{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T00:14:36Z","timestamp":1790381676533,"version":"4.1.0"},"reference-count":12,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T00:00:00Z","timestamp":1699833600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Int."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:p>Psychiatric sequelae may occur following traumatic injury irrespective of whether an insult has been caused to the brain. A range of psychiatric illnesses have been either causative of or associated with road traffic accidents and traumatic injuries, including depression, anxiety, post-traumatic stress disorder, substance use disorder and attention-deficit hyperactivity disorder. Despite literature on such associations, psychiatric intervention in the treatment of patients following traumatic injury is limited. The authors share their experience of challenges in addressing mental health problems in a tertiary care trauma centre located in North India. Steps in overcoming those challenges included: developing a semi-structured form to be completed for referrals and consultations, a psychiatrist attending weekly rounds with the surgeons, and initiating a psychiatry out-patient clinic for patients discharged from the trauma centre. It may be worthwhile in the future to set up a trauma psychiatry unit at the centre, involving a clinical psychologist, a psychiatric social worker and an occupational therapist for the comprehensive care of patients.<\/jats:p>","DOI":"10.1192\/bji.2023.35","type":"journal-article","created":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T09:13:18Z","timestamp":1699866798000},"page":"4-7","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":4,"title":["Challenges for setting up psychiatric services in a trauma centre in India"],"prefix":"10.1192","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9009-4105","authenticated-orcid":false,"given":"Nishtha","family":"Chawla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1664-5968","authenticated-orcid":false,"given":"Rakesh K.","family":"Chadda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,11,13]]},"reference":[{"key":"S2056474023000351_ref7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4103\/2231-1505.262417","article-title":"Prevalence of aggression in patients post traumatic brain injury taking treatment at Jai Prakash Narayan Apex Trauma Centre, AIIMS, New Delhi","volume":"14","author":"Nyidol","year":"2017","journal-title":"Indian J Psychiatr Nurs"},{"key":"S2056474023000351_ref8","doi-asserted-by":"publisher","DOI":"10.3109\/02699052.2013.873142"},{"key":"S2056474023000351_ref6","doi-asserted-by":"publisher","DOI":"10.1080\/15389588.2012.663518"},{"key":"S2056474023000351_ref10","doi-asserted-by":"crossref","first-page":"23","DOI":"10.4103\/2231-1505.262501","article-title":"Predictors of depression among patients having post traumatic brain injury","volume":"15","author":"Varghese","year":"2018","journal-title":"Indian J Psychiatr Nurs"},{"key":"S2056474023000351_ref5","first-page":"104768","article-title":"The prevalence of substance use among drivers with traffic injuries in Mazandaran province, northern Iran","volume":"82","author":"Goli Khatir","year":"2022","journal-title":"Ann Med Surg"},{"key":"S2056474023000351_ref12","doi-asserted-by":"crossref","first-page":"228","DOI":"10.4103\/ipj.ipj_80_16","article-title":"A study of psychiatric comorbidity after traumatic limb amputation: a neglected entity","volume":"26","author":"Sahu","year":"2017","journal-title":"Ind Psychiatry J"},{"key":"S2056474023000351_ref1","first-page":"797","article-title":"Psychiatric disorders and traumatic brain injury","volume":"4","author":"Schwarzbold","year":"2008","journal-title":"Neuropsychiatr Dis Treat"},{"key":"S2056474023000351_ref4","first-page":"105","article-title":"Road crashes in adults with attention deficit hyperactivity disorder and risky driving behavior","volume":"15","author":"Sadeghi","year":"2020","journal-title":"Iran J Psychiatry"},{"key":"S2056474023000351_ref2","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S2541"},{"key":"S2056474023000351_ref3","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8101643"},{"key":"S2056474023000351_ref9","doi-asserted-by":"publisher","DOI":"10.4103\/0971-8990.174593"},{"key":"S2056474023000351_ref11","doi-asserted-by":"crossref","first-page":"56","DOI":"10.4103\/0028-3886.310110","article-title":"Neurocognitive and affective sequelae following complicated mild and moderate traumatic brain injury: a case series","volume":"69","author":"Chaurasiya","year":"2021","journal-title":"Neurol India"}],"container-title":["BJPsych International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056474023000351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T08:48:28Z","timestamp":1705654108000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056474023000351\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,13]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["S2056474023000351"],"URL":"https:\/\/doi.org\/10.1192\/bji.2023.35","relation":{},"ISSN":["2056-4740","2058-6264"],"issn-type":[{"value":"2056-4740","type":"print"},{"value":"2058-6264","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,13]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}