Contributors to Postinjury Mental Health in Urban Black Men With Serious Injuries


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Regardless of race, age, or other demographics, physical injury is commonly associated with postinjury mental health problems, which typically increase disability, cost, recidivism, and self-medication for symptoms. In this study conducted by PISC Executive Director Douglas Wiebe, PISC Executive Committee member Therese Richmond, and current PISC Advisory Board member Patrick M. Reilly, a group of 623 urban black men were analyzed in a cohort study in order to determine risk and protective factors that contributed to depression and posttraumatic stress symptom severity at 3 months after hospital discharge. The study found that early adverse childhood exposures, preinjury physical and mental health conditions, acute postinjury stress responses, and intentional injury were some of the largest factors that affected post-injury mental health problems, implying that such factors should not be overlooked in the midst of acute injury care when assessing for risk of postinjury mental health symptoms.

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