Screening and treating hospitalized trauma survivors for posttraumatic stress disorder and depression.

摘要: Traumatic injury affects over 2.6 million U.S. adults annually and elevates risk for a number of negative health consequences. This includes substantial psychological harm, the most prominent being posttraumatic stress disorder (PTSD), with approximately 21% traumatic survivors developing within first year after injury. Posttraumatic is associated deficits in physical recovery, social functioning, quality life. Depression diagnosed 6% also predictor poor The American College Surgeons Committee on Trauma suggests screening treatment PTSD depression, reflecting growing awareness critical need to address patients' mental needs trauma. While some trauma centers have implemented or referral programs, majority are evaluating how best this recommendation, no standard approach currently exists. Further, guidelines not yet available respect resources that may be used effectively screen treat these disorders survivors, as well who going bear costs. purpose review is: (1) evaluate current state literature regarding evidence-based screens depression hospitalized patient (2) summarize date treatments empirical support treating acutely structural funding information existing postinjury programs. Screening injured patients timely intervention prevent could substantially improve outcomes life high-risk population. LEVEL OF EVIDENCE: Review, level IV.