History of Trauma and Attempted Suicide Among Women in a Primary Care Setting

1998 ◽  
Vol 13 (1) ◽  
pp. 3-8 ◽  
Author(s):  
Michael W. Wiederman ◽  
Randy A. Sansone ◽  
Lori A. Sansone
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Emotional Abuse ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Past Research ◽  
Physically Abused ◽  
Witnessing Violence ◽  
History Of ◽  
Physical Neglect

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 suicidality remains unknown, as does the potential relationship between suicidality 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.

Childhood Trauma in Bipolar Disorders: Familial and Individual Mediators for Predicting Occurrence and Outcome

2017 ◽  
Vol 41 (S1) ◽  
pp. S28-S28
Author(s):  
B. Etain
Keyword(s):  
Physical Abuse ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Suicide Attempts ◽  
Bipolar Disorders ◽  
Affect Intensity ◽  
The Face ◽  
History Of ◽  
Competing Interest ◽  
Psychotic Features

Childhood trauma is highly prevalent in patients with bipolar disorder (BD) and has been associated to a more severe/complex expression of the disorder. Little is known about the familial and individual factors that can mediate the occurrence of trauma within families but also influence the outcomes of BD. We will present data from two independent samples of patients with BD in order to identify the potential mediators for occurrence and severity/complexity. In a first sample of 371 patients with BD, 256 relatives and 157 healthy controls, we will show that there is a familial resemblance for emotional and physical abuses. Patients’ level of physical abuse was associated with their parental levels of physical abuse, but also with their father's history of alcohol misuse (p < 0.05). Second, in a sub-sample of 270 normothymic patients, we have performed a path-analysis to demonstrate that emotional and physical abuses interacted with cannabis misuse to increase the frequency of psychotic features and delusional beliefs. Finally, in an independent sample of 485 euthymic patients from the FACE-BD cohort we used path-analytic models to show that emotional abuse increased all the assessed affective/impulsive dimensions (p < 0.001). In turn, affect intensity and attitudinal hostility were associated with high risk for suicide attempts (p < 0.001), whereas impulsivity was associated with a higher risk for presence of substance misuse (p < 0.001). These results illustrate that childhood trauma might derive from parental characteristics (own childhood trauma and psychopathology) and increase the severity/complexity of BD through individual dimensions of psychopathology.Disclosure of interestThe author has not supplied his declaration of competing interest.

Factors Associated with Repeat Suicide Attempts among Adolescents

2000 ◽  
Vol 34 (3) ◽  
pp. 437-445 ◽  
Author(s):  
Jacqualine Vajda ◽  
Kate Steinbeck
Keyword(s):  
Substance Abuse ◽  
Sexual Abuse ◽  
Alcohol Abuse ◽  
Psychotic Disorders ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Chronic Medical Conditions ◽  
Medical Conditions ◽  
Factors Associated ◽  
History Of

Objective: To determine potential risk factors associated with repeat suicide attempts among adolescents. Method: Retrospective medical record review of all patients aged 13–20 years who presented to the emergency department at an inner city tertiary hospital after attempted suicide between 1994 and 1996. Subjects were identified using the International Classification of Diseases (ICD-9) codes E950.0 to E959.9 for attempted suicide. Study variables included demographic parameters, chronic medical conditions/illnesses, psychiatric and substance abuse disorders, history of sexual abuse and previous and subsequent suicide attempts. Variables univariately associated with repetition at p < 0.25 were entered into a multiple regression analysis. Results: Eighty seven per cent of patients presented with a drug overdose. Seventy-six per cent of all subjects attempted suicide in the context of a dispute or relationship break-up. At least one psychiatric disorder was present in 76% of subjects at the index attempt. The most frequently diagnosed disorders were depression (45.5%) and drug (34%) and alcohol abuse (27%). Variables predicting repetition within 12 months were drug (OR = 3.891, p = 0.02) and alcohol abuse (OR = 3.56, p = 0.05), non-affective psychotic disorders (OR = 3.81, p = 0.04), and chronic medical conditions/illness (OR = 3.29, p = 0.03). A history of sexual abuse was almost significant (OR = 3.03, p = 0.06). Conclusions: Adolescents most likely to re-attempt suicide with 12 months present with either substance abuse, non-affective psychotic disorders, chronic medical conditions, or a history of sexual abuse. All adolescents with a possible suicide attempt should receive a comprehensive mental health and psychosocial assessment. Closer scrutiny of the role of chronic illnesses and sexual abuse in both future research and clinical management is urged. A broad based, multidisciplinary intervention approach is recommended.

scholarly journals Physical, Psychological and Sexual Abuse of the Minor in the Families from the Northwestern Region of Romania- Social and Medical Forensics

