Association of physical injury and mental health: Results from the national comorbidity survey- adolescent supplement

Apr 18, 2017Journal of psychiatric research

Links Between Physical Injury and Mental Health in U.S. Teens

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Abstract

11.6% of adolescents experienced an injury requiring medical attention in the year before the survey.

Lifetime history of mental disorders was not linked to experiencing an injury in the past year.
Behavior and bipolar disorders were found to be concurrently associated with injuries occurring in the past year.
Injuries that occurred in the past year may predict an increased risk for anxiety disorders in the past month.
Injuries may also be associated with a decreased risk of experiencing depressive disorders in the past month.
These findings suggest a reciprocal relationship between nonfatal injuries and mental health issues among adolescents.

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Nonfatal injury is common among adolescents in the U.S., but little is known about the bi-directional associations between injury and mental health. Utilizing a nationally representative sample of U.S. adolescents, we examined 1) associations between lifetime mental health history and subsequent injury; 2) concurrent associations between injury and mental health; and 3) associations between injury and subsequent mental disorders. Data were drawn from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A), a national survey of adolescents aged 13 through 17 years (N = 10,123). Twelve-month prevalence of nonfatal injury requiring medical attention was assessed along with lifetime, 12-month, and 30-day prevalence of DSM-IV depressive, anxiety, behavior, substance use, and bipolar disorders. We used Poisson regression to examine associations between 1) lifetime history of mental disorders and 12-month exposure to injury; 2) concurrent associations between 12-month exposure to injury and 12-month prevalence of mental disorders; and 3) 12-month exposure to injury and 30-day prevalence of mental disorders. A total of 11.6% of adolescents experienced an injury requiring medical attention in the year before the survey. Lifetime history of mental disorders was not associated with past-year injury. Behavior and bipolar disorders were concurrently associated with past-year injury. Past-year injury occurrence predicted increased risk for past-month anxiety disorders and decreased risk of past-month depressive disorders. Our findings reveal reciprocal associations between injury and mental disorders and highlight the need for systematic assessment, prevention, and treatment of mental disorders among injured youth.

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Association of physical injury and mental health: Results from the national comorbidity survey- adolescent supplement

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