Loss of consciousness, depression, posttraumatic stress disorder, and suicide risk among deployed military personnel with mild traumatic brain injury.
OBJECTIVE
To identify clinical variables associated with suicidality in military personnel with mild traumatic brain injury (mTBI) while deployed to Iraq.


METHODS
Outpatient TBI clinic on a US military base in Iraq.


METHODS
Military personnel (N = 158) referred to an outpatient TBI clinic for a standardized intake evaluation, 135 (85.4%) who had a diagnosis of mTBI and 23 (14.6%) who did not meet criteria for TBI.


METHODS
Suicidal Behaviors Questionnaire-Revised, Depression subscale of the Behavioral Health Measure-20, Posttraumatic Stress Disorder Checklist-Military Version, Insomnia Severity Index, self-report questionnaire, and clinical interview addressing TBI-related symptoms.


RESULTS
Among patients with mTBI, increased suicidality was significantly associated with depression and the interaction of depression with posttraumatic stress disorder symptoms. Longer duration of loss of consciousness was associated with decreased likelihood for any suicidality.


CONCLUSIONS
Assessment after TBI in a combat zone may assist providers in identifying those at risk for suicidality and making treatment recommendations for service members with mTBI.
National Center for Veterans Studies, University of Utah, Salt Lake City, UT 84112, USA. craig.bryan@utah.edu
Craig J
CJ
Bryan
Tracy A
TA
Clemans
Ann Marie
AM
Hernandez
Michael David
MD
Rudd
D000328:Adult; D001930:Brain Injuries / Q000175:diagnosis*; D003863:Depression / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D012044:Regression Analysis; D018570:Risk Assessment; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis*; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D014474:Unconsciousness / Q000209:etiology*; D055815:Young Adult