Protective factors against suicidal behavior in depressed adults reporting childhood abuse
Protective factors against suicidal behavior in depressed adults reporting childhood abuse
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DOI：
10.1097/01.nmd.0000243764.56192.9c
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发表时间：
2006-12-01
影响因子：
1.9
通讯作者：
Oquendo, Maria A.
中科院分区：
文献类型：
--
作者：
Dervic, Kanita;Grunebaum, Michael F.;Oquendo, Maria A.
以往的大多数研究都比较了有或没有童年虐待史的受试者的自杀行为，而较少关注报告儿童期虐待的受试者中尝试自杀者和未尝试自杀者的比较。为了确定自杀行为的风险和保护因素，我们对 119 名报告童年虐待的抑郁症住院患者样本中的自杀未遂者和未自杀者进行了比较。与未尝试者相比，自杀者更年轻，自评抑郁严重程度和自杀意念更高，攻击性更强，B 型人格障碍合并症更多，应对潜力更小，对自杀 (MOS)/宗教信仰的道德反对更少。 Logistic 回归显示，在报告有童年虐待经历的受试者中，更严重的自杀意念和更少的 MOS/宗教信仰与自杀行为相关。此外，自杀意念和 MOS/宗教信仰呈显着负相关。这项临床研究的结果为之前的报告提供了支持，即宗教/精神应对可以作为预防儿童虐待事件的受试者自杀行为的额外资源。
Most previous studies compared suicidal behavior in subjects with and without a history of childhood abuse, whereas less attention was paid to the comparison of suicide attempters and nonattempters among subjects reporting childhood abuse. To identify risk and protective factors against suicidal behavior, we compared suicide attempters with nonattempters among the sample of 119 depressed inpatients who reported childhood abuse. Compared with nonattempters, suicide attempters were younger, had more self-rated depression severity and suicidal ideation, higher trait aggression and more cluster B personality disorder comorbidity, less coping potential, and fewer moral objections to suicide (MOS)/religious beliefs. Logistic regression showed that more severe suicidal ideation and fewer MOS/religious beliefs were associated with suicidal acts in subjects with reported childhood abuse. Furthermore, suicidal ideation and MOS/religious beliefs were significantly inversely correlated. The results of this clinical study add support to previous reports that religious/spiritual coping could serve as an additional resource in prevention of suicidal behavior for subjects with reported childhood abuse.