title: Utility of the injured trauma survivor screen to predict PTSD and depression during hospital admission.
abstract: The brief, easily administered screen, the Injured Trauma Survivor Screen (ITSS), was created to identify trauma survivors at risk for development of posttraumatic stress disorder (PTSD) and depression.
  
  
  
  An item pool of PTSD risk factors was created and given, along with a previously created screen, to patients admitted to two Level 1 trauma centers. The Clinician Administered PTSD Scale for DSM-5, the PTSD Checklist for DSM-5, and the Center for Epidemiological Studies Depression Scale Revised were given during a 1-month follow-up. A total of 139 participants were included (n = 139; μ age = 41.06; 30.9% female; 47.5% White/Caucasian; 39.6% Black/African American; 10.1% Latino/Hispanic; 1.4% American Indian; and 1.4% other). Stepwise bivariate logistic regression was used to determine items most strongly associated with PTSD and depression diagnosis 1 month after injury.
  
  
  
  Forty participants met criteria for a PTSD diagnosis and 28 for depression at follow-up (22 comorbid). ROC curve analysis was used to determine sensitivity (PTSD = 75.00, Depression = 75.00), specificity (PTSD = 93.94, Depression = 95.5), NPV (PTSD = 90.3, Depression = 80.8), and PPV (PTSD = 83.3, Depression = 93.8) of the final nine-item measure.
  
  
  
  This study provides evidence for the utility of a predictive screen, the ITSS, to predict which injured trauma survivors admitted to the hospital are at the most risk for developing symptoms of PTSD and depression 1 month after injury. The ITSS is a short, easily administered tool that can aid in reducing the untreated cases of PTSD and depression.
  
  
  
  Prognostic study, level III.
authors: From the University of Wisconsin-Milwaukee (M.S., C.W.), Milwaukee, Wisconsin; Baylor University Medical Center (A.M.W.), Dallas, Texas; Oregon Health and Science University (K.B.), Portland, Oregon; and Medical College of Wisconsin (J.C.H., T.A.d-C.), Milwaukee, Wisconsin.
authors: Joshua C
authors: JC
authors: Hunt
authors: Marty
authors: M
authors: Sapp
authors: Cindy
authors: C
authors: Walker
authors: Ann Marie
authors: AM
authors: Warren
authors: Karen
authors: K
authors: Brasel
authors: Terri A
authors: TA
authors: deRoon-Cassini
mesh_terms: D000328:Adult; D003863:Depression / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology; D005260:Female; D015600:Glasgow Coma Scale; D006760:Hospitalization; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012680:Sensitivity and Specificity; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000209:etiology* / Q000523:psychology; D017741:Survivors / Q000523:psychology*; D014947:Wounds and Injuries / Q000150:complications* / Q000523:psychology