CTDA 1009: Posttraumatic Stress and Depression in Adolescents Age 12 to 17 Seen in the Emergency Department for Violent Injury, United States, 2001-2003 (ICPSR 39195)
Version Date: Mar 4, 2025 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Joel A. Fein, Children's Hospital of Philadelphia / University of Pennsylvania;
Nancy Kassam-Adams, Children's Hospital of Philadelphia / University of Pennsylvania
Series:
https://doi.org/10.3886/ICPSR39195.v1
Version V1
Summary View help for Summary
Because the emergency department (ED) is often the only point of contact with the health care system for violently injured adolescents, it provides a unique opportunity to assess children following a violent injury. In violently injured teens, depressive and acute posttraumatic stress symptoms may help predict future behavioral risk factors and reinjury. The objective of this study was to examine whether emergency department (ED) assessments of depressive and posttraumatic stress symptoms after an episode of interpersonal violence are associated with future risk behaviors, re-injury and posttraumatic stress symptoms in adolescents.
Injured adolescents (age 12-17 years) were assessed for posttraumatic stress and depression symptoms and self-reported risk behaviors either during or soon after (within 2 weeks) an ED visit and completed a telephone follow-up assessment between 6 and 18 months later, during which they were assessed again for self-reported risk behaviors, posttraumatic stress symptoms and re-injury.
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Access to these data requires a signed Researcher Application which is available to download as study documentation.
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Data Collection Notes View help for Data Collection Notes
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This project is part of the Child Trauma Data Archives (CTDA). For more information, please visit the CTDA series website and refer to the Collection Notes document under the Data and Documentation tab.
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This project is intended to be used in cross-study analysis with other child trauma datasets.
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Some documentation may reflect a previous version of the study title and P.I. affiliations. For the latest metadata, please see this study homepage.
Study Purpose View help for Study Purpose
The purpose of this study was to examine the relative contributions of depressive and acute stress symptoms assessed in the immediate aftermath of a violent injury in predicting long-term posttraumatic symptoms and risk behaviors.
Study Design View help for Study Design
The research team recruited a convenience sample of adolescents between age 12 and 17 who presented to one of two urban hospitals (a children's hospital emergency department (ED) and an adult hospital ED) for treatment following a violent event. A violent event was defined as a situation of conflict involving two or more people in which at least one had the intent to harm the other. Patients were excluded if their injury was unintentional, self-inflicted, or due to child abuse or if they did not speak English.
Patients were identified and recruited in the ED and administered a verbal questionnaire in their treatment room. If patients were missed in the ED, attempts were made to contact them by telephone to have the survey completed within 2 weeks of their ED visit. Follow-up information was obtained by telephone 6-18 months after initial enrollment.
Time Method View help for Time Method
Universe View help for Universe
Adolescents treated in the emergency department for injuries related to community interpersonal violence.
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Description of Variables View help for Description of Variables
Variables in Child Trauma Data Archive (CTDA) datasets have been standardized for cross-study analysis. For variable naming conventions, please refer to the CTDA Data Manual.
- Study-level metadata: study title and P.I., series ID, methodology (e.g., recruitment setting type)
- Traumatic event descriptors: injury type/cause, degree of exposure (i.e., direct or indirect), injury circumstance, year of event
- Demographics: child/adolescent age, sex, race/ethnicity, year of school
- Stress items: emotions, cognitions, and behaviors experienced during and following the incident (e.g., isolation, numbness, dissociation, poor memory, nightmares)
- Mental health symptoms: depression, anxiety, suicide ideation, self-esteem, nervousness
Presence of Common Scales View help for Presence of Common Scales
- Immediate Stress Reaction Checklist (ISRC)
- Children's Depression Inventory-Short-Form (CDI-S)
- Child and Adolescent Trauma Survey (CATS)
Original Release Date View help for Original Release Date
2025-03-04
Version History View help for Version History
2025-03-04 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
- Checked for undocumented or out-of-range codes.
Notes
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.
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