More than words: The association of childhood emotional abuse and suicidal behavior
More than words: The association of childhood emotional abuse and suicidal behavior
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DOI：
10.1016/j.eurpsy.2016.04.002
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发表时间：
2016-09-01
影响因子：
7.8
通讯作者：
Lara, D. R.
中科院分区：
文献类型：
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作者：
de Araujo, R. M. F.;Lara, D. R.
背景：所有类型的虐待和忽视都与自杀企图有关。然而，每种类型的儿童期创伤水平与自杀行为严重程度之间的关系（包括从构思的进展，企图），调整他们的共同occurrence，尚不清楚。方法：我们使用了一个横截面的基于网络的调查收集从巴西互联网研究气质和精神病理学（BRAINSTEP）调查的孤立影响，每种类型的儿童创伤自杀行为的严重程度。样本由71,429名自愿者组成，他们接受了儿童创伤问卷（CTQ）和以下关键问题的评估：“你是否想过或试图自杀？结果：在调整人口学变量和儿童期创伤亚型后，严重情感虐待（EA）与自杀意念和自杀未遂相关，主要是严重自杀未遂（OR，22.71; 95%CI，2.32-222.05）。我们发现，严重的情感忽视（EN）与严重的自杀企图，以及严重的身体忽视（PN）和性虐待（SA）与没有真正意义的死亡企图的关联程度较小。身体虐待（PA）没有发现有意义的趋势，作为参考组的想法，EA与严重的自杀企图，在第95百分位数（OR，4.39; 95%CI，2.04-9.41）的峰值。我们发现PN和SA的关联幅度较小，EN和PA没有有意义的趋势。结论：自杀行为与儿童时期的情感虐待密切相关，即使与构思者相比，这表明它是一个相关因素，从构思到尝试的进展。(C)2016 Elsevier Masson SAS。All rights reserved.
Background: All types of abuse and neglect have been associated with suicide attempts. However, the association between the level of each type of childhood trauma and suicidal behavior severity (including the progression from ideation to attempts), adjusting for their co-occurrence, is not yet clear.Methods: We used a cross-sectional web-based survey collected from the Brazilian Internet Study on Temperament and Psychopathology (BRAINSTEP) to investigate the isolated effects of each type of childhood trauma on suicidal behavior severity. The sample consisted of 71,429 self-selected volunteers assessed with the Childhood Trauma Questionnaire (CTQ) and the following key question: "Have you ever thought about or attempted to kill yourself?'' (Suicidal Behavior Questionnaire, SBQ-17).Results: After adjusting for demographic variables, and childhood trauma subtypes, severe emotional abuse (EA) was associated with suicidal ideation and attempts, mainly for serious suicide attempts (OR, 22.71; 95% CI, 2.32-222.05). We found associations of smaller magnitude for severe emotional neglect (EN) with serious suicide attempts, and for severe physical neglect (PN) and sexual abuse (SA) with attempts without really meaning to die. No meaningful trend for physical abuse (PA) was found. Using as reference group ideators, EA was associated with serious suicide attempts, with a peak at the 95th percentile (OR, 4.39; 95% CI, 2.04-9.41). We found associations of smaller magnitude for PN and SA, and no meaningful trend for EN and PA.Conclusions: Suicidal behavior was strongly associated with emotional abuse in childhood, even when compared with ideators, suggesting that it is a relevant factor for the progression from ideation to attempts. (C) 2016 Elsevier Masson SAS. All rights reserved.