title: Is it an accident? Recurrent traumatic life events in level I trauma center patients compared to the general population.
abstract: The trauma history screen developed for the National Comorbidity Survey (NCS) was used to assess prior trauma in a representative sample of injured acute care inpatients (n = 251). Adjusted logistic regressions compared the trauma histories of intentionally (n = 66) and unintentionally (n = 185) injured patients with NCS participants (n = 5873). Whereas only 11% of NCS respondents reported 4 or more lifetime traumas, 61% of intentionally injured patients (Adjusted OR = 7.97, 95% CI = 4.33, 14.68) and 40% of unintentionally injured patients (Adjusted OR = 4.26, 95% CI = 2.94, 6.16) reported 4 or more lifetime traumas. In adjusted analyses, inpatients were at increased risk for reporting all types of trauma except combat. Screening and intervention procedures that address the unique characteristics of this high-risk patient population are needed in the acute care setting.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington 98104-2499, USA.
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Ramstad
authors.forename: Joan
authors.initials: J
authors.lastname: Russo
authors.forename: Douglas F
authors.initials: DF
authors.lastname: Zatzick
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008016:Life Change Events; D008297:Male; D008403:Mass Screening; D008487:Medical History Taking; D001523:Mental Disorders / Q000453:epidemiology*; D008603:Mental Health; D012008:Recurrence; D012307:Risk Factors; D014193:Trauma Centers / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000523:psychology*