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有记录的创伤史方面的性别差异:因自杀相关想法或行为入住军事精神科病房的住院患者。

Gender differences on documented trauma histories: inpatients admitted to a military psychiatric unit for suicide-related thoughts or behaviors.

作者信息

Cox Daniel W, Ghahramanlou-Holloway Marjan, Szeto Edwin H, Greene Farrah N, Engel Charles, Wynn Gary H, Bradley John, Grammer Geoffrey

机构信息

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.

出版信息

J Nerv Ment Dis. 2011 Mar;199(3):183-90. doi: 10.1097/NMD.0b013e31820c71c9.

Abstract

Suicide is a leading cause of death among men and women in the United States Military. Using a retrospective chart review design, the current study investigated gender differences on documented traumas for people admitted to a military inpatient psychiatric unit for suicide-related thoughts or behaviors (N = 656). Men more often had no documented lifetime traumas and women more often had 2 or more trauma types. Women had significantly more documented incidences of childhood sexual abuse, adulthood sexual assault, adulthood physical assault, and pregnancy loss. The gender gap in documented trauma types for childhood and adulthood traumas persisted even after adjusting for demographic variables, psychiatric diagnoses, and comorbid trauma types (i.e., trauma types other than the one being used as the dependent variable). Given the observed gender differences in documented traumas, professionals working with military women admitted for suicide-related thoughts or behaviors need to consider trauma in the context of treatment.

摘要

自杀是美国军队中男女死亡的主要原因。本研究采用回顾性图表审查设计,调查了因自杀相关想法或行为入住军队住院精神科病房的人员(N = 656)在记录创伤方面的性别差异。男性更多地没有记录在案的终身创伤,而女性更多地有两种或更多种创伤类型。女性记录在案的童年性虐待、成年期性侵犯、成年期身体攻击和流产的发生率明显更高。即使在调整了人口统计学变量、精神科诊断和共病创伤类型(即除用作因变量的创伤类型之外的其他创伤类型)之后,童年和成年创伤记录创伤类型中的性别差异仍然存在。鉴于在记录创伤方面观察到的性别差异,与因自杀相关想法或行为入院的军队女性打交道的专业人员在治疗过程中需要考虑创伤因素。

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