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Castater C, Raney E, Nguyen J, Reed KK, Thompson AN, Greene WR, Sola R, Grant AA, Sciarretta JD, Todd SR, Williams KN, Hurst S, Butler C, Udobi K, Ayoung-Chee P, Benjamin ER, Davis MA, Koganti D, Smith RN. Screening, Brief Intervention, and Referral to Treatment to Prevent Post-Traumatic Stress Disorder After Gunshot Wounds. Am Surg 2022; 88:2215-2217. [PMID: 35503305 DOI: 10.1177/00031348221091955] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Screening, brief intervention, and referral to treatment (SBIRT) is an intervention originally developed to prevent and deter substance abuse. Adaptation of the SBIRT model to prevent post-traumatic stress disorder (PTSD) may potentially reduce acute stress symptoms after traumatic injury. We conducted a prospective randomized control study of adult patients admitted for gunshot wounds. Patients were randomized to intervention (INT) vs. treatment as usual (TAU) groups. INT received the newly developed SBIRT Intervention for Trauma Patients (SITP)-a 15-minute session with elements of cognitive behavioral therapy techniques. SITP took place during the index hospitalization; both groups had followup at 30 and 90 days at which time a validated PTSD screening tool, PCL-5, was administered. Most of the 46 participants were young (mean age = 30.5y), male (91.3%), and black (86.9%). At three-month follow-up, SBIRT and TAU patients had similar physical healing scores but the SBIRT arm showed reductions in PTSD symptoms.
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Affiliation(s)
| | - Emma Raney
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | | | - Kendal K Reed
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | | | - Wendy R Greene
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | - Richard Sola
- 1374Morehouse School of Medicine, Atlanta, GA, USA
| | - April A Grant
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | | | - S Rob Todd
- 71741Grady Memorial Hospital, Atlanta, GA, USA
| | | | - Stuart Hurst
- 12239Emory University School of Medicine, Atlanta, GA, USA
| | | | - Khadi Udobi
- 1374Morehouse School of Medicine, Atlanta, GA, USA
| | | | | | | | | | - Randi N Smith
- 12239Emory University School of Medicine, Atlanta, GA, USA
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