months post-TBI. Methods analysed data from Collaborative European NeuroTrauma Effectiveness Research in Brain Injury study. used linear regression model relationship between (Patient Health Questionnaire-9) (PTSD Checklist Diagnostic Statistical Manual Mental Disorders Fifth Edition). Predictors were selected based on Akaike’s Information Criterion. Additionally, we fitted logistic endpoints ‘probable MDD’ PTSD’. also examined incremental prognostic value 2–3 weeks symptoms. Results included 2163 adults (76% Glasgow Coma Scale=13–15). Depending scoring criteria, 7–18% screened positive probable MDD about 10% PTSD. For both outcomes, psychiatric history, employment status, sex, cause, alcohol intoxication total severity; preinjury health education. The performance was modest (proportion explained variance=R 2 8% 7% PTSD, respectively). Symptoms assessed had a large (delta R =0.25, 95% CI 0.24 0.26 symptoms; delta =0.30, 0.29 0.31 PTSD). Conclusion Preinjury characteristics, such as history unemployment, violent can increase mental problems after TBI. identification patients should be guided by early screening health.

Язык: Английский

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Association Between Social Determinants of Health and Concussion Among High School Students in the United States

Journal of Child Neurology, Год журнала: 2025, Номер unknown

Опубликована: Янв. 17, 2025

We examined the association between social determinants of health and likelihood sustaining a concussion among adolescents. Participants in this cross-sectional study were 7164 high school students who completed 2021 Adolescent Behaviors Experiences Survey (52.7% girls; mean age = 16.0 years, SD 1.2; range 12-18 years). Logistic regression was used to determine which variables associated with self-reported history from playing sport or being physically active over past year. One 10 adolescents (n 716; 10.0% total; 11.8% boys, 8.3% girls) reported during Seven (70.3%) experiencing at least 1 8 negative health. A multivariable logistic statistically significant ( P < .001), indicating that having sustained year; model explained 12.5% (Nagelkerke R 2 ) variance concussion. Controlling for all other predictors, sports participation (odds ratio [OR] 3.72, medium effect), housing instability (OR 3.25, small-medium effect) limited English language proficiency 3.05, strongest independent predictors within Adolescents lived neighborhood where there is violence 1.78, small bullied 1.57, very experienced food insecurity 1.36, more likely have Research needed understand nature these determinant-injury associations. Whether are specific treatment rehabilitation needs, time recover following concussion, should be prospective studies.

Язык: Английский

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Association of blood-based glial fibrillary acidic protein level with depression and suicidal ideation following traumatic brain injury with Glasgow coma scale score 13 to 15: a TRACK-TBI study

Brain Communications, Год журнала: 2025, Номер 7(2)

Опубликована: Янв. 1, 2025

Blood-based glial fibrillary acidic protein (GFAP) level within 24 h of traumatic brain injury (TBI) has been inversely associated with post-traumatic stress disorder at 6 months in the Transforming Research and Clinical Knowledge Traumatic Brain Injury (TRACK-TBI) study. We sought to assess relationship between day-of-injury GFAP cumulative prevalence (CI) depression or suicidal ideation first year after among patients presenting Glasgow Coma Scale 13-15 who participated (n = 1511). Multivariable logistic regression models were used association levels 1 CI adjusting for age, sex, prior TBI, psychiatric history acute intracranial trauma on head computed tomography (CT) scan. Subgroup analyses categorized into 'high' 'low' risk mental health problems based upon a TBI. Overall, 20.4% reported 11.3% year. Participants had significantly lower compared participants without overall (median 149.9 pg/mL versus 306.9 pg/mL, P < 0.001) CT-negative high low subgroups. sample (155.8 299.1 0.001). found an interaction CT status, reflecting inverse CT- subjects (adjusted odds ratio 0.84, 95% CI: 0.77-0.92), but not CT+ subjects. Blood biomarkers may warrant future investigation as potential predictors following TBI evidence

Язык: Английский

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Association of Subacute Mild Traumatic Brain Injury Symptoms With Long-Term Persistent Symptoms, Functional Limitations, and Quality of Life

Neurology, Год журнала: 2025, Номер 104(8)

Опубликована: Апрель 3, 2025

The objective was to evaluate the association of subacute postconcussion symptoms (with total Rivermead Post-Concussion Questionnaire [RPQ] score) with persistent symptoms, functional limitations, and quality life at 6 months in patients mild traumatic brain injury (mTBI). This a secondary analysis Transforming Research Clinical Knowledge Traumatic Brain Injury, which prospective cohort study TBI admission Glasgow Coma Scale score between 13 15 18 US Level 1 trauma centers through 2014-2018. Participants were included if presenting within 24 hours external force head met American Congress Rehabilitation Medicine's criteria for TBI. completed RPQ, Outcome Scale-Extended (GOSE), Quality Life after Injury Overall (QOLIBRI-OS). Primary outcomes (≥3 individual RPQ higher than preinjury level), incomplete recovery (GOSE <8), lower (QOLIBRI-OS ≤51) months. Multivariable regression models developed including clinical cutoffs 2 weeks 3 risk factors. Adjusted odds ratios (aORs) 95% CI are reported multivariable models. Receiver operating characteristic curves built identify discriminative ability area under curve (AUC). age (n = 2,000) 41.1 ± 17.3 years; 33% female 669), 67% male, 57% White 1,141), 20% Hispanic 408). ≥14 associated (aOR 7.25, 5.51-9.54), 4.85, 3.69-6.39), 5.31, 3.82-7.40) compared below cutoff. AUC 0.76-0.81 across outcomes. ≥12 18.22, 13.09-25.35), 8.44, 6.18-11.51), 7.45, 5.40-10.26) cutoff, AUCs 0.80-0.88 commonly used symptom questionnaire had acceptable-to-excellent discrimination 6-month can be by clinicians chronic impairments refer targeted rehabilitation. provides Class III evidence that overall predictive

