Risk for Suicidal Thoughts and Behavior after Childhood Sexual Abuse in Women and Men

Risk for Suicidal Thoughts and Behavior after Childhood Sexual Abuse in Women and Men
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DOI:
10.1111/j.1943-278x.2011.00040.x
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发表时间:
2011-08-01
影响因子:
3.2
通讯作者:
Martin, Nicholas G.
Martin, Nicholas G.
中科院分区:
医学2区
文献类型:
--
作者:
Bedi, Saaniya;Nelson, Elliot C.;Martin, Nicholas G.

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早期的研究发现,与儿童期性虐待(CSA)相关的精神病理学和自杀行为的风险升高;然而,在女性和男性中,抑郁症和创伤后应激障碍(PTSD)介导的风险程度仍不清楚。我们研究了这些问题的数据来自家庭研究的儿童虐待(N = 2,559)。我们发现,女性和男性的抑郁症,PTSD和自杀行为与CSA相关的风险显著。在控制这些疾病的生存分析中,我们观察到持续但在一定程度上降低了CSA相关的自杀意念和自杀企图风险。我们的研究结果表明,这些疾病部分介导CSA相关的风险。
Earlier studies have found an elevated risk for psychopathology and suicidal behavior associated with childhood sexual abuse (CSA); however, the degree to which risk is mediated by depression and posttraumatic stress disorder ( PTSD) in women and men remains unclear. We examined these issues in data from a family study of childhood maltreatment (N = 2,559). We found significant CSA-associated risk for depression, PTSD, and suicidal behavior for women and men. In survival analyses controlling for these disorders, we observed persistent but somewhat reduced CSA-associated risk for suicidal ideation and suicide attempt. Our findings suggest that these disorders partially mediate CSA-associated risk.