2021 ◽  
Author(s):  
Camelia Liana BUHAȘ ◽  
Claudia JUDEA-PUSTA ◽  
Bogdan Adrian BUHAȘ ◽  
Simona BUNGAU ◽  
Adrian Sorin JUDEA ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Physical Abuse ◽  
Rural Areas ◽  
Emotional Abuse ◽  
Urban Areas ◽  
Forensic Analysis ◽  
Sociological Study ◽  
The Family ◽  
Physical Neglect

Background: In Romania, the abuse within the family of the minor child is a widespread phenomenon, its extent is insufficiently known because of ignorance/not reporting all the existing cases. Methods: The participants of the research are represented by two independent groups from the NW Romania 2007-2011, one for sociological study (1544 parents and 1283 children) and another for forensic statistical study (2761 cases of abused children). The sociological study was carried out by analyzing questionnaires applied in schools located in Bihor County, both to children and parents. The statistical analysis was carried out by studying the cases of the physically, sexually, and psychologically abused minors, recorded at Bihor County Forensic Service. Results: Physical neglect and physical abuse are the most common forms of child abuse. The forensic analysis highlight that most of the victims are male from urban areas. Physical abuse is more common in the 16-18 age group, psychological abuse in children aged between 6-10 yr, and sexual abuse in children under the age of 14 years. Girls were subject to sexual abuse, neglect, and emotional abuse, more frequently in rural areas; boys were most often victims of exploitation, physical, and emotional abuse in both urban and rural areas. Conclusion: The results of the study led to the formulation of general guidelines on this phenomenon and highlight the need for proposals to improve the current situation of child abuse within the family.

scholarly journals Childhood Maltreatment in Individuals With Schizophrenia Spectrum Disorders: The Impact of Cut-Off Scores on Prevalence Rates

2021 ◽  
Vol 12 ◽  
Author(s):  
Angelina Weitkämper ◽  
Michael Kellner ◽  
Jona Ruben Iffland ◽  
Martin Driessen ◽  
Hanna Kley ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Childhood Maltreatment ◽  
Emotional Abuse ◽  
Common Phenomenon ◽  
Prevalence Rates ◽  
Emotional Neglect ◽  
Schizophrenia Spectrum ◽  
Physical Neglect ◽  
The Impact

Childhood maltreatment is a common phenomenon in various psychiatric disorders. Accordingly, patients with disorders from the schizophrenia spectrum (SSD) appear to have high prevalence rates of childhood maltreatment. However, the interpretation and comparability of prevalence rates is impeded by methodological weaknesses and differences such as measures and thresholds used in previous studies. Therefore, we aimed to provide and compare systematically captured data on prevalence rates of all common types of childhood maltreatment in patients with SSD using a standardized and well-established questionnaire and the most frequently used thresholds. The sample consisted of 48 patients with a primary diagnosis of SSD. 58.3–77.1% of the sample experienced at least one type of childhood maltreatment. Prevalence rates for physical abuse, physical neglect, and emotional abuse were dependent on the thresholds used, while equal rates were found for emotional neglect and sexual abuse. Physical neglect (46–67%), and emotional abuse (44–48%) were most commonly reported, followed by emotional neglect (38%), physical abuse (25–38%), and sexual abuse (25%). Additionally, high levels of peer victimization were reported by SSD patients. It appears that childhood maltreatment is a common phenomenon in SSD, even though methodological details, especially cut-off scores, have a substantial impact on the prevalence rates that are determined. Therefore, the methodology of studies should be closely examined when drawing conclusions from presented prevalence rates.

Correlation between childhood trauma and cognitive impairment in patients with schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. S582-S582 ◽  
Author(s):  
J. Mrizak ◽  
R. Trabelsi ◽  
A. Arous ◽  
A. Aissa ◽  
H. Ben Ammar ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Physical Abuse ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Digit Span ◽  
Verbal Learning ◽  
Emotional Neglect ◽  
Card Sorting ◽  
History Of ◽  
Physical Neglect

