Early childhood sexual abuse increases suicidal intent

López-Castromán, Jorge; Melhem, Nadine; Birmaher, Boris; Greenhill, Laurence L.; Kolko, David J.; Stanley, Bárbara; Zelazny, Jamie; Brodsky, Beth S.; García-Nieto, Rebeca; Burke, Ainsley K.; Mann, J. John; Brent, David A.; Oquendo, María A.

doi:10.1002/wps.20039

Cited by 82 publications

(54 citation statements)

References 57 publications

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“…Results from crude analysis stratified by sex point out to a significant association, in which girls who have been physically and sexually abused present, respectively, 3.42 and 3.36 more probability of reporting suicidal ideation in the last month, and boys who have been exposed to physical abuse present 2.11 more probability of reporting the same outcome. These findings are somewhat consistent with what is found in the literature suggesting that physical 28,29 abuse is an important predictor of suicidal ideation among female and male, and that sexual abuse 35 is an important predictor of suicidal behavior among girls.…”

Section: Resultssupporting

confidence: 92%

“…In the analyses, physical and sexual abuse were not independently analyzed, so this study is unable to suggest which form of abuse can be more important for suicidal ideation occurrence. There is evidence that only sexual, but not physical abuse, is associated with suicidal behavior 35 at the same time as there is evidence that both types of abuse can predict suicidal behavior 16,46 .…”

Section: Resultsmentioning

confidence: 99%

“…The result of these disruptions and adaptations is what makes individuals more prone to developing certain types of psychopathology and symptoms 37 . Besides, these experiences generate intense stress reactions that, when repeated, lead individuals to become chronically stressed and overly vigilant, presenting an atypical cortisol regulation 35 . Even though there is data regarding the impact of repeated exposure to abusive experiences on healthy development, this study did not collect detailed data about the sample's frequency of exposure to physical or sexual abuse.…”

Section: Resultsmentioning

confidence: 99%

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Exposure to physical and sexual violence and suicidal ideation among schoolchildren

Schäfer

Teixeira

Fontoura

et al. 2017

J. bras. psiquiatr.

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Objective: The purpose of this study was to estimate the association between exposure to physical and sexual violence, and suicidal ideation in Brazilian Schoolchildren, accounting for confounding variables of religious practice, and problems with alcohol and other drugs. Methods: This study consists of a cross-sectional analytical approach of a larger school-based study conducted in 2012 in two medium-sized municipalities in south of Brazil. Participants were 3,547 students aging 12 to 17 years old who answered an assembled questionnaire. Descriptive and Logistic Regression analyses were conducted with suicide ideation outcome testing prediction models stratified by sex. Results: Suicide ideation prevalence in the sample was of 21.7%, and regression analysis indicated that girls and boys exposed to physical or sexual violence had 3.42 and 3.14 times more probability of referring suicidal ideation in the past 30 days. Adjusted analyses showed little interference of religious practice, while problems with alcohol and other drugs seemed to also explain suicidal ideation in the sample. Conclusion: We highlight the importance of future longitudinal studies to investigate the mechanisms through which exposure to physical or sexual abuse influence suicidal ideation among boys and girls, as well as mediation studies that could enlighten the role of drug and alcohol use in this relationship. RESUMOObjetivo: O objetivo deste estudo foi estimar a associação entre exposição à violência física e sexual e ideação suicida em escolares brasileiros, controlando para variáveis relacionadas a prática religiosa e problemas com álcool e outras drogas. Métodos: Este estudo consiste de um recorte transversal de um estudo maior realizado em 2012 em dois municípios de médio porte no sul do Brasil. No total, 3.547 alunos de 12 a 17 anos responderam a um questionário desenvolvido para o estudo em questão. Análises descritivas e de regressão logística foram conduzidas testando modelos preditores de ideação suicida estratrificados por sexo. Resultados: A prevalência de ideação suicida na amostra foi de 21,7% e a análise de regressão indicou que meninas e meninos expostos à violência física ou sexual tinham 3,42 e 3,14 vezes mais probabilidade de referir ideação suicida nos últimos 30 dias. As análises ajustadas mostraram pouca interferência da prática religiosa, enquanto problemas com álcool e outras Violence exposure and suicidal ideation drogas também parecem explicar ideação suicida na amostra. Conclusão: Destacamos a importância de futuros estudos longitudinais para investigar os mecanismos por meio dos quais a exposição ao abuso físico ou sexual influencia a ideação suicida em meninos e meninas, bem como estudos de mediação que possam esclarecer o papel do uso de drogas e álcool nessa relação. Palavras-chaveIdeação suicida, comportamento adolescente, abuso infantil.

