Ystgaard Mette, Hestetun Ingebjørg, Loeb Mitchell, Mehlum Lars
Suicide Research and Prevention Unit, Sognsvannsveien 21, Building 12, University of Oslo, NO-0320 Oslo, Norway.
Child Abuse Negl. 2004 Aug;28(8):863-75. doi: 10.1016/j.chiabu.2004.01.009.
Studies show that childhood sexual and physical abuse predict repeated suicide attempts and self-mutilation. Little is known about the importance of sexual and physical abuse when compared to other severe childhood adversities with respect to chronic suicidal behavior.
Seventy-four subjects, 65% of whom were women, consecutively admitted to a general hospital after having made a suicide attempt, were interviewed as part of the intake interview about prior suicide attempts and self-mutilation and received DSM-IV diagnoses. Sexual abuse, physical abuse, neglect, antipathy from parents, loss of parents, and severe discord in the family before the age of 18, were covered by the Childhood Experience of Care and Abuse (CECA) interview schedule.
The prevalence of severe sexual abuse was 35%, severe physical abuse 18%, neglect 27%, antipathy 34%, loss of caregiver 37% and exposure to family violence 31%. Physical and sexual abuse were independently associated with repeated suicide attempts when controlling for the effects of the other childhood adverse factors. No other childhood adversity was related to chronic suicidal behavior. The odds ratio of exposure to sexual or physical abuse was highest among those who both repeated suicide attempts and self-mutilated.
Physical and sexual abuse are significantly and independently associated with repeated suicidal behavior.
研究表明，童年期遭受性虐待和身体虐待预示着反复自杀未遂和自残行为。与其他严重童年逆境相比，性虐待和身体虐待在慢性自杀行为方面的重要性鲜为人知。
74名受试者（其中65%为女性）在自杀未遂后连续入住一家综合医院，在入院访谈中，就既往自杀未遂和自残情况接受访谈，并接受DSM-IV诊断。童年期照料与虐待经历（CECA）访谈问卷涵盖了18岁之前遭受的性虐待、身体虐待、忽视、来自父母的反感、父母离世以及家庭严重不和等情况。
严重性虐待的发生率为35%，严重身体虐待为18%，忽视27%，反感34%，照料者离世37%，遭受家庭暴力31%。在控制其他童年期不利因素的影响后，身体虐待和性虐待与反复自杀未遂独立相关。没有其他童年逆境与慢性自杀行为有关。在既反复自杀未遂又有自残行为的人群中，遭受性虐待或身体虐待的比值比最高。
身体虐待和性虐待与反复自杀行为显著且独立相关。
Zotero 插件