Childhood adversities and risk for suicidal ideation and attempts: A longitudinal population-based study

Department of Psychiatry and Community Health Sciences, University of Manitoba, Canada.
Psychological Medicine (Impact Factor: 5.43). 01/2007; 36(12):1769-78. DOI: 10.1017/S0033291706008646
Source: PubMed

ABSTRACT Developmental adversities may be risk factors for adult suicidal behavior, but this relationship has rarely been studied prospectively. The present study examined the association between childhood adversities and new onset suicidal ideation and attempts in an adult population-based sample.
The study used a large community mental health survey (the Netherlands Mental Health Survey and Incidence Study; n=7076, age range 18-64 years). Logistic regression analyses were used to evaluate the relationship between childhood adversities and new onset of suicidal ideation and attempts over 3 years of longitudinal follow-up.
During the study period 85 new cases of suicidal ideation and 39 new onset suicide attempts were observed. The incidence rate for new suicide ideation was 0.67% per year and the incidence rate for new suicide attempts was 0.28% per year. Childhood neglect, psychological abuse and physical abuse were strongly associated with new onset suicidal ideation and suicide attempts. Odds ratios (ORs) ranged from 2.80 to 4.66 for new onset suicidal ideation and from 3.60 to 5.43 for new onset suicide attempts. The total number of adversities reported had a strong graded relationship to new onset suicidal ideation and attempts. These associations remained significant after controlling for the effects of mental disorders.
Childhood abuse and multiple adversities are strongly associated with future suicidal behavior and the mental disorders assessed in the present study do not fully account for this effect. A comprehensive understanding of suicidal behavior must take childhood adversities into account.

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Available from: Jitender Sareen, Aug 25, 2015
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    • "Screening for impulsivity as well as hopelessness may increase clinicians' ability to identify those at greatest risk of self-harm and suicidal behavior. In a longitudinal study (Enns et al., 2006), childhood neglect, psychological abuse, and physical abuse were all strongly associated with new onset ideation and suicide attempts, even after controlling for the effects of mental disorders. Moreover, Andover et al. (2007) found that individuals with a history of suicide attempts were more likely to report histories of childhood physical and sexual abuse compared to those without a suicide attempt history. "
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    • "Psychological abuse was defined as the verbal and symbolic acts used by the parent to cause psychological pain or fear on the part of the child (Straus et al., 1998). Psychological abuse was shown to be associated with adolescent and adult suicidal ideation and attempts (Enns et al., 2006; Locke & Newcomb, 2005). A specific form of child psychological abuse, maternal verbal assault involving verbal threats and hostility, was identified to be associated with increased risk for suicide attempts during late adolescence (Johnson et al., 2002). "
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