کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5722321 1608110 2017 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Research paperNon-violent and violent forms of childhood abuse in the prediction of suicide attempts: Direct or indirect effects through psychiatric disorders?
ترجمه فارسی عنوان
اشکال غیر خشونت آمیز و خشونت آمیز از سوء استفاده از کودکان در پیش بینی تلاش های خودکشی: اثرات مستقیم یا غیرمستقیم از طریق اختلالات روانی؟
کلمات کلیدی
تجربه های دوران کودکی متضاد، سو استفاده کردن، اختلالات روانی، اقدام به خودکشی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی روانپزشکی و بهداشت روانی
چکیده انگلیسی


- Childhood abuse is associated with suicide.
- We examined 10-year longitudinal epidemiological data.
- Nonviolent verbal abuse exerted its influence on suicide attempts via psychiatric disorders.
- Violent abuse (physical abuse, rape) had a direct effect on suicide attempts.
- Findings are discussed within the framework of the interpersonal theory of suicide.

BackgroundChildhood abuse is linked to suicide. Potential pathways include the increased risk for the development of psychiatric disorders and the contribution of abuse to suicide capability. The current study compared the effects of childhood non-violent and violent abuse in the prediction of suicide attempts, and examined the potential mediated effects of psychiatric disorders.MethodsData from the National Comorbidity Surveys were obtained. At baseline, assessments of childhood non-violent abuse (e.g., parental verbal abuse) and violent abuse (e.g., parental physical abuse, relative rape) were obtained. We also assessed for other adverse childhood experiences, baseline suicidal behaviors, and psychiatric disorders. At the ten-year follow-up, we assessed for psychiatric disorders and suicide attempts that had occurred over time.ResultsBoth non-violent and violent abuse predicted attempts, though participants experiencing violent abuse had significantly higher rates. Bootstrapped mediation analyses determined that the influence of non-violent abuse on suicide attempts was indirect, and exerted its influence through the psychiatric disorders that occurred during the ten-year follow-up.LimitationsThe study relied on retrospective reports of childhood abuse. Further, we could not clearly determine the temporal order of the psychiatric disorders and suicide attempts occurring over follow-up.ConclusionDifferent mechanisms may underlie the pathway between violent and non-violent abuse and suicide attempts. Verbal abuse may lead to negative cognitive styles and psychiatric disorders associated with suicidality; violent abuse may contribute to the capacity for suicide. Interventions may need to be specifically tailored to meet the distinct needs of individuals who have experienced past childhood abuse.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Affective Disorders - Volume 215, June 2017, Pages 15-22
نویسندگان
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