Childhood Exposure to Psychological Trauma and the Risk of Suicide Attempts: The Modulating Effect of Psychiatric Disorders

• 발행기관: 대한신경정신의학회
• 저자명: Subin Park JinPyo Hong HongJin Jeon Sujeong Seong MaengJe Cho
• 간행물 정보: 『Psychiatry Investigation』제12권 제2호, 171~176쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2015.04.30

영문 초록

Objective-We examined whether childhood exposure to psychological trauma is associated with greater suicidality and whether specific psychiatric disorders modulate this association in a representative sample of Korean adults. Methods-The Korean version of the Composite International Diagnostic Interview 2.1 was administered to 6,027 subjects aged 18–74 years. Subjects who experienced a traumatic event before the age of 18 years, the childhood-trauma-exposure group, were compared with controls without childhood trauma exposure. Results-Childhood exposure to psychological trauma was associated with lifetime suicidal ideation (OR=3.19, 95% CI=2.42–4.20), suicide plans (OR=4.15, 95% CI=2.68–6.43), and suicide attempts (OR=4.52, 95% CI=2.97–6.88). These associations weakened after further adjustment for any psychiatric disorders, but they were not eliminated. The risk of suicide attempts related to childhood trauma increased with the presence of a concurrent alcohol use, depressive, or eating disorder. Conclusion-In terms of clinical implications, patients with these disorders who have a history of childhood trauma should be carefully assessed for their suicide risk and aggressively treated for psychiatric disorders.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

ACKNOWLEDGEMENTS

REFERENCES

키워드

Trauma Psychiatric disorders Suicide