Sarchiapone M, Jaussent I, Roy A, Carli V, Guillaume S, Jollant F, Malafosse A, Courtet P
Department of Health Sciences, University of Molise, Campobasso, Italy.
Eur Psychiatry. 2009 Jan;24(1):57-62. doi: 10.1016/j.eurpsy.2008.07.005. Epub 2008 Sep 6.
Childhood trauma and aggressive traits are considered risk factors for suicidal behavior. The hypothesis we aimed to test in this study was the existence of an association between childhood trauma and aggression in two distinct samples of Italian and French suicide attempters.
Study participants comprise 587 subjects with different psychiatric diagnoses according to DSM-IV-TR criteria. Three different samples were analyzed and compared: a group of French suicide attempters (N=396; mean age 40.47 SD=13.52; M/F: 110/286); a group of Italian suicide attempters (N=103; mean age 38.60 SD=12.04; M/F 27/76) and an Italian psychiatric comparison group (N=88; mean age: 41.49 SD=12.05; M/F; 37/51). Patients were interviewed with the Brown-Goodwin Assessment for Lifetime History of Aggression (BGLHA) and the Childhood Trauma Questionnaire (CTQ) 34-items for Italian data and 28-items for French data.
When compared with the comparison group, Italian suicide attempters had significantly higher scores on the BGLHA scale and reported higher scores on the CTQ scores for physical abuse, sexual abuse and emotional abuse. Significant correlations between childhood trauma and aggression were found in both groups, Italian and French, of suicide attempters.
The hypothesis tested was supported as psychiatric patients who had attempted suicide reported significantly more childhood trauma and aggression. Significant correlations were found between aggressive behavior, and childhood trauma in suicidal patients. This finding was replicated in two independently recruited samples in two countries with different prevalence of suicidal behavior.
童年创伤和攻击性行为特质被认为是自杀行为的风险因素。我们在本研究中旨在检验的假设是，在意大利和法国两个不同的自杀未遂样本中，童年创伤与攻击性行为之间存在关联。
研究参与者包括587名根据《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）标准诊断为不同精神疾病的受试者。分析并比较了三个不同的样本：一组法国自杀未遂者（N = 396；平均年龄40.47，标准差 = 13.52；男/女：110/286）；一组意大利自杀未遂者（N = 103；平均年龄38.60，标准差 = 12.04；男/女：27/76）以及一个意大利精神科对照组（N = 88；平均年龄：41.49，标准差 = 12.05；男/女：37/51）。使用布朗 - 古德温终生攻击史评估量表（BGLHA）和儿童创伤问卷（CTQ）对患者进行访谈，意大利数据采用34项版本，法国数据采用28项版本。
与对照组相比，意大利自杀未遂者在BGLHA量表上得分显著更高，并且在身体虐待、性虐待和情感虐待的CTQ得分上也更高。在意大利和法国的两组自杀未遂者中，均发现童年创伤与攻击性行为之间存在显著相关性。
所检验的假设得到了支持，因为自杀未遂的精神科患者报告的童年创伤和攻击性行为明显更多。在自杀患者中，攻击性行为与童年创伤之间发现了显著相关性。这一发现在两个自杀行为患病率不同的国家的两个独立招募样本中得到了重复验证。
