woman 1006100 1920

Monitor a patient’s mental well-being after a concussion

 

Frequency of concussion exposure modulates suicidal ideation, planning, and attempts among US high school students

Kay JJM, Coffman CA, Tavakoli AS, Torres-McGehee TM, Broglio SP, Moore RD. J Athl training. 2022 doi: 10.10.4085/1062-6050-0117.22. E-publishing prior to printing.

Full text freely available

Take home message

High school students who reported a sports and recreation-related concussion in the past 12 months were more likely to report depressive symptoms and suicidal ideation than those who did not. Students who reported multiple concussions in the past 12 months were about twice as likely to report suicide attempts than those who reported a single concussion.

Background

A history of repeated concussions can increase the risk of adverse mental health outcomes, including suicidal ideation, the second leading cause of death among adolescents in the United States. However, we lack evidence to inform clinical practice about this risk in adolescents and whether the risk differs between men and women.

Study aim

Kay and colleagues completed a retrospective cross-sectional study to examine the association between concussion and suicidal thoughts or behavior in biological males and females.

Methods

The researchers used data from the National system for monitoring young people’s risk behavior to investigate this question. The survey was conducted in 2017 and 2019 among students aged 9e to 12e degree in both private and public schools. The authors summarized self-reported responses to sports- or recreation-related concussions as 1) no history, 2) a single concussion, or 3) multiple concussions. The survey included five yes/no questions related to mental health: 1) feeling sad/hopeless, 2) suicidal ideation, 3) suicide plans, 4) suicide attempts, and 5) harmful suicide attempts. The time frame for all variables was “within the past twelve months.”

Results

Fifteen percent of respondents reported at least one concussion in the past twelve months. A higher proportion of female respondents answered yes to every mental health question. The authors observed an overall association between history of concussion and the likelihood of reporting feelings of depression, suicidal ideation, and behavior. Respondents who reported multiple concussions in the past twelve months were about twice as likely to report a suicide attempt than those who reported a single concussion. Although this finding occurred in men and women, this association was stronger in men.

Viewpoints

Interestingly, the authors found that a high school student who reports a history of a concussion in the previous year is more likely to report negative mental health outcomes. However, they also noted that when a person sustains multiple concussions, he/she may be at even greater risk of attempting suicide. However, these data come from a cross-sectional study. Therefore, it is impossible to know the timing of these adverse mental health effects. Could they precede concussion and cause someone to take more risks and have more concussions? Is this an acute or chronic outcome that occurs after a concussion, or a vicious cycle where a concussion causes adverse mental health consequences that increase the risk of another concussion and worse outcomes that manifest as a suicide attempt? This information will be essential to understand and help inform prevention strategies. Hopefully, this study will encourage future longitudinal research that can assess the timing of events and the impact of multiple concussions. Future research could also explore the role of concussion severity in relation to mental health outcomes.

Clinical implications

Clinicians must recognize that even a single concussion can be associated with negative mental health consequences within 12 months. Clinicians should monitor mental health outcomes after a concussion and educate family members on how to recognize changes in a patient’s mental health status.

Questions for discussion

How do you currently discuss or monitor a patient’s mental health after a concussion? Given the findings of this study, is there anything you would like to change in your clinical practice?

Written by Kyle Harris
Reviewed by Jeffrey Driban

related posts

More reasons to think about suicide risk among our high school students
Most military service members don’t have to worry about CTE
The suicide rate for high school students is already too high, but concussions make it worse
Mental health problems and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement-Executive Summary

Source link

Similar Posts

  • Orthofix announces the full commercial launch of the WaveForm L Interbody System for lateral lumbar fusion procedures

      LEWISVILLE, Texas, November 6, 2023–(BUSINESS WIRE)–Orthofix Medical Inc. (NASDAQ:OFIX), a leading global spine and orthopedics company, today announced the full commercial launch in the U.S. of the WaveForm® L Lateral lumbar interbody system. Designed for lateral lumbar interbody fusion (LLIF) procedures, the 3D printed WaveForm L features a porous structure that prioritizes strength and…

  • Blood biomarkers for estimating energy intake in Japanese male collegiate athletes: a pilot study | BMC Sports sciences, medicine and rehabilitation

      Study design and participants This observational cross-sectional study was approved by the Juntendo University Ethics Committee (approval no.: 29-82, date: September 11, 2017) and the Wayo Women’s University Ethics Committee for Biological and Epidemiological Studies directed at humans (approval no.: 1851 , date: April 5, 2019) and was conducted in accordance with the Declaration…

