{"id":4752,"date":"2018-11-12T00:00:00","date_gmt":"2018-11-12T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/mental-health-outcomes-after-major-trauma-in-ontario-a-population-based-analysis\/"},"modified":"2023-06-14T19:23:10","modified_gmt":"2023-06-14T23:23:10","slug":"mental-health-outcomes-after-major-trauma-in-ontario-a-population-based-analysis","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/mental-health-outcomes-after-major-trauma-in-ontario-a-population-based-analysis\/","title":{"rendered":"Mental health outcomes after major trauma in Ontario: a population-based analysis"},"content":{"rendered":"<p><strong>Background<\/strong> &#x2014; Major injury continues to be a common source of morbidity and mortality; improving the functional recovery of survivors of major trauma requires a better understanding of the mental health outcomes that may occur in this population. We assessed the association between major trauma and the development of a new mental health diagnosis or death by suicide.<\/p>\n<p><strong>Methods<\/strong> &#x2014; We completed a population based, self-controlled, longitudinal cohort analysis using linked administrative data on patients treated for major trauma in Ontario between 2005 and 2010. All survivors were included and composite rates of mental health diagnoses during inpatient admissions were compared between the 5 years after injury and the 5 years before injury, using Poisson regression with generalized estimating equations. The incidence of suicide was calculated for the 5 years after injury. Risk factors for suicide were calculated using Cox proportional hazard regression analyses.<\/p>\n<p><strong>Results <\/strong>&#x2014; The analysis included 19 338 patients, predominantly men (70.7%)from urban areas (82.6%), with unintentional (89%), blunt injuries (93.4%). Overall, trauma was associated with a 40% increase in the post injury rate of mental health diagnoses (incidence rate ratio[IRR] 1.4, 95% [confidence interval] CI 1.1 to 1.8). The suicide rate was 70 per 100 000 patients per year, substantially higher than the population average. Risk factors for completing suicide were prior inpatient diagnosis of mood disorder (hazard ratio [HR] 4.3, 95% CI 2.1 to 8.8) and self inflicted injury (HR 7.8, 95% CI 3.9 to 15.4).<\/p>\n<p><strong>Interpretation<\/strong> &#x2014; Survivors of major trauma are at a heightened risk of developing mental health conditions or death by suicide in the years after their injury. Patients with pre-existing mental health disorders or who are recovering from a self-inflicted injury are at particularly high risk.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Major injury continues to be a common source of morbidity and mortality; improving the functional recovery of survivors of major trauma requires a better understanding of the mental health outcomes that may occur in this population. We assessed the association between major trauma and the development of a new mental health diagnosis or [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-4752","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Evans CCD, DeWit Y, Seitz D, Mason S, Nathens A, Hall S. <em>CMAJ.<\/em> 2018; 190(45):E1319-27. Epub 2018 Nov 12.","source_url":"http:\/\/www.cmaj.ca\/content\/190\/45\/E1319","ices_scientist":[1356,1303,1222,1329],"site":[6736],"research_program":[6744],"news_release":[7926],"journal_article":[],"atlas":[],"research_report":[],"infographic":[9472],"video":[],"downloads":null,"links":null,"sitecore_item_id":"58088850-F01B-41E5-B8B5-16A80B773FAB","sitecore_item_name":"Mental-health-outcomes-after-major-trauma-in-Ontario-a-population-based-analysis","sitecore_field_values":"{\n  \"__Valid from\": \"20181112T094807\",\n  \"Title\": \"Mental health outcomes after major trauma in Ontario: a population-based analysis\",\n  \"Short title\": \"Mental health outcomes after major\",\n  \"Summary\": \"Survivors of major trauma are at a heightened risk of developing mental health conditions or death by suicide in the years after their injury.\",\n  \"Citation\": \"<p>Evans CCD, DeWit Y, Seitz D, Mason S, Nathens A, Hall S. <em>CMAJ.<\/em> 2018; 190(45):E1319-27. Epub 2018 Nov 12.<\/p>\",\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Major injury continues to be a common source of morbidity and mortality; improving the functional recovery of survivors of major trauma requires a better understanding of the mental health outcomes that may occur in this population. We assessed the association between major trauma and the development of a new mental health diagnosis or death by suicide.<\/p>n<p><strong>Methods<\/strong> &mdash; We completed a population based, self-controlled, longitudinal cohort analysis using linked administrative data on patients treated for major trauma in Ontario between 2005 and 2010. All survivors were included and composite rates of mental health diagnoses during inpatient admissions were compared between the 5 years after injury and the 5 years before injury, using Poisson regression with generalized estimating equations. The incidence of suicide was calculated for the 5 years after injury. Risk factors for suicide were calculated using Cox proportional hazard regression analyses.<\/p>n<p><strong>Results <\/strong>&mdash; The analysis included 19 338 patients, predominantly men (70.7%)from urban areas (82.6%), with unintentional (89%), blunt injuries (93.4%). Overall, trauma was associated with a 40% increase in the post injury rate of mental health diagnoses (incidence rate ratio[IRR] 1.4, 95% [confidence interval] CI 1.1 to 1.8). The suicide rate was 70 per 100 000 patients per year, substantially higher than the population average. Risk factors for completing suicide were prior inpatient diagnosis of mood disorder (hazard ratio [HR] 4.3, 95% CI 2.1 to 8.8) and self inflicted injury (HR 7.8, 95% CI 3.9 to 15.4).<\/p>n<p><strong>Interpretation<\/strong> &mdash; Survivors of major trauma are at a heightened risk of developing mental health conditions or death by suicide in the years after their injury. Patients with pre-existing mental health disorders or who are recovering from a self-inflicted injury are at particularly high risk.<\/p>n<p><a href=\"http:\/\/www.cmaj.ca\/content\/190\/45\/E1319\" title=\"opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{DD981CF2-C2A6-457A-9917-A8DD64CCF7D6}\",\n  \"ICES Locations\": \"{5A12C65D-3CDA-413E-BC94-C1D778156CE6}\",\n  \"ICES Scientists\": \"{DB9C788E-A93C-4F87-94A6-3DE6BF53C573}|{8294E309-4E31-4325-875E-EE6B86DF7F4C}|{2450C4C5-A5C3-4FFF-B28D-644072C941C5}|{1256A696-C916-40AC-BA25-28FEFC266D6C}|{EBE2288F-AAE0-4B72-A737-9AE138D7AEEE}\",\n  \"Posted Date\": \"20181112T000000\",\n  \"Show on Publications Landing Page\": \"1\",\n  \"In The News\": \"{15089665-981A-4C94-AF2E-5F5E557741B5}\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2018\/November\/Mental-health-outcomes-after-major-trauma-in-Ontario-a-population-based-analysis"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Mental health outcomes after major trauma in Ontario: a population-based analysis<\/title>\n<meta name=\"description\" content=\"Background &#x2014; 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