Department of Clinical Neuro and Developmental Psychology, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
World Health Organization Collaborating Centre for Research and Dissemination of Psychological Interventions, Vrije Universiteit Amsterdam, The Netherlands.
J Trauma Stress. 2022 Aug;35(4):1273-1281. doi: 10.1002/jts.22821. Epub 2022 Mar 13.
Childhood maltreatment may play an important role in the transition from suicidal ideation to suicidal behavior. Recently, research has begun evaluating the association between childhood maltreatment and involuntary and distressing intrusions about one's own suicide, also called suicidal intrusions. This cross-sectional, multicenter study aimed to investigate the association between childhood maltreatment and the severity of suicidal intrusions using online questionnaires. Participants were suicidal outpatients currently receiving treatment at a Dutch mental health institution (N = 149). The Childhood Trauma Questionnaire-Short Form and Suicidal Intrusions Attributes Scale were administered online. A simple linear regression was performed followed by a multiple linear regression with backward selection to separate the predictors of childhood maltreatment subscales. Next, significant predictor variables were used to perform an additional regression analysis with gender, age, posttraumatic stress disorder (PTSD) diagnosis, and depressive symptoms as potential covariates. The results showed that childhood maltreatment was significantly associated with suicidal intrusion scores, B = .22, t(147) = 2.010, p = .046. A multiple linear regression analysis showed that the only specific form of childhood maltreatment associated with suicidal intrusions was sexual abuse; the association remained after controlling for age, gender, PTSD diagnosis and depressive symptoms, F(5, 143) = 11.15, p < .001. In summary, the present study confirms the link between childhood maltreatment, particularly childhood sexual abuse, and suicidal intrusions. This finding implies that in the treatment of suicidal intrusions and suicidality, childhood sexual abuse should be identified and targeted with evidence-based treatments for PTSD.
童年期虐待在自杀意念向自杀行为的转变中可能起着重要作用。最近，研究开始评估童年期虐待与不由自主和令人痛苦的自杀念头之间的关系，也称为自杀闯入。这项横断面、多中心研究旨在使用在线问卷调查童年期虐待与自杀闯入严重程度之间的关系。参与者为目前正在荷兰一家精神卫生机构接受治疗的自杀门诊患者（N=149）。在线发放儿童创伤问卷-短式和自杀闯入属性量表。先进行简单线性回归，然后进行带有向后选择的多元线性回归，以分离童年期虐待子量表的预测因子。接下来，使用显著的预测变量，在性别、年龄、创伤后应激障碍（PTSD）诊断和抑郁症状作为潜在协变量的情况下，进行额外的回归分析。结果表明，童年期虐待与自杀闯入评分显著相关，B=.22，t（147）=2.010，p=.046。多元线性回归分析表明，与自杀闯入唯一相关的特定形式的童年期虐待是性虐待；在控制年龄、性别、PTSD 诊断和抑郁症状后，这种关联仍然存在，F（5，143）=11.15，p<.001。总之，本研究证实了童年期虐待，特别是儿童期性虐待与自杀闯入之间的联系。这一发现意味着，在治疗自杀闯入和自杀意念时，应识别和针对童年期性虐待，并采用 PTSD 的循证治疗方法。
