Makhija N, Sher L
Division of Neuroscience, Department of Psychiatry, Columbia University, New York, NY 10032, USA.
QJM. 2007 May;100(5):305-9. doi: 10.1093/qjmed/hcm024. Epub 2007 Apr 21.
Childhood abuse is linked to a variety of maladaptive outcomes that can extend far into adulthood. Two of the most significant are alcohol use disorders and suicidal ideation/behaviour. This article explores the pathway from childhood abuse to suicidal behaviour through the development of alcohol use disorders, and examines the significance of a familial history of alcohol misuse in exacerbating suicidal behaviour in adults who were abused as children. It discusses the implications of this pathway, and describes areas of focus for those who work with child abuse victims and/or patients experiencing alcohol use disorders. Practitioners working with children or adolescents who have experienced or are experiencing abuse should take a preventative approach, identifying and treating those at risk for alcohol misuse and/or suicide. Practitioners working with adults who are already abusing alcohol and/or are suicidal should work with the adult to identify and examine life events such as abuse that may be responsible. By identifying factors that have led to the misuse of alcohol and/or suicidal ideation, adults can obtain appropriate psychotherapy and deal in a more productive and beneficial manner with the pain that underlies their self-destructive impulses.
童年期受虐与一系列适应不良的后果相关，这些后果可能会延续至成年期。其中最显著的两种后果是酒精使用障碍和自杀意念/行为。本文探讨了从童年期受虐到自杀行为的路径，该路径通过酒精使用障碍的发展来呈现，并研究了酒精滥用家族史在加剧童年期受虐成年个体自杀行为方面的重要性。文章讨论了这一路径的影响，并描述了针对从事儿童虐待受害者工作的人员和/或患有酒精使用障碍的患者的关注重点。与曾经历或正在经历虐待的儿童或青少年打交道的从业者应采取预防措施，识别并治疗有酒精滥用和/或自杀风险的人群。与已经存在酒精滥用和/或有自杀倾向的成年人打交道的从业者，应与成年人共同识别并审视可能导致问题的生活事件，如虐待经历。通过识别导致酒精滥用和/或自杀意念的因素，成年人可以获得适当的心理治疗，并以更有效和有益的方式应对其自我毁灭冲动背后的痛苦。
