Adults who suffer “mild” concussion injuries are three times more likely to die by taking their own lives than the rest of the population according to a recent Canadian study. Researchers suggest a better long-term follow-up for concussion patients.

The study, published in the Canadian Medical Association Journal, found

New research has found that teenagers who suffer a traumatic brain injury (TBI) have a significantly higher risk of attempting suicide, being bullied, and seeking help for mental health issues. They are also more likely to become bullies, take medication for anxiety and/or depression, or engage in antisocial behaviour.

Neuropsychologist and lead researcher Gabriela Ilie believes the results should serve as a “wake-up call” for parents, educators, and medical professionals. Caregivers must be vigilant to screen and monitor brain injured kids over the long-term.