TY - JOUR
AU - B. R. Keeshin
AU - E. T. Monson
AU - L. Abdulahad
AU - F. L. Nkoy
AU - R. N. Davis
AU - T. Duffy
AU - K. Eppich
AU - A. P. Presson
AU - S. D. Chaplo
A1 - 
AB - OBJECTIVE: Trauma exposure and traumatic stress are common drivers of mental health morbidities. However, trauma screening has not been widely adopted. The goal of this study was to describe rates of trauma exposure and traumatic stress symptoms, as well as clinical associations of trauma with depression, anxiety, and suicidality among youth at well-child visits. METHOD: Youth aged 11 to 19 years presenting to primary care clinics for well-child visits between July 2022 and June 2024 were included for this analysis. As part of routine care, youth completed the "Triple Screen" including the Pediatric Traumatic Stress Screening Tool, the Patient Health Questionnaire - Adolescent version, and the Generalized Anxiety Disorder 7. When indicated, the Columbia Suicide Severity Rating Scale (C-SSRS) was completed. RESULTS: Of 24 675 youth, 15.5% (3832) reported trauma exposure, and 7.5% reported moderate or high symptoms of traumatic stress. Female and Hispanic (all P < .001) youth were more likely to report a traumatic experience. Only half of youth with high traumatic stress symptoms had high anxiety and/or depression symptom scores. High traumatic stress symptoms were more common among older, female, and Hispanic individuals and those with prior mental health diagnoses (all P < .001). Adolescents with trauma and high traumatic stress were 10 times more likely to be at high risk for suicide relative to those with low or moderate traumatic stress, representing 48% of all youth at high risk for suicide. CONCLUSION: Trauma exposure and traumatic stress are prevalent among youth in primary care. Trauma screening in primary care can help identify youth at risk of mental health morbidities.
AD - Department of Pediatrics, University of Utah, Salt Lake City, Utah.; Department of Psychiatry, University of Utah, Salt Lake City, Utah.; Department of Public Health and Caring Science, Child Health and Parenting (CHAP), Uppsala University, Uppsala, Sweden.; Intermountain Health Care, Salt Lake City, Utah.; Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
AN - 41139427
BT - Pediatrics
C5 - Healthcare Disparities
CP - 5
DA - Nov 1
DO - 10.1542/peds.2025-073183
DP - NLM
IS - 5
JF - Pediatrics
LA - eng
N2 - OBJECTIVE: Trauma exposure and traumatic stress are common drivers of mental health morbidities. However, trauma screening has not been widely adopted. The goal of this study was to describe rates of trauma exposure and traumatic stress symptoms, as well as clinical associations of trauma with depression, anxiety, and suicidality among youth at well-child visits. METHOD: Youth aged 11 to 19 years presenting to primary care clinics for well-child visits between July 2022 and June 2024 were included for this analysis. As part of routine care, youth completed the "Triple Screen" including the Pediatric Traumatic Stress Screening Tool, the Patient Health Questionnaire - Adolescent version, and the Generalized Anxiety Disorder 7. When indicated, the Columbia Suicide Severity Rating Scale (C-SSRS) was completed. RESULTS: Of 24 675 youth, 15.5% (3832) reported trauma exposure, and 7.5% reported moderate or high symptoms of traumatic stress. Female and Hispanic (all P < .001) youth were more likely to report a traumatic experience. Only half of youth with high traumatic stress symptoms had high anxiety and/or depression symptom scores. High traumatic stress symptoms were more common among older, female, and Hispanic individuals and those with prior mental health diagnoses (all P < .001). Adolescents with trauma and high traumatic stress were 10 times more likely to be at high risk for suicide relative to those with low or moderate traumatic stress, representing 48% of all youth at high risk for suicide. CONCLUSION: Trauma exposure and traumatic stress are prevalent among youth in primary care. Trauma screening in primary care can help identify youth at risk of mental health morbidities.
PY - 2025
SN - 0031-4005
ST - Pediatric Traumatic Stress in Primary Care
T1 - Pediatric Traumatic Stress in Primary Care
T2 - Pediatrics
TI - Pediatric Traumatic Stress in Primary Care
U1 - Healthcare Disparities
U3 - 10.1542/peds.2025-073183
VL - 156
VO - 0031-4005
Y1 - 2025
ER -