Table 1.

Screening Psychosocial Risk Factors for Pediatric TBI Research

Risk Factor	Questions
Child not living with caregiver	Has your child lived away from home for any reason for a period of 3 months or longer before 16 years of age?
Caregiver death/divorce/loss	Has there been divorce, separation, or the death of a caregiver; how old was your child when this happened?
Single caregiver	Are you raising the child by yourself without another adult caregiver?
Overcrowding	Are there the same or a fewer number of rooms in your house than there are people living there?
Low income	Are you receiving welfare, subsidized housing, food subsidies, or disability payments for your family?
Poor marriage/relationship	Do you have frequent verbal or physical arguments with your spouse or your partner?
Low education level of primary caregiver	What is the highest grade you have finished?
Caregiver chronic poor health	Do you have serious health problems that have lasted for the last 6 months?
Parental mental health disorder	Have you or your partner ever been treated or hospitalized for depression, anxiety, or severe mental illness ?
Parental alcoholism/substance abuse	Have you or your partner ever been treated for or hospitalized for alcoholism or illicit drug use?
Parental criminal behavior	Have you or your partner ever been arrested or put in jail for any crime?