RESEARCH REVIEWA Systematic Review of Barriers and Facilitators for Concussion Reporting Behavior Among Student AthletesClark, Ricketta DNP, APRN-BC; Stanfill, Ansley Grimes PhD, RNAuthor Information Department of Acute and Tertiary Care, College of Nursing The University of Tennessee Health Science Center, Memphis. Correspondence: Ansley Grimes Stanfill, PhD, RN, Department of Acute and Tertiary Care, College of Nursing The University of Tennessee Health Science Center, 920 Madison Ave #542, Memphis, TN 38163 (Astanfi4@uthsc.edu). The authors have no conflicts of interest to report. Journal of Trauma Nursing: November/December 2019 - Volume 26 - Issue 6 - p 297-311 doi: 10.1097/JTN.0000000000000468 Buy Take the CE Test Metrics Abstract Despite increasing attention to concussion safety, many young athletes still do not report concussion-like symptoms to athletic staff. This systematic review was conducted to identify barriers and facilitators to reporting of concussions by high school and collegiate athletes. The review was conducted using PubMed, SCOPUS, CINAHL Complete, and Cochrane Library. Original research articles were deemed eligible if they contained either qualitative or quantitative data on barriers and facilitators of high school and collegiate athletes self-reporting concussion symptoms to athletic staff. For those articles that met inclusion criteria, both authors critically read each article, summarized reasons given by the authors, and then categorized this information into a barrier or a facilitator of concussion-reporting behavior. Of the 878 articles returned, 24 articles met inclusion criteria. Major facilitators were female sex and younger age. Major barriers were a fear of losing current or future playing time, a misconception that concussive injury is not serious, a fear of letting one's team down, and a lack of knowledge of concussion signs and symptoms. Future interventions should address these issues, incorporate primary and secondary prevention strategies, and emphasize the long-term risks of playing while concussed. Copyright © 2019 by the Society of Trauma Nurses.