Methodological challenges in injury investigation of mental health outcomes after road traffic injury

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Publicado en:European Journal of Public Health vol. 35, no. Supplement_4 (Oct 2025)
Autor principal: Papadakaki, M
Otros Autores: Strukcinskiene, B, Alves, T, Lund, J
Publicado:
Oxford University Press
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Acceso en línea:Citation/Abstract
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024 7 |a 10.1093/eurpub/ckaf161.494  |2 doi 
035 |a 3265310460 
045 2 |b d20251001  |b d20251031 
084 |a 53202  |2 nlm 
100 1 |a Papadakaki, M  |u LaHeRS Laboratory, Department of Social Work, Hellenic Mediterranean University, Heraklion, Greece; Section Injury Prevention & Safety Promotion, Utrecht, Netherlands; European Association for Injury Prevention &, Amsterdam, Netherlands; Birute.Strukcinskiene@ku.lt 
245 1 |a Methodological challenges in injury investigation of mental health outcomes after road traffic injury 
260 |b Oxford University Press  |c Oct 2025 
513 |a General Information 
520 3 |a Individuals sustaining road traffic injuries (RTIs) are at elevated risk for developing long-term mental health problems, including anxiety, depression, and post-traumatic stress, which can significantly delay recovery and reintegration into daily life. Despite this, psychological consequences often receive less clinical attention than physical injuries, leading to delayed or insufficient support. In Europe, these challenges are compounded by health systems’ limited capacity to predict, monitor, and manage mental health outcomes in trauma care settings. Compared to countries like Australia, Canada, and the United States, where research and policy frameworks are more developed, the European context remains under-investigated. This study aimed to explore and synthesize the current body of literature on the mental health impact of RTIs in Europe, with a particular focus on identifying the risk factors that contribute to poor psychological recovery. Through a structured review process, the study found substantial mental health burdens persisting well beyond the acute phase of injury. The review also highlighted a range of methodological and systemic challenges that hinder effective clinical and public health responses-such as the absence of a common definition for mental health recovery, varied assessment tools, inconsistent epidemiological approaches, and a general lack of robust data collection mechanisms in most European countries. The findings point to a complex interaction of individual, social, and systemic factors influencing recovery, including pre-injury vulnerabilities, injury severity, healthcare access, and social support. The study concludes that without coordinated efforts to standardize definitions, improve screening practices, and integrate mental health monitoring into injury surveillance systems, Europe will continue to fall short in addressing the full scope of RTI outcomes. 
651 4 |a Europe 
653 |a Health problems 
653 |a Mental health 
653 |a Public health 
653 |a Data collection 
653 |a Recovery (Medical) 
653 |a Surveillance 
653 |a Epidemiology 
653 |a Injuries 
653 |a Psychological stress 
653 |a Recovery 
653 |a Mental disorders 
653 |a Anxiety 
653 |a Roads & highways 
653 |a Health care access 
653 |a Traffic 
653 |a Risk factors 
653 |a Post traumatic stress disorder 
653 |a Social interactions 
653 |a Everyday life 
653 |a Rehabilitation 
653 |a Surveillance systems 
653 |a Social support 
653 |a Comparative studies 
653 |a Methodological problems 
653 |a Health status 
653 |a Mental health services 
653 |a Psychological trauma 
653 |a Delayed 
653 |a Psychological assessment 
653 |a Road traffic 
653 |a Trauma 
653 |a Clinical outcomes 
653 |a Activities of daily living 
653 |a Medical screening 
653 |a Social factors 
653 |a Mental health care 
653 |a Social 
700 1 |a Strukcinskiene, B  |u Faculty of Health Sciences, Klaipeda University, Klaipeda, Lithuania; Section Injury Prevention & Safety Promotion, Utrecht, Netherlands 
700 1 |a Alves, T  |u Epidemiology Department, National Institute of Health Dr Ricardo Jorge, Lisbon, Portugal; Section Injury Prevention & Safety Promotion, Utrecht, Netherlands 
700 1 |a Lund, J  |u Norwegian Public Health Association, Oslo, Norway; Section Injury Prevention & Safety Promotion, Utrecht, Netherlands 
773 0 |t European Journal of Public Health  |g vol. 35, no. Supplement_4 (Oct 2025) 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3265310460/abstract/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3265310460/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch