Objective
Posttraumatic Stress Disorder (PTSD) is often underdiagnosed and undertreated among adolescents. The objective of this analysis was to describe the prevalence and correlates of symptoms consistent with PTSD among adolescents presenting to an urban emergency department (ED).
Method
A cross-sectional survey of adolescents aged 13–17 presenting to the ED for any reason was conducted between August 2013 and March 2014. Validated self-report measures were used to measure mental health symptoms, violence exposure, and risky behaviors. Multivariate logistic regression analysis was performed to determine adjusted differences in associations between symptoms consistent with PTSD, and predicted correlates.
Results
Of 353 adolescents, 23.2% reported current symptoms consistent with PTSD, 13.9% had moderate or higher depressive symptoms, and 11.3% reported past-year suicidal ideation. Adolescents commonly reported physical peer violence (46.5%), cyberbullying (46.7%), and exposure to community violence (58.9%). On multivariate logistic regression, physical peer violence, cyberbullying victimization, exposure to community violence, female gender, and alcohol or other drug use positively correlated with symptoms consistent with PTSD.
Conclusions
Among adolescents presenting to the ED for any reason, symptoms consistent with PTSD PTSD, depressive symptoms, physical peer violence, cyberbullying, and community violence exposure are common and inter-related. Greater attention to PTSD, both the disorder and symptom level, and its co-occurring risk factors is needed.