Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Trauma Stress. 2009 Oct;22(5):467-70. doi: 10.1002/jts.20438.
The current study examined the manner in which childhood sexual abuse (CSA) history relates to risk factors for suicidal behavior among recent suicide attempters (n = 166). Men who recently attempted suicide and endorsed a CSA history had higher scores on measures of hopelessness and suicide ideation than men without a CSA history. Men with a CSA history were also more likely to have made multiple suicide attempts and meet diagnostic criteria for posttraumatic stress disorder and borderline personality disorder. In contrast, there were fewer group differences as a function of CSA history among the female suicide attempters. Hopelessness was a significant mediator between CSA history and suicide ideation in both men and women.
本研究考察了童年期性虐待（CSA）史与近期自杀未遂者（n=166）自杀行为风险因素的关系方式。与没有 CSA 史的男性相比，最近尝试自杀并报告 CSA 史的男性在绝望和自杀意念方面的得分更高。有 CSA 史的男性也更有可能多次尝试自杀，并符合创伤后应激障碍和边缘型人格障碍的诊断标准。相比之下，女性自杀未遂者中，CSA 史的群体差异较少。无论男性还是女性，绝望感都是 CSA 史与自杀意念之间的重要中介变量。
