Jakubczyk A, Klimkiewicz A, Krasowska A, Kopera M, Sławińska-Ceran A, Brower K J, Wojnar M
Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Child Abuse Negl. 2014 Sep;38(9):1560-8. doi: 10.1016/j.chiabu.2014.06.010. Epub 2014 Jul 2.
History of child abuse is considered one of the important risk factors of suicide attempt in general population. At the same time it has been shown that suicide attempts appear significantly more frequently in alcoholics than in healthy individuals. The objective of this study was to investigate associations between history of childhood sexual abuse and suicide attempts in a sample of Polish alcohol dependent patients. A sample of 364 alcohol-dependent subjects was recruited in alcohol treatment centers in Warsaw, Poland. Information was obtained about demographics, family history of psychiatric problems, history of suicide attempts, sexual and physical abuse during childhood and adulthood and severity of alcohol problems. When analyzed by gender, 7.4% of male and 39.2% of female patients had a lifetime history of sexual abuse; 31.9% of the study group reported at least one suicide attempt during their lifetime. Patients who reported suicide attempts were significantly younger (p=0.0008), had greater severity of alcohol dependence (p=0.0002), lower social support (p=0.003), and worse economic status (p=0.002). Moreover, there was a significant association between history of suicide attempts and family history of psychiatric problems (p=0.00025), suicide attempts in the family (p=0.0073), childhood history of sexual abuse (p=0.009) as well as childhood history of physical abuse (p=0.002). When entered into linear regression analysis with other dependent variables history of childhood sexual abuse remained a significant predictor of suicide attempt (OR=2.52; p=0.035). Lifetime experience of sexual abuse is a significant and independent risk factor of suicide attempts in alcohol-dependent individuals.
儿童期受虐史被认为是普通人群自杀未遂的重要风险因素之一。同时，研究表明，酗酒者自杀未遂的发生率明显高于健康个体。本研究的目的是调查波兰酒精依赖患者样本中儿童期性虐待史与自杀未遂之间的关联。在波兰华沙的酒精治疗中心招募了364名酒精依赖受试者。收集了有关人口统计学、精神疾病家族史、自杀未遂史、儿童期和成年期的性虐待及身体虐待情况以及酒精问题严重程度的信息。按性别分析时，7.4%的男性患者和39.2%的女性患者有终身性虐待史；31.9%的研究组报告在其一生中至少有一次自杀未遂。报告有自杀未遂的患者明显更年轻（p=0.0008），酒精依赖程度更高（p=0.0002），社会支持更低（p=0.003），经济状况更差（p=0.002）。此外，自杀未遂史与精神疾病家族史（p=0.00025）、家族中的自杀未遂情况（p=0.0073）、儿童期性虐待史（p=0.009）以及儿童期身体虐待史（p=0.002）之间存在显著关联。当与其他因变量一起进行线性回归分析时，儿童期性虐待史仍然是自杀未遂的显著预测因素（OR=2.52；p=0.035）。终身性虐待经历是酒精依赖个体自杀未遂的一个显著且独立的风险因素。
