Jorge Lopez-Castroman1, Isabelle Jaussent2, Severine Beziat2, Sebastien Guillaume3, Enrique Baca-Garcia4, Emilie Olié3, Philippe Courtet3. 1. Inserm U1061, Ho^pital La Colombiere, Montpellier, France; IIS-Fundacion Jimenez Diaz, Department of Psychiatry, CIBERSAM, Madrid, Spain; Department of Emergency Psychiatry, CHRU Montpellier, France. Electronic address: jorgecastroman@gmail.com. 2. Inserm U1061, Ho^pital La Colombiere, Montpellier, France. 3. Inserm U1061, Ho^pital La Colombiere, Montpellier, France; Department of Emergency Psychiatry, CHRU Montpellier, France; University of Montpellier 1, Montpellier, France. 4. IIS-Fundacion Jimenez Diaz, Department of Psychiatry, CIBERSAM, Madrid, Spain; Department of Psychiatry at the New York State Psychiatric Institute and Columbia University, NY, USA.
Abstract
OBJECTIVE: Posttraumatic Stress Disorder (PTSD) and childhood abuse are both consistently associated with a higher risk for suicide attempts. We hypothesize that among patients reporting childhood abuse, PTSD diagnoses are correlated with an increased severity of suicidal features. METHOD: We investigated 726 adult patients who had attempted suicide. These participants were assessed on lifetime clinical diagnoses and childhood abuse. The association of PTSD and childhood abuse dimensions with age at first suicide attempt, number of suicide attempts, violent attempts, serious attempts and suicide intent was studied. An adjusted multinomial logistic regression was performed to ascertain if childhood abuse and PTSD increased the severity of the suicidal behavior when combined. RESULTS: Several types of childhood abuse (emotional, physical and sexual abuse) when combined with a lifetime diagnosis of PTSD showed an increased risk for more suicide attempts, serious attempts, and a higher level of suicidal intent compared with the absence of any or both risk factors. CONCLUSION: The combination of PTSD and childhood abuse should be investigated in clinical settings due to an augmented risk for more severe suicidal behavior.
OBJECTIVE:Posttraumatic Stress Disorder (PTSD) and childhood abuse are both consistently associated with a higher risk for suicide attempts. We hypothesize that among patients reporting childhood abuse, PTSD diagnoses are correlated with an increased severity of suicidal features. METHOD: We investigated 726 adult patients who had attempted suicide. These participants were assessed on lifetime clinical diagnoses and childhood abuse. The association of PTSD and childhood abuse dimensions with age at first suicide attempt, number of suicide attempts, violent attempts, serious attempts and suicide intent was studied. An adjusted multinomial logistic regression was performed to ascertain if childhood abuse and PTSD increased the severity of the suicidal behavior when combined. RESULTS: Several types of childhood abuse (emotional, physical and sexual abuse) when combined with a lifetime diagnosis of PTSD showed an increased risk for more suicide attempts, serious attempts, and a higher level of suicidal intent compared with the absence of any or both risk factors. CONCLUSION: The combination of PTSD and childhood abuse should be investigated in clinical settings due to an augmented risk for more severe suicidal behavior.
Authors: Sidnei B Lira; Flávia Vieira; Diogo E Cavalcanti; Breno Souza-Marques; Liana R Netto; Fernanda S Correia-Melo; Gustavo C Leal; Juliana L Pereira; Lene L Santos; Gisela M Guedes; Carlos A Teles; Taiane de A Cardoso; Ângela Miranda-Scippa; Flavio Kapczinski; Acioly L T Lacerda; Karestan C Koenen; Gustavo Turecki; Lucas C Quarantini Journal: Braz J Psychiatry Date: 2022 May-Jun