IntroductionAbusive childhood experiences are claimed to be more prevalent in people with schizophrenia (SCZ) than in the general population. The exposure to childhood trauma can have adverse effects on cognitive function.ObjectivesTo investigate whether there is a relationship between childhood trauma (CT) and cognitive functioning in patients with SCZ.MethodsFifty-eight outpatients with stable SCZ were recruited. The participants completed the Childhood Trauma Questionnaire retrospectively assessing five types of childhood trauma (emotional, physical and sexual abuse, and emotional and physical neglect). They also completed a neurocognitive battery comprising the following tests: the Hopkins Verbal Learning Test–Revised (HVLT-R), the Letter Digit Substitution Test (LDST), the Stroop Test (ST), the “Double Barrage” of Zazzo (DBZ), the Modified Card Sorting Test (MCST), the Verbal Fluency (VF), the Trail Making Test-Part A (TMT-A) and the Digit Span (DS).ResultsThe patients with a history of physical abuse (P = 0.03) or emotional neglect (P = 0.07) performed worse at the delayed recall of the HVLT-R. A history of emotional neglect was also correlated to a significantly worse performance in theTMT-A (P < 0.0001), while physical abuse was correlated to worse DS (P = 0.015). High emotional abuse scores were significantly correlated to poorer efficiency in DBZ (P = 0.025).ConclusionsThe results need replication, but underline the necessity of investigating biological and psychosocial mechanisms underlying these subjects’ cognitive impairment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Reported childhood trauma, attempted suicide and self-mutilative behavior among women in the general population

2005 ◽  
Vol 20 (3) ◽  
pp. 268-273 ◽  
Author(s):  
Gamze Akyuz ◽  
Vedat Sar ◽  
Nesim Kugu ◽  
Orhan Doğan
Keyword(s):  
Sexual Abuse ◽  
General Population ◽  
Childhood Abuse ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Dissociative Experiences Scale ◽  
Dissociative Experiences ◽  
Central Turkey

AbstractThis study attempted to determine the prevalence of childhood trauma among women in the general population as assessed in a representative sample from a city in central Turkey. The Dissociative Experiences Scale (DES) was administered to 628 women in 500 homes. They were also asked for childhood abuse and/or neglect. DES was administered to 251 probands. Mean age of the probands was 34.8 ± 11.5 years (range 18–65). Sixteen women (2.5%) reported sexual abuse, 56 women (8.9%) physical abuse, and 56 women (8.9%) emotional abuse in childhood. The most frequently reported childhood trauma was neglect (n = 213, 33.9%). The prevalence of suicide attempts was 4.5% (n = 28). Fourteen probands (2.2%) reported self-mutilative behavior.

scholarly journals Correlation Between Suicide Attempts and a History of Childhood Abuse in Adults Referring to the Toxicity Emergency Units of Yazd City, Iran

2020 ◽  
Vol 5 (1) ◽  
pp. 24-27
Author(s):  
Elham Bazdar ◽  
Bonnie Bozorg ◽  
Fatemeh Ayoobi ◽  
Hamid Owliae ◽  
Reza Bidaki
Keyword(s):  
Child Abuse ◽  
Childhood Abuse ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Self Report ◽  
Control Group ◽  
Case Group ◽  
History Of ◽  
Physical Neglect ◽  
Yazd City

Background: Child abuse is defined as any act or omission which causes physical or psychological harassment and lasting effects on children. Injuries resulting from child abuse are widespread, and this trauma can lead to psychological problems in adulthood. Objective: The aim of this study was to investigate the correlation between a history of child abuse and suicide attempts. Methods: In this case-control and retrospective study, patients admitted in 2016 to the toxicity emergency center in Yazd city, Iran, with symptoms of attempted suicide and patients of other conditions were recruited. Participants in the control and case groups were matched for age, gender, marital status, and place of residence. Each patient was given a questionnaire to collect information on demographics, history of suicide attempt or suicide in other members of the family, and history of child abuse (self-report scale) which investigated five aspects of childhood abuse (sexual, physical, neglect, lack of nutrition, and emotional neglect). Results: The chi-square test and t test were used in the analysis. Mean severity rates of physical, sexual, neglect, nutrition, and emotional child abuse were 8.49, 6.42, 10.4, 6.43, and 9.62, respectively, for the case group and 7.89, 5.52, 7.88, 5.92, and 8.52, respectively, for the control group. Conclusion: Statistical analysis revealed that except for nutritional abuse cases, the incidence rates of all other aspects of child abuse were significantly higher among cases than in the control group. The results of this study showed that a history of child abuse, especially sexual and emotional types, are correlated with the incidence of attempted suicide.

Childhood trauma in suicide attempters: Case-control study

2016 ◽  
Vol 33 (S1) ◽  
pp. S111-S111 ◽  
Author(s):  
L. Jimenez-Trevino ◽  
L. Gonzalez-Blanco ◽  
M.P. Garcia-Portilla ◽  
H. Blasco Fontecilla ◽  
J. Lopez Castroman ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Physical Abuse ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Attempted Suicide ◽  
Control Sample ◽  
Stressful Events ◽  
Healthy Controls ◽  
Suicide Attempters ◽  
Parental Neglect

