Childhood adversities as risk factors for onset and persistence of suicidal behaviour

被引：245

作者：

Bruffaerts, Ronny ^{[1
]}

Demyttenaere, Koen ^{[1
]}

Borges, Guilherme ^{[2
,3
]}

Maria Haro, Josep ^{[4
]}

Chiu, Wai Tat ^{[5
]}

Hwang, Irving ^{[5
]}

Karam, Elie G. ^{[6
]}

Kessler, Ronald C. ^{[5
]}

Sampson, Nancy ^{[5
]}

Alonso, Jordi ^{[7
,8
]}

Andrade, Laura Helena ^{[9
,10
]}

Angermeyer, Matthias ^{[11
]}

Benjet, Corina ^{[12
]}

Bromet, Evelyn ^{[13
]}

de Girolamo, Giovanni ^{[14
]}

de Graaf, Ron ^{[15
]}

Florescu, Silvia ^{[16
]}

Gureje, Oye ^{[17
]}

Horiguchi, Itsuko ^{[18
]}

Hu, Chiyi ^{[19
,20
]}

Kovess, Viviane ^{[21
]}

Levinson, Daphna ^{[22
,23
,24
]}

Posada-Villa, Jose ^{[25
]}

Sagar, Rajesh ^{[26
]}

Scott, Kate ^{[27
]}

Tsang, Adley ^{[28
]}

Vassilev, Svetlozar M. ^{[29
]}

Williams, David R. ^{[30
]}

Nock, Matthew K. ^{[31
]}

机构：

[1] Univ Hosp Gasthuisberg, Dept Psychiat, B-3000 Louvain, Belgium

[2] Natl Inst Psychiat Mexico, Dept Epidemiol Res, Div Epidemiol & Psychosocial Res, Mexico City, DF, Mexico

[3] Metropolitan Autonomous Univ, Mexico City, DF, Mexico

[4] Fundacio St Joan de Deu, CIBER Salud Mental, St Boi De Llobregat, Barcelona, Spain

[5] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA

[6] Balamand Univ, St George Hosp Univ Med Ctr, Fac Med, IDRAAC,MIND, Beirut, Lebanon

[7] CIBERESP, Barcelona, Spain

[8] Hosp del Mar, IMIM, Hlth Serv Res Unit, Barcelona, Spain

[9] Univ Sao Paulo, LIM Dept 23, Sect Psychiat Epidemiol, Sao Paulo, Brazil

[10] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo, Brazil

[11] Ctr Publ Mental Hlth, Goesing Am Wagram, Austria

[12] Natl Inst Psychiat, Mexico City, DF, Mexico

[13] SUNY Stony Brook, Dept Psychiat, New York, NY USA

[14] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Brescia, Italy

[15] Netherlands Inst Mental Hlth & Addict, Utrecht, Netherlands

[16] Natl Sch Publ Hlth & Hlth Serv Management, Publ Hlth Res & Evidence Based Med Dept, Bucharest, Romania

[17] Univ Coll Hosp, Ibadan, Nigeria

[18] Juntendo Univ, Sch Med, Dept Publ Hlth, Tokyo, Japan

[19] Shenzhen Inst Mental Hlth, Shenzhen, Peoples R China

[20] Shenzhen Kangning Hosp, Shenzhen, Peoples R China

[21] Univ Paris 05, EA 4069, Paris, France

[22] Minist Hlth, Res Serv, Jerusalem, Israel

[23] Minist Hlth, Planning Serv, Jerusalem, Israel

[24] Minist Hlth, Mental Hlth Serv, Jerusalem, Israel

[25] Ctr Med Sabana, U Javerina, Bogota, Colombia

[26] All India Inst Med Sci, Dept Psychiat, Delhi, India

[27] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Otago, New Zealand

[28] Prince Wales Hosp, CUHK, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong, Peoples R China

[29] New Bulgarian Univ, Sofia, Bulgaria

[30] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA

[31] Harvard Univ, Dept Psychol, Cambridge, MA 02138 USA

来源：

BRITISH JOURNAL OF PSYCHIATRY | 2010年 / 197卷 / 01期

基金：

巴西圣保罗研究基金会;

关键词：

SEXUAL-ABUSE; PHYSICAL ABUSE; PREVALENCE; IDEATION; PSYCHOPATHOLOGY; DEPRESSION; COMMUNITY; DISORDER; EVENTS;

D O I：

10.1192/bjp.bp.109.074716

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Background Suicide is a leading cause of death worldwide, but the precise effect of childhood adversities as risk factors for the onset and persistence of suicidal behaviour (suicide ideation, plans and attempts) are not well understood. Aims To examine the associations between childhood adversities as risk factors for the onset and persistence of suicidal behaviour across 21 countries worldwide. Method Respondents from nationally representative samples (n = 55 299) were interviewed regarding childhood adversities that occurred before the age of 18 years and lifetime suicidal behaviour. Results Childhood adversities were associated with an increased risk of suicide attempt and ideation in both bivariate and multivariate models (odds ratio range 1.2-5.7). The risk increased with the number of adversities experienced, but at a decreasing rate. Sexual and physical abuse were consistently the strongest risk factors for both the onset and persistence of suicidal behaviour, especially during adolescence. Associations remained similar after additional adjustment for respondents' lifetime mental disorder status. Conclusions Childhood adversities (especially intrusive or aggressive adversities) are powerful predictors of the onset and persistence of suicidal behaviours.

引用

页码：20 / 27

页数：8

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