Jianbo Liu1, Yumin Fang1, Jingbo Gong2, Xilong Cui1, Tiantian Meng1, Bo Xiao1, Yuqiong He1, Yanmei Shen1, Xuerong Luo3. 1. Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, 139 Middle Renmin Road, Changsha, Hunan 410011, People's Republic of China. 2. Department of Applied Psychology, Traditional Chinese Medicine University of Hunan, Changsha 410208, People's Republic of China. 3. Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, 139 Middle Renmin Road, Changsha, Hunan 410011, People's Republic of China. Electronic address: luoxr@vip.sina.com.
Abstract
BACKGROUND: Relationships of some types of childhood maltreatment and suicidal behavior remain controversial and inconclusive. METHODS: Medline, Embase, PsycINFO and Cochrane library were searched for eligible studies, and the results were synthesized in meta-analyses. RESULTS: childhood maltreatment was associated positively with suicidal behavior in the total population and maltreatment subgroups. Emotional abuse had the strongest effect (OR =2.33, SMD =0.660, P<0.001). Subgroup analyses showed that the effects of childhood abuse (OR =1.55, SMD =0.523) and neglect (OR =1.25, SMD =0.31) were significant. According to the analysis of dichotomous outcomes, childhood maltreatment was associated positively with suicidal behavior in men and women (women: OR =4.84, P<0.001; men: OR =1.03, P<0.001). Among populations, childhood maltreatment had the strongest effect on suicidal behavior in the general population (OR =3.78, P<0.001). However, the analysis of continuous outcomes showed that the effect was strongest in patients with chronic schizophrenia (SMD =0.89, P<0.001). In addition, childhood maltreatment was associated positively with suicide attempt (OR =1.11, SMD =0.48, P<0.001), but not with suicidal ideation. LIMITATIONS: Some subgroup samples were not sufficiently large. CONCLUSIONS: Childhood maltreatment increases the risk of suicidal behavior. Emotional abuse had the strongest effect among the five types of maltreatment. The risk of suicidal behavior is higher in the general population, women, and individuals with chronic schizophrenia who have histories of childhood maltreatment.
BACKGROUND: Relationships of some types of childhood maltreatment and suicidal behavior remain controversial and inconclusive. METHODS: Medline, Embase, PsycINFO and Cochrane library were searched for eligible studies, and the results were synthesized in meta-analyses. RESULTS: childhood maltreatment was associated positively with suicidal behavior in the total population and maltreatment subgroups. Emotional abuse had the strongest effect (OR =2.33, SMD =0.660, P<0.001). Subgroup analyses showed that the effects of childhood abuse (OR =1.55, SMD =0.523) and neglect (OR =1.25, SMD =0.31) were significant. According to the analysis of dichotomous outcomes, childhood maltreatment was associated positively with suicidal behavior in men and women (women: OR =4.84, P<0.001; men: OR =1.03, P<0.001). Among populations, childhood maltreatment had the strongest effect on suicidal behavior in the general population (OR =3.78, P<0.001). However, the analysis of continuous outcomes showed that the effect was strongest in patients with chronic schizophrenia (SMD =0.89, P<0.001). In addition, childhood maltreatment was associated positively with suicide attempt (OR =1.11, SMD =0.48, P<0.001), but not with suicidal ideation. LIMITATIONS: Some subgroup samples were not sufficiently large. CONCLUSIONS: Childhood maltreatment increases the risk of suicidal behavior. Emotional abuse had the strongest effect among the five types of maltreatment. The risk of suicidal behavior is higher in the general population, women, and individuals with chronic schizophrenia who have histories of childhood maltreatment.
Authors: Jamie Zelazny; Nadine Melhem; Giovanna Porta; Candice Biernesser; John G Keilp; J John Mann; Maria A Oquendo; Barbara Stanley; David A Brent Journal: J Child Psychol Psychiatry Date: 2019-07-24 Impact factor: 8.982
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Authors: Giorgio Falgares; Daniela Marchetti; Giovanna Manna; Pasquale Musso; Osmano Oasi; Daniel C Kopala-Sibley; Sandro De Santis; Maria C Verrocchio Journal: Front Psychol Date: 2018-05-23