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Section: Resultssupporting

confidence: 92%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Exposure to physical and sexual violence and suicidal ideation among schoolchildren

Schäfer

Teixeira

Fontoura

et al. 2017

J. bras. psiquiatr.

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“…El primer análisis entre mayor frecuencia de EIA y las otras variables estudiadas, ratifica en Chile la evidencia respecto a que la depresión con historia de EIA se asocia a un inicio más temprano, mayor severidad al momento de consultar, mayor número de CP, mayor cronicidad y suicidalidad 8,28,[35][36][37][38] . A esto agregamos la relación de mayor frecuencia de EIA con EV y VP.…”

Section: Discussionunclassified

Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la atención primaria en Chile

et al. 2017

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(r = 0.19; p < 0.01), psychiatric comorbidities (r = 0.23; p < 0.01), partner violence events (r = 0.31; p < 0.01), vital stressful events (r = 0.12; p < 0.01), number of depressive episodes (r = 0.16; p < 0.01), duration of the longer depressive episode (r = 0.12; p < 0.05) and suicidal tendency according to HDRS (r = 0.16; p < 0.01). An inverse correlation was observed between frequency of ACE and age at the first depressive episode (r = -0.12; p < 0.05). Conclusions: These data are consistent with the hypothesis that early trauma is associated with more severe and complex depressive episodes during adulthood. (Rev Med Chile 2017; 145: 1145-1153

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“…Several risk factors for psychotic experiences have also been independently demonstrated in cohorts with suicidal behavior (25)(26)(27)(28)(29). Notably, psychotic experiences are associated with the presence of multiple comorbid Axis I diagnoses (multimorbidity) (17,19), an established risk factor for suicidal behavior (25).…”

Section: Discussionmentioning

confidence: 99%

Psychotic Experiences as a Predictor of the Natural Course Of, Suicidal Ideation: A Swedish Cohort Study

Kelleher¹,

Cederlöf²,

Lichtenstein³

2014

Schizophrenia Research

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Psychotic experiences are far more prevalent in the population than psychotic disorders and are associated with a wide range of depressive, anxiety and behavioral disorders, as well as increased risk for psychotic disorder. Recently, psychotic experiences have been highlighted as a potentially valuable clinical marker of risk for suicidal behavior. There have been few studies to date, however, to assess psychotic experiences as a predictor of suicidality over time. We wished to assess whether young persons with suicidal ideation at baseline assessment who reported psychotic experiences were at higher risk for persistence of suicidal ideation at follow-up than young persons who also reported suicidal ideation at baseline but who did not report co-occurring psychotic experiences. A total of 2,263 adolescents were assessed at age 13 to 14 years for psychotic experiences, suicidal ideation and internalizing and externalizing psychopathology. Participants were re-assessed at ages 16 to 17 years and 19 to 20 years. Among 13-to 14-year olds with suicidal ideation, co-occurring psychotic experiences did not predict an increased odds of persistence of suicidal ideation to age 16 to 17 years (OR50.94, 95% CI: 0.19-4.78). Among 16-to 17-year olds with suicidal ideation, however, co-occurring psychotic experiences predicted a 6-fold increased odds of persistence of suicidal ideation to age 19 to 20 years (OR55.53, 95% CI: 1.33-23.00). Psychotic experiences are an important but under-recognized marker of risk for persistence of suicidal ideation, in particular from mid-adolescence. An increased emphasis on the clinical assessment of psychotic experiences in mental health services should be a priority.

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Early childhood sexual abuse increases suicidal intent

Cited by 82 publications

References 57 publications

Exposure to physical and sexual violence and suicidal ideation among schoolchildren

Exposure to physical and sexual violence and suicidal ideation among schoolchildren

Depresión adulta y experiencias infantiles adversas: evidencia de un subtipo depresivo complejo en consultantes de la atención primaria en Chile

Psychotic Experiences as a Predictor of the Natural Course Of, Suicidal Ideation: A Swedish Cohort Study

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