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巴西南部14至35岁年轻人群样本中的童年创伤与自杀风险

Childhood trauma and suicide risk in a sample of young individuals aged 14-35 years in southern Brazil.

作者信息

Barbosa Luana Porto, Quevedo Luciana, da Silva Giovanna Del Grande, Jansen Karen, Pinheiro Ricardo Tavares, Branco Jerônimo, Lara Diogo, Oses Jean, da Silva Ricardo Azevedo

机构信息

Programa de Pós-Graduação em Saúde e Comportamento da Universidade Católica de Pelotas, Félix da Cunha, 412, Centro, 96010-000 Pelotas, Brazil.

Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Av. Ipiranga, 6681 Pd 12A, Partenon, 90670-100 Porto Alegre, RS, Brazil.

出版信息

Child Abuse Negl. 2014 Jul;38(7):1191-6. doi: 10.1016/j.chiabu.2014.02.008. Epub 2014 Mar 13.

Abstract

Suicide is among the main causes of death of people aged between 15 and 44 years old. Childhood trauma is an important risk factor for suicide. Hence, the objective of this study was to verify the relationship between childhood trauma and current suicide risk (suicidal behavior and ideation) in individuals aged 14-35 years, in the city of Pelotas, Brazil. This is a cross-sectional, population-based study. Sample selection was performed by clusters. Suicide risk was evaluated using the Mini International Neuropsychiatric Interview (MINI) and Childhood trauma was assessed with the Childhood Trauma Questionnaire (CTQ). Moreover, the participants responded to a questionnaire concerning socioeconomic status, work, and substance use. The sample was composed of 1,380 individuals. The prevalence of suicide risk was 11.5%. The prevalence figures of childhood trauma were 15.2% (emotional neglect), 13.5% (physical neglect), 7.6% (sexual abuse), 10.1% (physical abuse), and 13.8% (emotional abuse). Suicide risk was associated (p<.001) with gender, work, alcohol abuse, tobacco use, and all types of childhood trauma. The odds of suicide risk were higher in women (OR=1.8), people who were not currently working (OR=2.3), individuals who presented alcohol abuse (OR=2.6), and among tobacco smokers (OR=3.4). Moreover, suicide risk was increased in all types of trauma: emotional neglect (OR=3.7), physical neglect (OR=2.8), sexual abuse (OR=3.4), physical abuse (OR=3.1), and emotional abuse (OR=6.6). Thus, preventing early trauma may reduce suicide risk in young individuals.

摘要

自杀是15至44岁人群的主要死因之一。童年创伤是自杀的一个重要风险因素。因此,本研究的目的是验证巴西佩洛塔斯市14 - 35岁个体中童年创伤与当前自杀风险(自杀行为和意念)之间的关系。这是一项基于人群的横断面研究。样本选择采用整群抽样。使用迷你国际神经精神访谈(MINI)评估自杀风险,并用儿童创伤问卷(CTQ)评估童年创伤。此外,参与者还回答了一份关于社会经济地位、工作和物质使用的问卷。样本由1380名个体组成。自杀风险的患病率为11.5%。童年创伤的患病率分别为:情感忽视15.2%、身体忽视13.5%、性虐待7.6%、身体虐待10.1%、情感虐待13.8%。自杀风险与性别、工作、酒精滥用、吸烟以及所有类型的童年创伤相关(p<0.001)。女性(OR = 1.8)、目前未工作的人(OR = 2.3)、存在酒精滥用的个体(OR = 2.6)以及吸烟者(OR = 3.4)的自杀风险几率更高。此外,所有类型的创伤都会增加自杀风险:情感忽视(OR = 3.7)、身体忽视(OR = 2.8)、性虐待(OR = 3.4)、身体虐待(OR = 3.1)、情感虐待(OR = 6.6)。因此,预防早期创伤可能会降低年轻人的自杀风险。

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