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曾遭受性虐待的受试者中自杀未遂的预测因素。

Predictors of suicide attempt among subjects who were previously exposed to sexual abuse.

作者信息

Ferahkaya Hurşit, Türker Melek, Coşkun Fatma, Uzun Necati, Akça Ömer Faruk

机构信息

Department of Child and Adolescent Psychiatry, Necmettin Erbakan University, Meram Faculty of Medicine, Konya, Turkey.

Department of Child and Adolescent Psychiatry, Dr. Ali Kemal Belviranlı Obstetrics, Gynecology and Pediatrics Hospital, Konya, Turkey.

出版信息

Int J Soc Psychiatry. 2025 Sep;71(6):1155-1163. doi: 10.1177/00207640251334268. Epub 2025 Apr 18.

Abstract

BACKGROUND AND AIMS

Child sexual abuse is a condition that can affect the victim's life in every period and is closely related to physical and mental problems. One of the important consequences of child sexual abuse is suicide. The idea that there is a close relationship between child sexual abuse and suicidal ideation and attempts is widely accepted in the literature, but this relationship is quite complex. In this study, we investigated the factors associated with suicide risk in children and adolescents who were victims of sexual abuse.

METHODS

Two groups were formed: participants who were sexually abused and attempted suicide, and participants who were sexually abused and did not attempt suicide. They were evaluated in terms of anxiety, depression, posttraumatic stress disorder, borderline personality traits, impulsivity, traumatic experiences, and perceived social support using scales.

RESULTS

The total scores of anxiety-depression, posttraumatic-stress-disorder, impulsivity, traumatic experiences, and borderline personality traits scales were found to be significantly higher, while the perceived social support scale score was found to be significantly lower in the group who attempted suicide.

CONCLUSION

Our findings revealed factors associated with suicide attempts in child and adolescent who were sexual abuse victims. Taking these factors into account when evaluating victims of sexual abuse will provide early intervention to high risk patients.

摘要

背景与目的

儿童性虐待是一种会在各个时期影响受害者生活的状况,且与身心问题密切相关。儿童性虐待的重要后果之一是自杀。儿童性虐待与自杀意念及自杀企图之间存在密切关系这一观点在文献中已被广泛接受,但这种关系相当复杂。在本研究中,我们调查了遭受性虐待的儿童和青少年中与自杀风险相关的因素。

方法

组建了两组:遭受性虐待并企图自杀的参与者,以及遭受性虐待但未企图自杀的参与者。使用量表从焦虑、抑郁、创伤后应激障碍、边缘型人格特质、冲动性、创伤经历和感知到的社会支持等方面对他们进行评估。

结果

发现企图自杀的组中,焦虑 - 抑郁、创伤后应激障碍、冲动性、创伤经历和边缘型人格特质量表的总分显著更高,而感知到的社会支持量表得分显著更低。

结论

我们的研究结果揭示了遭受性虐待的儿童和青少年中与自杀企图相关的因素。在评估性虐待受害者时考虑这些因素将为高危患者提供早期干预。

相似文献

3
Cognitive-behavioural interventions for children who have been sexually abused.针对遭受性虐待儿童的认知行为干预措施。
Cochrane Database Syst Rev. 2012 May 16;2012(5):CD001930. doi: 10.1002/14651858.CD001930.pub3.

本文引用的文献

6
Lifestyle Interventions and Prevention of Suicide.生活方式干预与自杀预防
Front Psychiatry. 2018 Nov 6;9:567. doi: 10.3389/fpsyt.2018.00567. eCollection 2018.
8
Borderline personality disorder and sexual abuse: A systematic review.边缘型人格障碍与性虐待:系统综述。
Psychiatry Res. 2018 Apr;262:70-77. doi: 10.1016/j.psychres.2018.01.043. Epub 2018 Feb 1.

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