Reported History of Traumatic Brain Injury among Suicide Decedents: National Violent Death Reporting System, 2003 – 2017

Details

• Alternative Title:
  Am J Prev Med
• Personal Author:
  Miller, Gabrielle F. ; Lyons, Bridget H. ; Peterson, Alexis B. ; Rice, Ketra ; Holland, Kristin M.
• Description:
  Introduction:
  
  Traumatic brain injury (TBI) is a major cause of death and disability in the U.S., and research shows that individuals who suffer TBI have increased risk for suicide. This study examines the characteristics of suicide decedents, with a documented TBI history, using a database containing circumstantial data on suicides, and examines differences in TBI and non-TBI-related suicides within the general population and individuals with history of military service.
  
  Methods:
  
  Logistic regression models were used to estimate 95% CI and AOR of suicide among those with and without a prior TBI using data from the 2003–2017 National Violent Death Reporting System (NVDRS) (analyzed in 2020).
  
  Results:
  
  From 2003–2017, 203,157 suicide decedents were identified in NVDRS and 993 had a documented TBI prior to suicide. Among those with a documented TBI, a higher percentage were White, non-Hispanic. Firearm injuries were the most common method of suicide for both groups. Poisoning was more common among decedents with a prior TBI compared to those without. Males, those who are single, and those who served in the military were 1.4 times more likely to have a documented TBI history prior to the suicide. Almost one in five (18.9%) suicides documenting TBI occurred among individuals with a history of military service.
  
  Conclusions:
  
  Comprehensive suicide prevention approaches are imperative. Healthcare providers can play a role in assessing and identifying patients at increased risk of suicide, including those who have experienced falls or injuries that often result in TBI, and provide tailored interventions or referrals.
  
  
• Subjects:
  Brain Injuries Brain Injuries, Traumatic Firearms Humans Male Suicide Wounds, Gunshot
• Source:
  Am J Prev Med. 61(4):501-508
• Pubmed ID:
  34266711
• Pubmed Central ID:
  PMC8455446
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  61
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b3b6b8862e6c0f47f8ec6b58f8fd5d5ba7f7989974c1b9b4af5360ca47694d78
• Download URL:
  https://stacks.cdc.gov/view/cdc/110302/cdc_110302_DS1.pdf
• File Type:
  [PDF - 88.79 KB ]