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Opinion EDITORIAL Christopher J. Nowinski, PhD; Robert C. Cantu, MD As recognition of the neurological consequences of concus- risk of suicidal ideation and suicide attempts and doubled risk sions and head impact exposure (HIE) has grown, most sport of completed suicide. Among National Collegiate Athletic governing bodies have begun implementing reforms to pre- Association (NCAA) athletes, football players were 2.2 times 8 9 vent concussions and reduce exposure to head impacts. While more likely to die by suicide while in college. A 2020 study many sports have focused on suggested that the odds of developing the neurodegenerative rules, penalties, and equip- disease chronic traumatic encephalopathy (CTE) are associ- Related article page 346 ment, football has seen the ated with cumulative HIE. Among a convenience sample of greatest gains not by changing how the game is played, but how 266 deceased US football players, 223 of whom had CTE, for it is practiced. Therefore, there are significant policy implica- each additional season of tackle football, individuals were tions of the study by McCrea et al into where college football 30% more likely to develop CTE (odds ratio, 1.30; 95% CI, 1.19- players experience concussions and HIEs. 1.41; P < .001).
JAMA Neurology – American Medical Association
Published: Mar 1, 2021
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