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基层医疗环境中女性的创伤史和自杀未遂情况。

History of trauma and attempted suicide among women in a primary care setting.

作者信息

Wiederman M W, Sansone R A, Sansone L A

机构信息

Department of Psychological Science, Ball State University, Muncie, IN 47306-0520, USA.

出版信息

Violence Vict. 1998 Spring;13(1):3-9.

PMID:9650241
Abstract

The results of past research have demonstrated apparent links between suicidality and a history of sexual abuse or physical abuse. However, the relative predictive power of such abuse histories in explaining sucidality remains unknown, as does the potential relationship between sucidality and emotional abuse, physical neglect, and witnessing violence. In the current study, 151 women who presented for nonemergent medical care indicated whether they had experienced each of five types of abuse and whether they had ever attempted suicide. Similar to past research, increased rates of having attempted suicide were evident among women who had been sexually or physically abused. Rates of past suicide attempts were also higher among those who had experienced emotional abuse or had witnessed violence. However, many women indicated having experienced multiple forms of trauma. In a multivariate analysis, only sexual abuse and physical abuse were uniquely predictive of having attempted suicide. Results are discussed with regard to the potential importance of bodily intrusiveness during abuse as most predictive of subsequent suicidality.

摘要

过去的研究结果表明,自杀倾向与性虐待或身体虐待史之间存在明显联系。然而,此类虐待史在解释自杀倾向方面的相对预测能力尚不清楚,自杀倾向与情感虐待、身体忽视及目睹暴力之间的潜在关系也不清楚。在当前研究中,151名前来接受非紧急医疗护理的女性指出她们是否经历过五种虐待类型中的每一种,以及她们是否曾尝试自杀。与过去的研究相似,在遭受性虐待或身体虐待的女性中,自杀未遂率明显上升。在经历过情感虐待或目睹过暴力的女性中,过去的自杀未遂率也更高。然而,许多女性表示经历过多种形式的创伤。在多变量分析中,只有性虐待和身体虐待能唯一预测自杀未遂。讨论了虐待期间身体侵犯的潜在重要性,认为其最能预测随后的自杀倾向。

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