Health Analysis Division, Statistics Canada.
Health Rep. 2024 Sep 18;35(9):16-28. doi: 10.25318/82-003-x202400900002-eng.
Physical and sexual childhood abuse are associated with suicidal ideation and mental health disorders. However, less is known about non-physical types of maltreatment. This study examined associations between non-physical types of child maltreatment (e.g., emotional abuse, interpersonal aggression, exposure to physical intimate partner violence, emotional and physical neglect) and suicidal ideation, and mental health disorders.
Data from the 2018 Survey of Safety in Public and Private Spaces were used to estimate the proportion of individuals 15 years and older in Canada who experienced non-physical maltreatment during childhood. Multivariable regression analyses were used to examine associations between five types of non-physical child maltreatment and suicidal ideation, and mental health disorders.
Overall, interpersonal aggression was the most common (45.7%), followed by emotional abuse (40.4%) and emotional neglect (20.0%). Individuals who experienced any type of non-physical maltreatment in childhood had a higher probability of lifetime suicidal ideation than those who never experienced the maltreatment examined. Mood disorder diagnoses were more likely among those who experienced emotional abuse, interpersonal aggression, and emotional neglect than among those who never experienced these types of maltreatment. Compared with those who never experienced the maltreatment examined, individuals who experienced emotional abuse, interpersonal aggression, emotional neglect, or physical neglect were more likely to be diagnosed with an anxiety disorder. Diagnoses of post-traumatic stress disorder were more likely among those who experienced emotional and physical neglect than among those who never experienced these types of maltreatment.
Non-physical child maltreatment is associated with suicidal ideation and mental health disorders. The findings highlight the importance of including non-physical types of child maltreatment on population-based surveys to differentiate associations with mental health outcomes to better align interventions and policies.
身体和性虐待与自杀意念和心理健康障碍有关。然而，人们对非身体虐待类型知之甚少。本研究探讨了非身体虐待类型（如情感虐待、人际攻击、目睹身体亲密伴侣暴力、情感和身体忽视）与自杀意念和心理健康障碍之间的关联。
本研究使用 2018 年公共和私人空间安全调查的数据，估计加拿大 15 岁及以上人群在儿童时期经历非身体虐待的比例。多变量回归分析用于研究五种非身体儿童虐待与自杀意念和心理健康障碍之间的关联。
总体而言，人际攻击最常见（45.7%），其次是情感虐待（40.4%）和情感忽视（20.0%）。在儿童时期经历过任何类型非身体虐待的个体，其一生中自杀意念的可能性高于从未经历过所研究的虐待的个体。与从未经历过这些类型虐待的个体相比，经历过情感虐待、人际攻击和情感忽视的个体更有可能被诊断为情绪障碍。与从未经历过所研究的虐待的个体相比，经历过情感虐待、人际攻击、情感忽视或身体忽视的个体更有可能被诊断为焦虑障碍。与从未经历过这些类型虐待的个体相比，经历过情感和身体忽视的个体更有可能被诊断为创伤后应激障碍。
非身体儿童虐待与自杀意念和心理健康障碍有关。这些发现强调了在基于人群的调查中纳入非身体类型的儿童虐待的重要性，以区分与心理健康结果的关联，从而更好地调整干预措施和政策。
