Всемирная психиатрия. №2 2013

Сексуальное насилие в раннем детском возрасте усиливает суицидальные намерения

Jorge Lopez-Castroman1, Nadine Melhem2, Boris Birmaher2, Laurence Greenhill3, David Kolko2, Barbara Stanley3, Jamie Zelazny2, Beth Brodsky3, Rebeca Garcia-Nieto1, Ainsley K. Burke4, J. John Mann4, David A. Brent2, Maria A. Oquendo3,4

1 IIS-Fundacion Jimenez Diaz, Department of Psychiatry, CIBERSAM, Madrid, Spain (Испания); 2 Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, PA, USA (США); 3 Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, NY, USA (США); 4 Department of Neuroscience, Columbia University/New York State Psychiatric Institute, New York, NY, USA (США).

Стр. 142-147

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Опубликовано: 14 июня 2013

Аннотация / Abstract

Сексуальное насилие в детском возрасте неоднократно связывали с суицидальным поведением. В настоящем исследовании авторы проанализировали характеристики суицидальных попыток, регистрируемых у лиц с депрессией, которые подвергались сексуальному насилию в детстве. В среднем, сексуальное насилие начиналось до того, как пациенты достигали возраста 9 лет. Зачастую ему сопутствовало физическое насилие. Пациенты, совершавшие суицидальные попытки чаще, нередко страдали от расстройств личности и подвергались насилию в течение более долгого периода. Однако такие пациенты по другим клиническим характеристикам не отличались от контрольной группы (лиц, не совершавших суицидальные попытки). Раннее начало сексуального насилия и его продолжительность были связаны с большим числом попыток самоубийства. Однако при включении в регрессионную модель расстройств личности соответствующий фактор (наличие расстройства личности) становился единственным предиктором количества суицидальных попыток. Тяжесть сексуального насилия и сопутствующее физическое насилие коррелировали с возрастом первой попытки. Тем не менее, только тяжесть сексуального насилия имела сколь-нибудь значимую связь с возрастом первой суицидальной попытки в регрессионной модели. Кроме того, установлена следующая связь: чем раньше начиналось сексуальное насилие, тем сильнее были суицидальные намерения (эта связь сохранялась даже при учете в модели возраста, пола и наличия расстройств личности). Таким образом, характеристики сексуального насилия в детском возрасте, особенно возраст начала насилия, следует учитывать при изучении риска суицидального поведения в соответствующей популяции. Ключевые слова: суицид, суицидальные черты, травма в раннем возрасте, события жизни (World Psychiatry 2013;12:149–154) К сожалению, насилие над детьми является распространенной проблемой. В 2008 г. приблизительно 772 000 детей в США стали жертвами ненадлежащего обращения, при этом зарегистрировано 120 000 случаев физи...

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Вход / Регистрация

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ЖУРНАЛЫ

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СПЕЦИАЛИЗАЦИИ

ИЗДАНИЯ-ПАРТНЕРЫ

Сексуальное насилие в раннем детском возрасте усиливает суицидальные намерения

Материал для специалистов

ЖУРНАЛЫ

ИНТЕРАКТИВ

СПЕЦИАЛИЗАЦИИ

ИЗДАНИЯ-ПАРТНЕРЫ

Сексуальное насилие в раннем детском возрасте усиливает суицидальные намерения

Материал для специалистов

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