Язык: Английский

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Categorizing Sports-Related Concussion Disparities by Key Domains of Social Determinants of Health

Current Pain and Headache Reports, Год журнала: 2024, Номер 28(3), С. 125 - 132

Опубликована: Янв. 16, 2024

Язык: Английский

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Intersectional analysis of inequalities in self-reported breast cancer screening attendance using supervised machine learning and PROGRESS-Plus framework

Frontiers in Public Health, Год журнала: 2024, Номер 11

Опубликована: Янв. 5, 2024

Background Breast cancer is a critical public health concern in Spain, and organized screening programs have been place since the 1990s to reduce its incidence. However, despite bi-annual invitation for breast (BCS) women aged 45–69, significant attendance inequalities persist among different population groups. This study employs quantitative intersectional perspective identify positions at risk of not undergoing Spain. Methods Women were selected from 2020 European Health Interview Survey which surveyed adult (&gt; 15 years old) living private households ( N = 22,072; 59% response rate). Inequality indicators based on PROGRESS-Plus framework used disentangle existing social intersections. To groups, decision tree models, including classification regression trees (CARTs), chi-squared automatic interaction detector (CHAID), conditional inference rees (CITs), C5.0, along with an ensemble algorithm, extreme gradient boosting (XGBoost), applied. Results XGBoost (AUC 78.8%) identified regional differences (Autonomous Community) as most important factor classifying BCS attendance, followed by education, age, marital status. The C5.0 model (balanced accuracy 81.1%) highlighted that relative importance individual characteristics, such status, or differs women’s residence their degree interaction. highest attending was observed illiterate older lower classes who born residing Asturias, Cantabria, Basque Country, Castile León, Extremadura, Galicia, Madrid, Murcia, La Rioja, Valencian Community, married, divorced, widowed. Subsequently, extends three other groups women: Ceuta Melilla; single legally separated rest Spain; Spain widowed Melilla. Conclusion combined use algorithms can be valuable tool identifying higher utilizing resources and, thus, aid substantially developing targeted interventions increase attendance.

Язык: Английский

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Preventing Suicide and Promoting Mental Health Among Student-Athletes From Diverse Backgrounds

Journal of Sport Rehabilitation, Год журнала: 2024, Номер unknown, С. 1 - 6

Опубликована: Янв. 1, 2024

Suicide and contributing mental health conditions in athletes are shared concerns within care society at large. This commentary focuses on suicide risk among the role of sports medicine professionals preventing promoting health. In this commentary, we draw scientific literature our clinical experiences to pose answer these questions: Does vary by sociodemographic factors (eg, sex, gender, race/ethnicity, family income, sexual orientation) or if injured? Do differences influence access benefits from services athletes? How do I know my for suicide? What one shares with me that they have considered Within review current practices regarding questions close actionable suggestions recommendations future directions.

Язык: Английский

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Systematic Review Examining the Reporting of Race and Ethnicity in Sport-Related Concussion Studies

Journal of Athletic Training, Год журнала: 2023, Номер 59(4), С. 354 - 362

Опубликована: Июнь 23, 2023

Objective Sport-related concussion (SRC) is an evolving public health concern among youth athletes. Despite emerging evidence that race and ethnicity are important factors in determining outcomes, studies examining limited. We conducted a systematic review to (1) determine the prevalence of SRC which participants’ or reported, (2) describe how used within each study, (3) assess predictive for reporting ethnicity. Data Sources PubMed, Embase, PsycINFO, CINAHL databases. Study Selection inclusion criteria were primary peer-reviewed research; related diagnosis, treatment, recovery SRC; involving school-aged athletes (ages 5 25); (4) with 25 more participants. The search was performed March 2021 included only published after 2013. Extraction For article, we looked at whether if so, races ethnicities mentioned. mentioned, extracted corresponding sample size they as variables study. Synthesis Of 4583 screened, 854 articles met criteria. articles, 132 (15.5%) reported race, 65 (7.6%) ethnicity, whereas 721 (84.4%) neither. When demographic characteristics 69.8% White. Additionally, 79.5% these solely descriptor opposed main exposure covariate interest. Studies recently likely report race. Further, specific study journal topics geographic locations authors Conclusions Reporting limited current literature. Future should improve diversify samples by focusing on enrolling from underrepresented groups, consider potential effect social determinants risk factors, recovery, long-term sequelae SRC.

Язык: Английский

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Association between sports-related concussions and the risk of self-injury thoughts and behaviors: Who, and under what circumstances?

Journal of Affective Disorders, Год журнала: 2024, Номер 350, С. 801 - 812

Опубликована: Янв. 24, 2024

Язык: Английский

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