Feasibility of a screening program for at-risk children following accidental injury
Article
Article Title | Feasibility of a screening program for at-risk children following accidental injury |
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ERA Journal ID | 6492 |
Article Category | Article |
Authors | March, Sonja (Author), Kenardy, Justin A. (Author), Cobham, Vanessa E. (Author), Nixon, Reginald D. V. (Author), McDermott, Brett (Author) and De Young, Alexandra (Author) |
Journal Title | Journal of Traumatic Stress |
Journal Citation | 28 (1), pp. 34-40 |
Number of Pages | 7 |
Year | 2015 |
Place of Publication | United States |
ISSN | 0894-9867 |
1573-6598 | |
Digital Object Identifier (DOI) | https://doi.org/10.1002/jts.21981 |
Web Address (URL) | http://onlinelibrary.wiley.com/doi/10.1002/jts.21981/full |
Abstract | Screening is recommended as a simple method for identifying those who should be monitored for risk following trauma. Effective methods for implementing large-scale screening programs are yet to be established. This study tested the feasibility and utility of a screening program with hospitalized youth exposed to injury in 3 Australian hospitals. A total of 1,134 eligible families were contacted and 546 children (48.0%) screened for posttraumatic stress disorder (PTSD) risk at 1-2 weeks postinjury. There were 95 (17.4%) children whose screen result was at-risk. A re-screening phase was introduced during the study, with 68 children completing the re-screen at 4-6 weeks postinjury, and 26 (38.2% of those re-screened) still at-risk. Of those initially screened, 29 (5.3%) completed diagnostic assessments, 21 (3.8%) were diagnosed with partial or full PTSD, and 17 (3.1%) commenced treatment. Screening was successful at identifying and reaching children with PTSD, but the response rate was lower than expected, which limited the utility of the program. The addition of a re-screening phase demonstrated that not all at-risk children required intervention. These findings replicate previous studies that have shown natural remission in PTSD symptoms and highlight the potential for re-screening as part of a watchful waiting approach. |
Keywords | child; injury; screening; PTSD; risk |
ANZSRC Field of Research 2020 | 320221. Psychiatry (incl. psychotherapy) |
420313. Mental health services | |
520399. Clinical and health psychology not elsewhere classified | |
Public Notes | File reproduced in accordance with the copyright policy of the publisher/author. |
Byline Affiliations | School of Psychology, Counselling and Community |
University of Queensland | |
Flinders University | |
Mater Group, Australia | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q2y77/feasibility-of-a-screening-program-for-at-risk-children-following-accidental-injury
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