Early trauma and lifetime suicidal behavior in a nationwide sample of Korean medical students

被引：56

作者：

Jeon, Hong Jin ^{[2
]}

Roh, Myoung-Sun ^{[1
,3
]}

Kim, Kyu-Han ^{[4
]}

Lee, Jeong-Ryul ^{[5
]}

Lee, Dongsoo ^{[2
]}

Yoon, Se Chang ^{[2
]}

Hahm, Bong-Jin ^{[1
,3
]}

机构：

[1] Seoul Natl Univ, Coll Med, Dept Psychiat & Behav Sci, Dept Med, Seoul 110744, South Korea

[2] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Psychiat,Depress Ctr, Seoul 135710, South Korea

[3] Seoul Natl Univ, Inst Human Behav Med, Med Res Ctr, Seoul 110744, South Korea

[4] Seoul Natl Univ, Dept Dermatol, Coll Med, Seoul 110744, South Korea

[5] Seoul Natl Univ, Dept Thorac & Cardiovasc Surg, Coll Med, Seoul 110744, South Korea

来源：

JOURNAL OF AFFECTIVE DISORDERS | 2009年 / 119卷 / 1-3期

关键词：

Early trauma; Suicide; Medical students; Korea; CHILDHOOD ABUSE; SEXUAL-ABUSE; IDEATION; YOUNG; DEPRESSION; RISK; PSYCHODYNAMICS; POPULATION; ADOLESCENT; PREVALENCE;

D O I：

10.1016/j.jad.2009.03.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: No previous study has investigated the association between early trauma and suicidal behavior in medical students. We evaluated the types of early trauma which are the most strongly associated with a lifetime history of suicidal behavior in medical students. Method: A total of 6986 medical students completed a self-administered questionnaire (response rates: 49.6% of the entire medical student body in Korea) which included lifetime suicidal behavior, stressors, and the Early Trauma Inventory Self Report-Short Form (ETISR-SF). This was used to evaluate the most serious forms of trauma experienced before the age of 18, including general trauma, physical, emotional and sexual abuse. Results: Among medical students, lifetime prevalence of suicidal behavior was 34.0% for those who experienced early trauma and 18.1% in those without a history of trauma (chi(2) = 215.7, p<0.0001). Emotional abuse exhibited a higher odds ratio for lifetime suicidal behavior (OR = 3.6, 95%CI = 2.9-4.4) than other traumas including general trauma (OR = 2.1,95%CI = 1.8-2.4), sexual (OR = 2.0, 95%CI = 1.5-2.8) or physical (OR = 1.8, 95%CI = 1.5-2.1) abuse, and current stressors including heavy stress (OR = 1.5, 95%CI = 1.4-1.8), poor physical health (OR = 1.3, 95%CI = 1.2-1.5), and poor economic status (OR = 1.2, 95%CI = 1.0-1.3). Emotional abuse also showed a higher odds ratio for lifetime suicidal ideation (OR = 3.5, 95%CI = 2.8-4.4), plan (OR = 3.9, 95%CI = 2.4-6.2), and attempt (OR = 4.1, 95%CI = 2.4-6.8) than other early traumas or stressors. In emotional abuse, a continuously cold or uncaring parental attitude exhibited a stronger association with lifetime suicidal behavior (OR = 4.5, 95%CI = 2.7-7.7) than other emotional abuse. Conclusion: Emotional abuse, especially continuous parental emotional abuse in childhood, is significantly associated with lifetime suicidal behavior in Korean medical students. (C) 2009 Elsevier B.V. All rights reserved.

引用

页码：210 / 214

页数：5

共 20 条

[1]

BONNER RL, 1987, SUICIDE LIFE-THREAT, V17, P50

[2]

Bremner JD, 2000, DEPRESS ANXIETY, V12, P1, DOI 10.1002/1520-6394(2000)12:1<1::AID-DA1>3.0.CO

[3]

2-W

[4] The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression [J].