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Risk Factors in Psychosis Secondary to Traumatic Brain Injury

Received December 14, 1999; revised March 10, 2000; accepted March 24, 2000. From the Department of Neuropsychology, Hawaii State Hospital, Kaneohe, and Department of Psychiatry, John A. Burns School of Medicine, Honolulu, Hawaii. Address correspondence to Dr. Fujii, Department of Neuropsychology, Hawaii State Hospital, 45–710 Keaahala Road, Kaneohe, HI 96744; e-mail: defujii{at}hsh01.health state.hi.us

Psychosis is a rare but devastating sequela of traumatic brain injury (TBI). This study examined risk factors for developing a psychosis secondary to TBI (PSTBI). Demographics of 25 inpatients with PSTBI were statistically analyzed for risk factors. Data from the PSTBI group were also compared with data from a control group of TBI patients without psychosis. Results indicate the PSTBI group was more likely to have had a previous congenital neurological disorder or to have sustained a head injury prior to adolescence. The PSTBI also had a higher proportion of males. Discussion focuses on potential models for developing PSTBI.

Key Words: Traumatic Brain Injury • Psychosis, Secondary

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