关键词: Cumulative childhood trauma Distribution Overlap Risk factors Suicidality

Mesh : Humans Male Female Cross-Sectional Studies China / epidemiology Risk Factors Adolescent Young Adult Stress Disorders, Post-Traumatic / epidemiology psychology Adverse Childhood Experiences / statistics & numerical data Suicidal Ideation Suicide / statistics & numerical data psychology Students / statistics & numerical data psychology Child Abuse / statistics & numerical data psychology Adult Obsessive-Compulsive Disorder / epidemiology psychology Depression / epidemiology psychology Child Surveys and Questionnaires Universities Suicide, Attempted / statistics & numerical data psychology Self Report

来  源:   DOI:10.1016/j.jad.2024.05.027

Abstract:
BACKGROUND: Suicidality was very high among individuals who suffered from childhood trauma. The distribution of cumulative childhood trauma among youths remains unclear, as well as the specific effects of cumulative childhood trauma on suicidality. This study attempted to explore the distribution of cumulative childhood trauma and examine the specific effects of cumulative childhood trauma on suicidality.
METHODS: A cross-sectional design was employed in this study, with 117,769 college students recruited from 63 universities in Jilin Province, China. All variables were measured by corresponding self-report questionnaires. The Venn diagram was used to represent the distribution of single and cumulative childhood trauma. ANOVA and chi-square tests were conducted to identify the high-risk suicide groups. Multiple linear regression analysis was performed to examine risk factors for suicidality for overlapping subtypes.
RESULTS: 27,671 (23.5%) participants reported suffering from childhood trauma, of which 49.5% were male (Mage = 19.59, SD = 1.76). The \"physical neglect\" group accounted for the largest proportion (31.5%). Suicidality was the highest in the \"overlap of childhood neglect, emotional abuse, and physical abuse\" group (2.0%). Depression, obsessive-compulsive disorder, and post-traumatic stress disorder were common risk factors for suicidality.
CONCLUSIONS: This study was limited by cross-sectional studies and self-report bias.
CONCLUSIONS: The childhood trauma subtype group with the largest proportion was not necessarily the highest suicidality. Both the largest group and the highest-risk suicide group require special attention to their respective risk factors.
摘要:
背景:患有童年创伤的个体自杀率很高。青少年中累积的童年创伤的分布仍不清楚,以及累积的童年创伤对自杀的具体影响。本研究试图探讨儿童累积创伤的分布,并研究儿童累积创伤对自杀的具体影响。
方法:本研究采用横断面设计,吉林省63所大学招收了117,769名大学生,中国。所有变量均通过相应的自我报告问卷进行测量。维恩图用于表示单个和累积的儿童创伤的分布。进行方差分析和卡方检验以确定高危自杀群体。进行了多元线性回归分析,以检查重叠亚型自杀的危险因素。
结果:27,671(23.5%)参与者报告患有童年创伤,其中49.5%为男性(Mage=19.59,SD=1.76)。“身体忽视”组占比最大(31.5%)。在童年忽视的重叠中,自杀率最高,情感虐待,和身体虐待组(2.0%)。抑郁症,强迫症,创伤后应激障碍是自杀的常见危险因素。
结论:这项研究受到横断面研究和自我报告偏倚的限制。
结论:比例最大的儿童创伤亚型组并不一定是自杀率最高的。最大的群体和最高风险的自杀群体都需要特别注意各自的危险因素。
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