Literature Collection
12K+
References
11K+
Articles
1600+
Grey Literature
4800+
Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
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.
This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.
Grey literature is comprised of materials that are not made available through traditional publishing avenues. Examples of grey literature in the Repository of the Academy for the Integration of Mental Health and Primary Care include: reports, dissertations, presentations, newsletters, and websites. This grey literature reference is included in the Repository in keeping with our mission to gather all sources of information on integration. Often the information from unpublished resources is limited and the risk of bias cannot be determined.
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