Daray Federico M, Rojas Sasha M, Bridges Ana J, Badour Christal L, Grendas Leandro, Rodante Demián, Puppo Soledad, Rebok Federico
"Dr. Braulio A. Moyano" Neuropsychiatric Hospital, Buenos Aires, Argentina; Institute of Pharmacology, School of Medicine, University of Buenos Aires, Argentina; Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Argentina.
Department of Psychological Science, University of Arkansas, United States.
Child Abuse Negl. 2016 Aug;58:91-8. doi: 10.1016/j.chiabu.2016.06.011. Epub 2016 Jun 25.
Child sexual abuse (CSA) is a causal agent in many negative adulthood outcomes, including the risk for life-threatening behaviors such as suicide ideation and suicide attempts. Traumatic events such as CSA may pose risk in the healthy development of cognitive and emotional functioning during childhood. In fact, high impulsivity, a risk factor for suicidal behavior, is characteristic of CSA victims. The current study aims to understand the relations among CSA, impulsivity, and frequency of lifetime suicide attempts among a female patient sample admitted for suicidal behavior. Participants included 177 female patients between the ages of 18 and 63 years admitted at two hospitals in Buenos Aires, Argentina. Number of previous suicide attempts and CSA were assessed via structured interviews, while impulsivity was assessed with the Barratt Impulsiveness Scale (BIS-11). A model of structural equations was employed to evaluate the role of impulsivity in the relation between CSA and suicide attempts. CSA (β=.18, p<.05) and impulsivity (β=.24, p<.05) were associated with the number of previous suicide attempts. However, impulsivity was not significantly associated with CSA (β=.09, p>.05). CSA and impulsivity are independently associated with lifetime suicide attempts among female patients with recent suicidal behavior.
儿童性虐待（CSA）是导致许多成年期负面后果的一个因素，包括出现自杀念头和自杀未遂等危及生命行为的风险。诸如CSA之类的创伤性事件可能会对儿童时期认知和情感功能的健康发展构成风险。事实上，高冲动性是自杀行为的一个风险因素，是CSA受害者的特征。当前的研究旨在了解在因自杀行为入院的女性患者样本中，CSA、冲动性和终身自杀未遂频率之间的关系。参与者包括阿根廷布宜诺斯艾利斯两家医院收治的177名年龄在18至63岁之间的女性患者。通过结构化访谈评估既往自杀未遂次数和CSA情况，同时用巴拉特冲动性量表（BIS-11）评估冲动性。采用结构方程模型来评估冲动性在CSA与自杀未遂之间关系中的作用。CSA（β = 0.18，p < 0.05）和冲动性（β = 0.24，p < 0.05）与既往自杀未遂次数相关。然而，冲动性与CSA无显著关联（β = 0.09，p > 0.05）。在近期有自杀行为的女性患者中，CSA和冲动性与终身自杀未遂独立相关。
