title: Mental health following traumatic physical injury: an integrative literature review.
abstract: OBJECTIVE
  To investigate the state of knowledge on the relationship between physical trauma and mental health in patients admitted to hospital with traumatic physical injury.
  
  
  BACKGROUND
  Adults who sustain traumatic physical injury can experience a range of mental health problems related to the injury and subsequent changes in physical health and function. However early screening and identification of mental health problems after traumatic physical injury is inconsistent and not routine during the hospital admission process for the physically injured patient.
  
  
  METHODS
  Integrative review methods were used. Data were sourced for the period 1995-2010 from EMBASE, CINAHL, MEDLINE and PsycINFO and hand searching of key references. Abstracts were screened by 3 researchers against inclusion/exclusion criteria. Forty-one papers met the inclusion criteria. Data were retrieved, appraised for quality, analysed, and synthesised into 5 main categories.
  
  
  RESULTS
  Forty-one primary research papers on the relationship between mental health and traumatic physical injury were reviewed. Studies showed that post-traumatic stress disorder, depression and anxiety were frequent sequelae associated with traumatic physical injury. However, these conditions were poorly identified and treated in the acute hospital phase despite their effect on physical health.
  
  
  CONCLUSIONS
  There is limited understanding of the experience of traumatic physical injury, particularly in relation to mental health. Greater translation of research findings to practice is needed in order to promote routine screening, early identification and referral to treatment for mental health problems in this patient group.
authors.affiliation: St George Hospital, Kogarah, NSW, Australia. Electronic address: taneal.wiseman@sesiahs.health.nsw.gov.au.
authors.forename: Taneal
authors.initials: T
authors.lastname: Wiseman
authors.forename: Kim
authors.initials: K
authors.lastname: Foster
authors.forename: Kate
authors.initials: K
authors.lastname: Curtis
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety / Q000175:diagnosis* / Q000209:etiology; D003863:Depression / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008603:Mental Health; D020380:Needs Assessment; D011569:Psychiatric Status Rating Scales; D012017:Referral and Consultation; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000209:etiology; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology*