Université de Bordeaux, Laboratoire de Psychologie EA4139, 3 ter, place de la Victoire, 33076 Bordeaux, France.
Unidad de Docencia, Investigación y Formación en Salud Mental (UDIF-SM), Servicio Murciano de Salud, Ronda de Levante, 11, 30008 Murcia, Spain; CIBER de Epidemiología y Salud Pública (CIBERESP), Av. Monforte de Lemos, 3-5, 28029, Madrid, Spain; IMIB-Arrixaca, El Palmar, 30120 Murcia, Spain; University of Murcia, Departamento de Psicología Básica y Metodología, Campus Espinardo, 30100 Murcia, Spain.
J Affect Disord. 2023 Feb 15;323:354-360. doi: 10.1016/j.jad.2022.11.078. Epub 2022 Dec 2.
Exposure to childhood adversities (CAs) is known to be associated with the onset of suicidal ideation and plans. However, little is known regarding the contribution of CAs to their persistence.
The study aims to examine the type, number and frequency of CA exposure on the persistence of suicidal ideation and plans at one-year.
Data were drawn from the French portion of the World Mental Health International College Student survey. At baseline (n = 2661, response rate = 7,58 %), exposure to 12 types of CAs prior to age 18, lifetime mental disorders, lifetime and 12-month suicidal ideation and plans were assessed. At one-year follow-up (n = 1221), 12-month mental disorders, suicidal ideation and plans were assessed. Among those with a prior history of suicidal ideation, logistic regressions were performed to examine the role of CAs on the persistence of ideation and plans at one-year.
At baseline, frequency and number of CAs were associated with 12-month suicidal ideation and plans. Among lifetime ideators, 49.6 % reported 12-month suicidal ideation at follow-up. Physical abuse was associated with an increased risk of suicidal ideation and plan persistence at one year in univariate analyses. However, CAs were not associated with the persistence of suicidal ideation and plans at one-year in multivariate analyses.
Retrospective report of CA exposure, and low baseline response rate.
Using a fine-grained operationalization of CA exposure, CAs were not involved in the persistence of suicidal ideation or plans, their deleterious effect more likely to occur early in the course of psychopathology.
已知儿童期逆境（CAs）暴露与自杀意念和计划的发生有关。然而，对于它们对持续存在的贡献知之甚少。
本研究旨在探讨 CAs 的类型、数量和频率对自杀意念和计划在一年内持续存在的影响。
数据来自法国部分的世界心理健康国际大学生调查。在基线（n=2661，应答率=7.58%）时，评估了 18 岁前暴露于 12 种 CAs、终生精神障碍、终生和 12 个月的自杀意念和计划。在一年随访（n=1221）时，评估了 12 个月的精神障碍、自杀意念和计划。在有自杀意念既往史的患者中，进行逻辑回归分析以探讨 CAs 在一年内意念和计划持续存在的作用。
基线时，CAs 的频率和数量与 12 个月的自杀意念和计划有关。在终生意念者中，49.6%的人在随访时报告有 12 个月的自杀意念。在单变量分析中，身体虐待与自杀意念和计划在一年时的持续存在相关。然而，在多变量分析中，CAs 与自杀意念和计划在一年时的持续存在无关。
CAs 暴露的回顾性报告，以及基线应答率低。
使用 CAs 暴露的精细操作化，CAs 与自杀意念或计划的持续存在无关，其不良影响更可能发生在精神病理学的早期。