IntroductionAn expanding body of research suggests that childhood trauma and adverse experiences can lead to a variety of negative health outcomes, including substance abuse, depressive disorders, and attempted suicide among adolescents and adults. Alcoholism, depressed affect, and illicit drug use, which are strongly associated with such experiences, appear to partially mediate this relationship as observed in population studies.ObjectivesWe have tested the association between early trauma and suicide attempts in a sample of suicide attempters from the Eureca International Project and a matched healthy control sample.MethodsWe have studied the prevalence of childhood stressful events compared with healthy controls in a multicentre sample of 791 suicide attempters (SA) and 630 healthy controls (C), we have measured childhood parental neglect, physical abuse, sexual abuse, and emotional abuse, using the Childhood Trauma Questionnaire (CTQ). Chi2 tests were performed using SPSS v15.0.ResultsA significant increase in prevalence of childhood trauma was found in the suicide attempters sample for all types of trauma: childhood physical abuse: 25.3% (SA) vs. 11.1% (C) (Chi2 test: 120,108 P = 0.000); childhood sexual abuse: 18.2% (SA) vs. 2.4% (C) (Chi2 test: 88,212 P = 0.000); parental neglect 25.3% (SA) vs. 1.1% (C) (Chi2 test: 164,910 P = 0.000); childhood emotional abuse: 34.9% (SA) vs. 5.6% (C) (Chi2 test: 176,546 P = 0.000).Suicide attempters were increasingly overrepresented compared with controls if experiencing more than 1 trauma: represented 77% of the sample who suffered 1 type of childhood trauma vs. more than 90% of the sample with 2 or more types of trauma.ConclusionsA powerful graded relationship exists between adverse childhood experiences and risk of attempted suicide.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Risk factors of self-injury behavior among psychiatric inpatients

2017 ◽  
Vol 41 (S1) ◽  
pp. S569-S570
Author(s):  
N. Charfi ◽  
S. Hentati ◽  
M. Maâlej Bouali ◽  
L. Zoauri ◽  
N. Zouari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Emotional Abuse ◽  
Suicide Attempts ◽  
Psychiatric Inpatients ◽  
Borderline Personality ◽  
University Hospital ◽  
Impulsive Behavior ◽  
Self Injury ◽  
History Of ◽  
Physical Neglect

BackgroundSelf-injury behavior among mental patients has been recognized for several years, yet our understanding of its mechanisms and its risk factors remains limited.ObjectivesThis study aimed to assess the prevalence of deliberate self-harm (DSH) among psychiatric inpatients and to identify its association with personal and clinical factors.MethodsIt was a descriptive and analytic study. It included 87 psychiatric inpatients followed in the psychiatry department “C” at the Hedi Chaker University Hospital of Sfax in Tunisia. Barratt Impulsivity Scale (Bis11) and the 28-items Childhood Trauma Questionnaire (CTQ) were used to assess respectively impulsivity and child maltreatment.ResultsThe average age of patients was 29.32 ± 8 years. Most of them were male (75%) and single. Fifty-nine percent of patients had previously attempted suicide. A history of DSH was found in 60.9% of cases. The most frequent trauma types were emotional abuse and physical neglect with respectively 58.7% and 69.8%. Factors positively correlated with DSH were: male gender (P = 0.026), father alcoholism (P = 0.024), history of suicide attempts (P = 0.017), borderline personality (P = 0.00) and history of emotional abuse (P = 0.008) or physical abuse (P = 0.04) or neglect (P = 0.004). Score “Bis11” was significantly correlated with suicide attempts (P = 0.00) and presence of childhood abuse (P = 0.00) or neglect (P = 0.01).ConclusionDSH seems to be a prevalent problem among psychiatric inpatients. It concerns mainly patients with a history of child abuse and impulsive behavior such as suicidal attempts underlying borderline personality disorder. Patients with these risk factors warrant specific attention in mental health services.Disclosure of InterestThe authors have not supplied their declaration of competing interest.

Safeguarding children

2021 ◽  
pp. 175573802199585
Author(s):  
Sabana Shaikh ◽  
Rubena Ali Malik
Keyword(s):  
Sexual Abuse ◽  
Child Abuse ◽  
Healthcare Professional ◽  
Physical Abuse ◽  
Emotional Abuse ◽  
Multidisciplinary Meetings ◽  
The Family ◽  
Abuse And Neglect ◽  
Psychological Harm

It is the duty of every healthcare professional to ensure they prioritise the welfare of a child by protecting them from physical or psychological harm. Forms of child abuse include physical abuse, emotional abuse, sexual abuse and neglect. A child subjected to emotional abuse or neglect can present with ambiguous symptoms, making the abuse difficult to detect. Safeguarding concerns must be acted upon according to local procedures, guided by the child safeguarding lead and the practice safeguarding policy. Safeguarding multidisciplinary meetings can be an effective way of communicating with various professionals involved with the family.

Sign in / Sign up

Export Citation Format

Share Document