Lopez-Castroman J, Guillaume S, Olié E, Jaussent I, Baca-García E, Courtet P
a Department of Emergency Psychiatry , CHRU Montpellier, FondaMental Foundation, and Inserm U1061 , Montpellier , France.
Arch Suicide Res. 2015;19(2):275-83. doi: 10.1080/13811118.2014.957449.
Family history of suicidal behavior and personal history of childhood abuse are reported risk factors for suicide attempts and suicide completion. We aim to quantify the additive effect of family history of suicidal behavior and different subtypes of childhood abuse on suicidal behavior. We examined a sample of 496 suicide attempters, comparing individuals with family history of suicidal behavior and personal history of childhood (physical or sexual) abuse, individuals with family history of suicidal behavior only, individuals with history of early traumatic experiences only, and individuals with none of these two risk factors with regards to suicidal features. An additive effect was found for the age at the first attempt in suicide attempters with both family history of suicidal behavior and either physical or sexual abuse. No significant interactions were found between family history of suicidal behavior and childhood trauma in relation to any characteristics of suicidal behavior. Subjects presenting family history of suicidal behavior and childhood abuse attempt suicide earlier in life than subjects with just one or none of them, particularly if they were sexually abused. Other suicidality indexes were only partially or not associated with this combination of risk factors. A careful assessment of patients with both family history of suicidal behavior and childhood abuse could help to prevent future suicide attempts, particularly in young people.
有自杀行为家族史和童年期受虐个人史被报道为自杀未遂和自杀死亡的风险因素。我们旨在量化自杀行为家族史和不同类型童年期虐待对自杀行为的累加效应。我们研究了496名自杀未遂者的样本，比较了有自杀行为家族史和童年期（身体或性）受虐个人史的个体、仅有自杀行为家族史的个体、仅有早期创伤经历史的个体，以及在自杀特征方面无这两种风险因素的个体。在有自杀行为家族史且遭受身体或性虐待的自杀未遂者中，首次自杀企图的年龄存在累加效应。在自杀行为家族史和童年期创伤之间，未发现与任何自杀行为特征相关的显著交互作用。有自杀行为家族史和童年期受虐的个体比仅有其中一种或两者都没有的个体更早尝试自杀，特别是如果他们遭受过性虐待。其他自杀倾向指标仅部分或未与这种风险因素组合相关。对有自杀行为家族史和童年期受虐的患者进行仔细评估有助于预防未来的自杀企图，尤其是在年轻人中。
