Perceived stigma, a 'tough it out' mentality, confidentiality issues, and a commitment to the mission can all contribute to underreporting,” said Dr. Sahra Kim, research psychologist at the VA Boston Healthcare System and lead author of a recent study on the diagnostic accuracy of the Boston Assessment of Traumatic Brain Injury-Lifetime, known as BAT-L, clinical interview compared to military medical records. “Under documentation of head injuries may be due to a combination of lack of reporting, the co-occurrence of other serious injuries that require more immediate attention, or combat...