Kelbert E F, Pinheiro L M, Souza L D M, Pinheiro C A T, Pinheiro K A T, Motta J V S, Barros M M D, Coelho F M C, Souza M S, Martins C S R, Pinheiro R T
Programa de Graduação em Saúde e Comportamento, Universidade Católica de Pelotas, Pelotas, Brazil.
Serviço de Assistência Especializada, Universidade Federal de Pelotas, Pelotas, Brazil.
AIDS Care. 2020 Apr;32(4):512-517. doi: 10.1080/09540121.2019.1695732. Epub 2019 Dec 5.
Suicide is an important problem in people living with HIV/AIDS (PLWHA). The importance of mental disorders and social vulnerability on suicidal behaviors is described in the literature; however, the impact of childhood traumatic events in this scenario is not clear. The aim of this study was to verify the mediation effect of mental disorder comorbidities and social vulnerability in association with childhood trauma intensity and suicide risk level. This cross-sectional study of HIV-positive outpatients was conducted in a specialized care service in the city of Pelotas in Southern Brazil. Sociodemographic data and HIV-related information were collected and the Childhood Trauma Questionnaire was applied. A total of 364 patients underwent psychiatric evaluation using MINI Plus including module C of suicide risk severity. Suicide risk was present in 39.3% of the sample. The relation between childhood traumatic events and the level of suicide risk is mediated by mental disorder comorbidities and socioeconomic vulnerability. Specific psychosocial interventions in PLWHA should consider the potential role of abusive traumatic experiences in the current mental health conditions and suicidal behaviors.
自杀是艾滋病毒/艾滋病感染者（PLWHA）面临的一个重要问题。文献中描述了精神障碍和社会脆弱性对自杀行为的影响；然而，童年创伤事件在这种情况下的影响尚不清楚。本研究的目的是验证精神障碍合并症和社会脆弱性与童年创伤强度和自杀风险水平之间的中介作用。这项针对HIV阳性门诊患者的横断面研究在巴西南部佩洛塔斯市的一家专业护理机构进行。收集了社会人口学数据和与HIV相关的信息，并应用了儿童创伤问卷。共有364名患者使用MINI Plus进行了精神科评估，包括自杀风险严重程度模块C。39.3%的样本存在自杀风险。童年创伤事件与自杀风险水平之间的关系由精神障碍合并症和社会经济脆弱性介导。对PLWHA的特定心理社会干预应考虑虐待性创伤经历在当前心理健康状况和自杀行为中的潜在作用。
