Hallucinations as a risk marker for suicidal behaviour in individuals with a history of sexual assault: a general population study with instant replication.
Hallucinations as a risk marker for suicidal behaviour in individuals with a history of sexual assault: a general population study with instant replication.
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DOI：
10.1017/s0033291722001532
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发表时间：
2023-07
影响因子：
6.9
通讯作者：
Kelleher, Ian
中科院分区：
文献类型：
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作者：
Yates, Kathryn;Lang, Ulla;Peters, Evyn M.;Wigman, Johanna T. W.;Boyda, David;McNicholas, Fiona;Cannon, Mary;Alderson-Day, Ben;Bloomfield, Michael;Ramsay, Hugh;Kelleher, Ian
研究表明，在一般人群样本中，幻觉和自杀行为之间存在密切关系。幻觉是否也是自杀行为风险升高的群体中自杀行为风险的指标，即有性侵犯史的个体，还有待观察。我们评估了幻觉是否是有性侵犯史的个体自杀行为风险的标志。使用2007年（N = 7403）和2014年（N = 7546）成人精神病发病率调查，我们评估了性侵犯和幻觉之间的相互作用，自杀企图的几率，以及直接比较自杀企图在有性侵犯史的人与没有幻觉。在两个样本中，与没有性侵犯历史的人相比，有性侵犯历史的人出现幻觉和自杀企图的几率增加。在自杀企图的几率方面，性侵犯和幻觉之间存在显着的相互作用。总的来说，14-19%没有报告幻觉的性侵犯史的人有一次或多次自杀企图。这增加到33-52%的有性侵犯史的人报告了幻觉（2007年，aOR = 2.85，1.71-4.75; 2014年，aOR = 4.52，2.78-7.35）。幻觉是自杀企图的风险标志，即使在自杀行为风险较高的个体中，特别是有性侵犯史的个体。这一发现强调了幻觉与自杀行为风险的临床意义，即使在高危人群中也是如此。
Research has shown a strong relationship between hallucinations and suicidal behaviour in general population samples. Whether hallucinations also index suicidal behaviour risk in groups at elevated risk of suicidal behaviour, namely in individuals with a sexual assault history, remains to be seen. We assessed whether hallucinations were markers of risk for suicidal behaviour among individuals with a sexual assault history. Using the cross-sectional 2007 (N = 7403) and 2014 (N = 7546) Adult Psychiatric Morbidity Surveys, we assessed for an interaction between sexual assault and hallucinations in terms of the odds of suicide attempt, as well as directly comparing the prevalence of suicide attempt in individuals with a sexual assault history with v. without hallucinations. Individuals with a sexual assault history had increased odds of hallucinations and suicide attempt compared to individuals without a sexual assault history in both samples. There was a significant interaction between sexual assault and hallucinations in terms of the odds of suicide attempt. In total, 14–19% of individuals with a sexual assault history who did not report hallucinations had one or more suicide attempt. This increased to 33–52% of individuals with a sexual assault history who did report hallucinations (2007, aOR = 2.85, 1.71–4.75; 2014, aOR = 4.52, 2.78–7.35). Hallucinations are a risk marker for suicide attempt even among individuals with an elevated risk of suicidal behaviour, specifically individuals with a sexual assault history. This finding highlights the clinical significance of hallucinations with regard to suicidal behaviour risk, even among high-risk populations.