History of Childhood Abuse and Neglect and Suicidal Behavior at Hospital Admission

作者: Ana Sfoggia , Marco Antonio Pacheco , Rodrigo Grassi-Oliveira

DOI: 10.1027/0227-5910.29.3.154

关键词: PsychiatryPoison controlInjury preventionPsychiatric hospitalRisk factorClinical psychologyChild abuseCTQ treeNeglectSuicide preventionMedicinePsychiatry and Mental health

摘要: Suicide is a major public health problem. Preventive measures have been sought by identifying risk factors. This study evaluates the association of childhood abuse and neglect with suicidal behavior at the time of psychiatric hospital admission. A total of 120 subjects (72 females; mean age 42.5 ± 15.6 years old) admitted from August 2006 to July 2007 completed the Childhood Trauma Questionnaire (CTQ) to assess severity of exposure to childhood maltreatment. Thereof 62 (51.6%) patients presented with suicidal behavior at admission. Patients who had attempted suicide had significantly higher CTQ scores. Regression analysis indicated that shorter illness duration and severity of childhood maltreatment were predictors of suicidal behavior at admission. The study showed that inpatients of a psychiatric unit of a general hospital who experienced severe childhood abuse or neglect were significantly more likely to present with suicidal behavior. History of childhood maltreatment should be evaluated as an associated risk factor of suicidal behavior at admission of psychiatric inpatients.

参考文章(36)
Annette L. Beautrais, Suicide and Serious Suicide Attempts in Youth: A Multiple-Group Comparison Study American Journal of Psychiatry. ,vol. 160, pp. 1093- 1099 ,(2003) , 10.1176/APPI.AJP.160.6.1093
Daniela Janssen, Friedhelm Nachreiner, Health and psychosocial effects of flexible working hours Revista De Saude Publica. ,vol. 38, pp. 11- 18 ,(2004) , 10.1590/S0034-89102004000700003
Shanta R. Dube, Robert F. Anda, Vincent J. Felitti, Daniel P. Chapman, David F. Williamson, Wayne H. Giles, Childhood Abuse, Household Dysfunction, and the Risk of Attempted Suicide Throughout the Life Span JAMA. ,vol. 286, pp. 3089- 3096 ,(2001) , 10.1001/JAMA.286.24.3089
Carlos M. Grilo, Robin M. Masheb, Michelle Brody, Claudia Toth, Carolyn H. Burke-Martindale, Bruce S. Rothschild, Childhood maltreatment in extremely obese male and female bariatric surgery candidates. Obesity Research. ,vol. 13, pp. 123- 130 ,(2005) , 10.1038/OBY.2005.16
M. M Khan, Suicide prevention and developing countries Journal of the Royal Society of Medicine. ,vol. 98, pp. 459- 463 ,(2005) , 10.1258/JRSM.98.10.459
Stephan Collishaw, Andrew Pickles, Julie Messer, Michael Rutter, Christina Shearer, Barbara Maughan, Resilience to adult psychopathology following childhood maltreatment: Evidence from a community sample Child Abuse & Neglect. ,vol. 31, pp. 211- 229 ,(2007) , 10.1016/J.CHIABU.2007.02.004
Morton M. Silverman, Alan L. Berman, Nels D. Sanddal, Patrick W. O'Carroll, Thomas E. Joiner, Rebuilding the Tower of Babel: A Revised Nomenclature for the Study of Suicide and Suicidal Behaviors Part 2: Suicide‐Related Ideations, Communications, and Behaviors Suicide and Life Threatening Behavior. ,vol. 37, pp. 264- 277 ,(2007) , 10.1521/SULI.2007.37.3.264
Rodrigo Grassi-Oliveira, Lilian Milnitsky Stein, Júlio Carlos Pezzi, Tradução e validação de conteúdo da versão em português do Childhood Trauma Questionnaire Revista De Saude Publica. ,vol. 40, pp. 249- 255 ,(2006) , 10.1590/S0034-89102006000200010
Diego De Leo, Shelley Burgis, José M Bertolote, Ad JFM Kerkhof, Unni Bille-Brahe, None, Definitions of suicidal behavior: lessons learned from the WHO/EURO multicentre Study Crisis-the Journal of Crisis Intervention and Suicide Prevention. ,vol. 27, pp. 4- 15 ,(2006) , 10.1027/0227-5910.27.1.4
Kelly E. Grover, Linda L. Carpenter, Lawrence H. Price, Gerard G. Gagne, Andrea F. Mello, Marcelo F. Mello, Audrey R. Tyrka, The Relationship Between Childhood Abuse and Adult Personality Disorder Symptoms Journal of Personality Disorders. ,vol. 21, pp. 442- 447 ,(2007) , 10.1521/PEDI.2007.21.4.442