Trauma, historical trauma, PTSD and suicide in an American Indian community sample.
Trauma, historical trauma, PTSD and suicide in an American Indian community sample.
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DOI：
10.1016/j.jpsychires.2022.10.012
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发表时间：
2022-12
影响因子：
4.8
通讯作者：
Karriker-Jaffe, Katherine J.
中科院分区：
文献类型：
--
作者：
Ehlers, Cindy L.;Yehuda, Rachel;Gilder, David A.;Bernert, Rebecca;Karriker-Jaffe, Katherine J.
研究美国印第安社区样本中感知的历史创伤、当前创伤事件、创伤后应激障碍（PTSD）诊断与自杀行为之间的关联。参与者是从保留地招募的美国印第安人，他们使用酒精中毒遗传学半结构化评估（SSAGA）以及历史损失量表，历史损失相关症状量表和应激生活事件量表进行评估。在来自447名美国印第安成年人（平均年龄=33岁）的数据中，20%的人报告了自杀想法（想法和/或计划）的终身经历，14%的人报告了自杀行为（包括自杀企图史或自杀死亡（n=4））。创伤后应激障碍的诊断和攻击性创伤的经历都与自杀想法和行为显著相关，尽管在调整性别和创伤后应激障碍的模型中，攻击性创伤并不显著。高度认可与历史创伤相关的症状与自杀行为显著相关，并且在调整性别和PTSD后仍然显著。创伤后应激障碍和历史创伤与美国印第安人社区的自杀和自杀企图有关。虽然需要进一步的研究来评估这些关系的因果性质，这些研究结果表明，美国印第安人自杀的治疗和预防计划可能会受益于解决与历史损失，创伤后应激障碍及其相关的精神病学的感觉有关的问题。
To study the associations between perceived historical trauma, current traumatic events, diagnoses of post-traumatic stress disorder (PTSD), and suicidal behaviors in an American Indian community sample. Participants were American Indians recruited from reservations who were assessed with the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA), as well as the Historical Loss Scale, Historical Loss Associated Symptoms Scale, and Stressful Life Events Scale. In data from 447 American Indian adults (mean age=33 years), twenty percent reported lifetime experiences of suicidal thoughts (ideation and/or plans) and 14% reported suicidal acts, (including either a suicide attempt history or verified death by suicide (n=4)). Diagnosis of PTSD and experience of assaultive trauma were each significantly associated with suicidal thoughts and acts, although assaultive trauma did not remain significant in models adjusting for gender and PTSD. High endorsement of symptoms associated with historical trauma was significantly associated with suicidal acts, and this remained significant when adjusting for gender and PTSD. PTSD and historical trauma have an association with suicide and suicidal attempts in this American Indian community. Although further research is needed to evaluate the causal nature of these relations, these findings suggest treatment and prevention programs for American Indian suicide may benefit from addressing issues related to feelings of historical losses, PTSD, and their associated symptomatology.
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影响因子：
3.3
作者：
Beals, J;Manson, SM;Schlenger, WE
通讯作者：
Schlenger, WE
影响因子：
17.7
作者：
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DOI：
10.1002/ajmg.b.30057
发表时间：
2004-08-15
影响因子：
2.8
作者：
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通讯作者：
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影响因子：
17.7
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通讯作者：
Gilder, DA
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3.2
作者：
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