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Patterns of Injury and Childhood Psychiatric Disorder in a Low-Income Population

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Abstract

This study examined cross-sectional patterns of association between childhood psychiatric disorders and non-fatal injuries. The study population consisted of 763,251 youth between the ages of five and 18 years. Having any psychiatric diagnosis increased the odds of injury by a factor of two (OR = 2.12, CI 2.08–2.16). Strong associations were found between poisoning and unipolar depression (OR = 5.45, 95% CI 5.02–5.93), bipolar mood disorders (OR = 7.00, 95% CI 6.15–7.95) and major depression (OR = 9.63; 95% CI 8.51–10.89). Medicaid data provide an important resource to examine the intersection of psychiatric diagnosis and injury on a population basis.

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References

  • American Academy of Child and Adolescent Psychiatry. (2001). Practice parameter for the assessment and treatment of children and adolescents with suicidal behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 40(Suppl), 24S–51S.

    Google Scholar 

  • American Medical Association. (2000). International Classification of Diseases, 9th revision, clinical modification. American Medical Association.

  • American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Psychiatric diagnosis, 4th edn., text revision. Washington (DC): American Psychiatric Association.

    Google Scholar 

  • Bell, C. C., & Clark, D. C. (1998). Adolescent suicide. Pediatric Clinics of North America, 45, 365–380.

    Article  CAS  PubMed  Google Scholar 

  • Brehaut, J. C., Miller, A., Raina, P., & McGrail, K. M. (2003). Childhood behavior disorders and injuries among children and youth: A population-based study. Pediatrics, 111, 262–269.

    Article  PubMed  Google Scholar 

  • Costello, E. J., Angold, A., Burns, B. J., Stangl, D. K., Tweed, D. L., Erkanli, A., et al. (1996). The Great Smoky Mountains study of youth. Goals, design, methods, and prevalence of DSM_III-R disorders. Archives of General Psychiatry, 53, 1129–1136.

    CAS  PubMed  Google Scholar 

  • Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60, 837–844.

    Article  PubMed  Google Scholar 

  • Danesco, E. R., Miller, T. R., & Spicer, R. S. (2000). Incidence and costs of 1987–1994 childhood injuries: Demographic breakdowns. Pediatrics, 105, 27–35.

    Article  Google Scholar 

  • Danseco, E. R., Miller, T. R., & Spicer, R. S. (2000). Incidence and costs of 1987–1994 childhood injuries: Demographic breakdowns. Pediatrics, 105, e27.

    Article  CAS  PubMed  Google Scholar 

  • DiScala, C., Lescohier, I., Barthel, M., & Li, G. (1998). Injuries to children with attention deficit hyperactivity disorder. Pediatrics, 102, 1415–1421.

    Article  CAS  PubMed  Google Scholar 

  • Glied, S., & Pine, D. S. (2002). Consequences and correlates of adolescent depression. Archives of Pediatrics and Adolescent Medicine, 156, 1009–1014.

    PubMed  Google Scholar 

  • Gould, M. S., Greenberg, T., Velting, D. M., & Shaffer, D. (2003). Youth suicide risk and preventive interventions: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 386–405.

    PubMed  Google Scholar 

  • Hale, G. C., Caudill, S. A., Hicks-Waller, C. M., Farrell, L. S., & Hannan, E. L. (2002). The New York State trauma system: A special report on pediatric trauma 1994–1998. New York State Department of Health.

  • Hall, M. J., & Owings, M. F. (2000). Hospitalizations for injury: United States, 1996. Advance Data, 318, 1–9.

    PubMed  Google Scholar 

  • Hofman, K., Primack, A., Keusch, G., & Hrynkow, S. (2005). Addressing the growing burden of trauma and injury in low- and middle- income countries. American Journal of Public Health, 95, 13–17.

    Article  PubMed  Google Scholar 

  • Holinger, P. C. (1990). The causes, impact, and preventability of childhood injuries in the United States. Childhood suicide in the United States. American Journal of Diseases of Children, 144, 670–676.

    CAS  PubMed  Google Scholar 

  • Murray, C. J. L., & Lopez, A. D. (Eds.). (1996). Global Burden of Disease: A comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020 (The Global Burden of Disease and Injury). Boston, MA: Harvard School of Public Health.

    Google Scholar 

  • Olfson, M., Gameroff, M., Marcus, S., Greenberg, T., & Shaffer, D. (2005). Emergency treatment of young people following deliberate self-harm. Archives of General Psychiatry, 62, 1122–1128.

    Article  PubMed  Google Scholar 

  • Pfeffer, C. R. (2001). Diagnosis of childhood and adolescent suicidal behavior: Unmet needs for suicide prevention. Biological Psychiatry, 49, 1055–1061.

    Article  CAS  PubMed  Google Scholar 

  • Roberts, R., Attkisson, C., & Rosenblatt, A. (1998). Prevalence of psychopathology among children and adolescents. American Journal of Psychiatry, 155, 715–725.

    CAS  PubMed  Google Scholar 

  • Rowe, R., Maughan, B., & Goodman, R. (2004). Childhood psychiatric disorder and unintentional injury: Findings from a national cohort study. Journal of Pediatric Psychology, 29, 119–130.

    Article  PubMed  Google Scholar 

  • Runyan, D., Wattam, C., Ikeda, R., Hassan, F., & Ramiro, L. (2002). Child abuse and neglect by parents and caregivers. In E. Krug, L. L. Dahlberg, J. A. Mercy, A. B. Zwi, & R. Lozano (Eds.), World report on violence and health (pp. 59–86). Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • SAS Institute. (2002). SAS Release 9.1. Cary (North Carolina).

  • Shaffer, D., Gould, M. S., Fisher, P., Trautman, P., Moreau, D., Kleinman, M., et al. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives General Psychiatric, 53, 339–348.

    CAS  Google Scholar 

  • Stoddard, F. J., & Saxe, G. (2001). Ten-year research review of physical injuries. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1128–1145.

    Article  CAS  PubMed  Google Scholar 

  • U.S. Department of Health and Human Services. (1999). Mental Health: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health.

  • Vyrostek, S. B., Annest, J. L., Ryan, G.W. (2004). In: Surveillance Summaries, September 3, 2004. MMWR 2004; 53(No. SS-7): pp. 1–57.

  • Warner, M., Barnes, P. M., & Fingerhut, L. A. (2000). Injury and poisoning episodes and conditions; National Health Interview Survey, 1997. Vital Health Statistics, 10(202), 1–25.

    Google Scholar 

  • Weissman, M. M., Pilowsky, D. J., Wickramaratne, P., Talati, A., Wisniewski, S. R., Fava, M., et al. (2006). Remission of maternal depression is associated with reductions in psychopathology in their children: A Star*D-Child Report. Journal of the American Medical Association, 295(12), 1389–1398.

    Article  CAS  PubMed  Google Scholar 

  • Weissman, M. M., Wickramaratne, P., Nomura, Y., et al. (2005). Families at high and low risk for depression: A 3-generation study. Archives of General Psychiatry, 62, 29–36.

    Article  PubMed  Google Scholar 

  • Zuckerman, S., Kenney, G., Dubay, L., Haley, J., & Holahan, J. (2001). Shifting health insurance coverage, 1997–1999. Health Affairs, 20, 169–177.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Marleen Radigan.

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Radigan, M., MacIntyre, J., Hoagwood, K. et al. Patterns of Injury and Childhood Psychiatric Disorder in a Low-Income Population. Community Ment Health J 46, 221–230 (2010). https://doi.org/10.1007/s10597-009-9206-7

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  • DOI: https://doi.org/10.1007/s10597-009-9206-7

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