Associations between sexual assault and suicidal thoughts and behavior: A meta-analysis.

Associations between sexual assault and suicidal thoughts and behavior: A meta-analysis.
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DOI:
10.1037/tra0000570
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发表时间:
2022-10
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
--
通讯作者:
Fitzpatrick S
Fitzpatrick S
中科院分区:
其他
文献类型:
--
作者:
Dworkin ER;DeCou CR;Fitzpatrick S

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本研究的目的是进行定量审查,以确定自杀的具体形式(即,一生和过去一年的自杀意念和企图)与性侵犯(SA)有关。它还研究了SA和自杀之间的关联强度是否受到样本特征或评估的自杀类型的调节。研究的一个子集(25个样本和36个影响,反映N = 88,376参与者)从先前的荟萃分析评估SA和精神病理学之间的关联进行了检查。纳入的研究提供了有和没有暴露于SA的子样本中自杀倾向的患病率和/或比较这些组患病率的比值比。随机效应荟萃回归模型汇总了SA组和非SA组个体终生和过去一年自杀意念和自杀企图的患病率估计值和比值比。分析还检查了样本特征(即,大学生样本中女性的百分比)或自杀倾向的类型调节了优势比的大小。暴露于SA的子样本报告自杀倾向的患病率(27.25%)显著高于未受到攻击的子样本(9.37%)。特别是在受攻击的子样本中,一生和过去一年的自杀意念和一生的自杀企图的发生率高于未受攻击的子样本。没有测试主持人有显着的关联SA和自杀之间的关系的强度。研究结果强调SA和自杀意念和企图之间的强大关系,并表明确定主持人和调解人,解释它是未来研究的一个关键方向。
The goal of the present study was to conduct a quantitative review to determine the degree to which specific forms of suicidality (i.e., lifetime and past-year suicidal ideation and attempts) are associated with sexual assault (SA). It also examined whether the strength of the association between SA and suicidality was moderated by sample characteristics or the type of suicidality assessed. A subset of studies (25 samples and 36 effects, reflecting N = 88,376 participants) from a prior meta-analysis assessing associations between SA and psychopathology were examined. Included studies provided the prevalence of suicidality in subsamples that had and had not been exposed to SA and/or an odds ratio comparing the prevalence in these groups. Random effects meta-regression models aggregated prevalence estimates and odds ratios for lifetime and past-year suicidal ideation and suicide attempts in individuals in SA and no-SA groups. Analyses also examined whether sample characteristics (i.e., percent women, college sample) or type of suicidality moderated the magnitude of odds ratios. Subsamples exposed to SA reported a substantially higher prevalence of suicidality (27.25%) compared to unassaulted subsamples (9.37%). There were specifically higher rates of lifetime and past-year suicidal ideation, and lifetime suicide attempts in assaulted subsamples than in unassaulted subsamples. No tested moderators had significant associations with the strength of the relationship between SA and suicidality. Findings underscore the robust relationship between SA and both suicidal ideation and attempts and suggest that identifying moderators and mediators that explain it is a key directive for future research.
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