  • |

    Knee replacement rehab timeline

    What if the most critical part of your joint procedure happens after you leave the operating room? We understand that navigating the path to healing can feel overwhelming. Our guide is here to provide the clarity you need for a successful journey. knee replacement rehab timeline Data shows that movement often starts very quickly. Physical therapy typically begins within 24 hours after your procedure. This early step is vital for promoting faster healing and restoring mobility. For most people, the complete process of regaining strength spans several months. It’s a journey from the initial post-operative phase to full recovery, often taking between six and twelve months. We aim to help you manage expectations about the time required to return to the activities you love. While every patient’s experience is unique, understanding the general phases can significantly reduce anxiety. By following a structured plan, you can improve function and regain the independence you enjoyed before joint pain began. Your commitment to rehabilitation directly influences the long-term success of your new joint and overall health. Key Takeaways Physical activity often starts within a day of your procedure to aid healing. The full recovery process generally takes between six months and a year. Your personal journey is unique, but knowing common stages reduces worry. A structured plan is crucial for regaining function and independence. Your dedication to the process directly impacts your long-term results. This guide provides clarity to navigate each stage with confidence. Understanding Knee Replacement Surgery We believe informed patients are empowered patients, starting with the details of the operation itself. Knowing which procedure is right for you is a crucial first step in preparing for your healing journey. Differences Between Total and Partial Knee Replacement A total knee replacement involves resurfacing the entire joint with an artificial structure. Surgeons cut away worn cartilage and bone to create a new surface. In contrast, a partial knee replacement focuses only on the damaged compartment. This targeted approach often leads to a quicker recovery process with less discomfort. What to Expect During Surgery and Initial Recovery During your replacement surgery, the medical team precisely aligns the new components. This careful work is done to restore smooth movement and function. Your personal recovery timeline is influenced by factors like your age and general health. Understanding these differences helps you set realistic goals for after your knee surgery. The ultimate goal of this joint procedure is to provide lasting relief from chronic pain and improve your mobility. Immediate Post-Surgery Recovery The journey to regain your mobility starts the moment you wake from anesthesia. Your active participation is vital from these first hours. immediate post surgery recovery We emphasize that structured support begins almost immediately. This early phase sets the foundation for your entire healing process. Day 1: Initiating Rehabilitation and Mobility Physical therapy often starts within 24 hours of your procedure. Your physical therapist will help you take those first, crucial steps. They guide you in standing and walking with a walker or crutches. These initial sessions focus on basic, safe movements. You’ll practice sitting at the bedside and transferring your weight. This early activity promotes circulation and helps prevent complications. Transitioning from Hospital to Home Your medical team must see you meet specific safety criteria before discharge. You need to manage pain well and demonstrate independent movement. Key goals include standing from a chair and using the bathroom alone. Navigating a short flight of stairs is also a common requirement. Some individuals may leave the hospital on the same day as their operation. This is possible if all safety boxes are checked. Your care team will provide clear instructions for protecting your new joint. They will also give you simple exercises to continue at home. The First Week: Early Rehabilitation Steps Navigating the initial week after your operation requires a clear focus on gentle movement and symptom management. We guide you through this period where your routine prioritizes restoring a natural walking pattern and improving joint flexibility. early rehabilitation steps Guided Physical Therapy Exercises for Range of Motion During the first 48 hours, the primary goal is achieving full extension and increasing flexion. Your physical therapist will recommend specific movements to help. These early exercises are designed to prevent stiffness and promote circulation. Your daily routine is crucial for maintaining flexibility in this joint. Managing Pain, Swelling, and Initial Activity Controlling discomfort is a priority. Your doctor may advise using ice packs, elevating your leg, and taking medication as directed. You must monitor your incision site closely. The American Association of Hip and Knee Surgeons suggests waiting 5 to 7 days before showering if non-waterproof dressings are used. We encourage gentle activity, like using a stationary bike. This helps the area regain strength without overexertion. If you experience severe pain or excessive swelling, stop and consult your physical therapist or surgeon immediately. Following a structured rehabilitation timeline is key for a successful recovery….

  • Largest study ever further confirms the power of exercise to improve mental health

      A new meta-analysis has pooled results from 97 reviews and provides an in-depth perspective on the profound impact of physical activity on mental well-being. The study is considered the most comprehensive meta-analysis on the subject to date and underlines the undeniable benefits of exercise as a powerful remedy against psychological problems, surpassing the effects…

  • Research shows that the number of consumer product-related traumatic brain injuries in children has increased significantly since 2000

      Traumatic brain injury, a major public health problem, is the leading cause of death and disability in children aged 0 to 4 years and 15 to 19 years. With an average of 308,000 cases per year in the United States, such accidents are common among school-age children participating in sports and play activities involving…

  • | |

    Why does my knee make strange noises after ACL surgery? Is this normal?

    It is not uncommon for your knee to make strange grinding and clicking noises after ACL surgery. The first thing people think is that there must be something wrong with my new ACL graft! This is rarely the case. Pain, swelling, and strange noises your knee makes after ACL surgery are all usually normal after…

4 Comments

Leave a Reply

Your email address will not be published. Required fields are marked *