Abstract：
BACKGROUND: Suicide is a severe public health problem. Impacts of childhood traumas, unsecure adult attachment styles and personality traits have been suggested as possible risk factors for suicide attempts. The aim of this cross-sectional, case-controlled study is to investigate the impact of childhood traumas, adult attachment styles and personality traits on suicide attempt.
METHODS: The sample consisted of psychiatric patients who attempted suicide (n=101) on the one hand and those who did not attempt suicide (n=114) on the other. The questionnaires used were the Hungarian validated versions of Adult Attachment Scale (AAS), Childhood Trauma Questionnaire (CTQ), Temperament and Character Inventory (TCI) and a demographic questionnaire.
RESULTS: Results indicated that Novelty Seeking (NS) temperament trait [EH=1.043; 95% C.I.=(0.950-1.145)] p=0.376; emotional abuse [EH=1.034; 95% C.I.=(0.966-1.107)] p=0.336; emotional neglect [EH=1.022; 95% C.I.=(0.936-1.116)] p=0.626; and sexual abuse [EH=1.047; 95% C.I.=(0.959-1.142)] p=0.305 were associated with nonsignificant increases in the odds of suicide attempts. Whereas secure attachment style [EH=0.908; 95% C.I.=(0.842-0.980)] p=0.013 appeared to be a significantly protective factor (c2(1)=6.515 p=0.011). Furthermore, when examining the connection between childhood traumas and adult attachment styles it was found that the anxious attachment style had a positive significant correlation with emotional abuse (rs(197)=0.293) p<0.001, avoidant attachment style with emotional neglect (rs(197)= 0.273) p<0.001.
CONCLUSIONS: Our findings suggest that individuals with avoidant attachment style and childhood traumas are likely to present a higher suicide risk. However secure attachment style likely to present a lower risk for suicide.
METHODS: The sample consisted of psychiatric patients who attempted suicide (n=101) on the one hand and those who did not attempt suicide (n=114) on the other. The questionnaires used were the Hungarian validated versions of Adult Attachment Scale (AAS), Childhood Trauma Questionnaire (CTQ), Temperament and Character Inventory (TCI) and a demographic questionnaire.
RESULTS: Results indicated that Novelty Seeking (NS) temperament trait [EH=1.043; 95% C.I.=(0.950-1.145)] p=0.376; emotional abuse [EH=1.034; 95% C.I.=(0.966-1.107)] p=0.336; emotional neglect [EH=1.022; 95% C.I.=(0.936-1.116)] p=0.626; and sexual abuse [EH=1.047; 95% C.I.=(0.959-1.142)] p=0.305 were associated with nonsignificant increases in the odds of suicide attempts. Whereas secure attachment style [EH=0.908; 95% C.I.=(0.842-0.980)] p=0.013 appeared to be a significantly protective factor (c2(1)=6.515 p=0.011). Furthermore, when examining the connection between childhood traumas and adult attachment styles it was found that the anxious attachment style had a positive significant correlation with emotional abuse (rs(197)=0.293) p<0.001, avoidant attachment style with emotional neglect (rs(197)= 0.273) p<0.001.
CONCLUSIONS: Our findings suggest that individuals with avoidant attachment style and childhood traumas are likely to present a higher suicide risk. However secure attachment style likely to present a lower risk for suicide.
摘要：
背景：自杀是一个严重的公共卫生问题。童年创伤的影响，不安全的成人依恋风格和人格特质被认为是自杀未遂的可能危险因素。这个横截面的目的，病例对照研究是调查儿童创伤的影响，成人依恋风格和人格特质对自杀未遂的影响。
方法：样本包括一方面企图自杀的精神病患者（n=101）和另一方面没有企图自杀的精神病患者（n=114）。使用的问卷是匈牙利验证版本的成人依恋量表(AAS)，童年创伤问卷（CTQ），气质和性格量表(TCI)和人口统计问卷。
结果：结果表明，寻求新颖性（NS）气质特征[EH=1.043；95％C.I.=（0.950-1.145）]p=0.376；情感虐待[EH=1.034；95％C.I.=（0.966-1.107）]p=0.336；情感忽视[EH=1.022；95％C.I.=1.0.659而安全连接方式[EH=0.908;95％C.I.=（0.842-0.980）]p=0.013似乎是一个显着的保护因素（c2（1）=6.515p=0.011）。此外，在研究童年创伤与成人依恋风格之间的联系时，发现焦虑依恋风格与情感虐待呈正相关（rs（197）=0.293）p<0.001，回避依恋风格与情感忽视呈正相关（rs（197）=0.273）p<0.001。
结论：我们的研究结果表明，具有回避型依恋风格和童年创伤的个体可能表现出更高的自杀风险。但是，安全的依恋方式可能会降低自杀风险。
方法：样本包括一方面企图自杀的精神病患者（n=101）和另一方面没有企图自杀的精神病患者（n=114）。使用的问卷是匈牙利验证版本的成人依恋量表(AAS)，童年创伤问卷（CTQ），气质和性格量表(TCI)和人口统计问卷。
结果：结果表明，寻求新颖性（NS）气质特征[EH=1.043；95％C.I.=（0.950-1.145）]p=0.376；情感虐待[EH=1.034；95％C.I.=（0.966-1.107）]p=0.336；情感忽视[EH=1.022；95％C.I.=1.0.659而安全连接方式[EH=0.908;95％C.I.=（0.842-0.980）]p=0.013似乎是一个显着的保护因素（c2（1）=6.515p=0.011）。此外，在研究童年创伤与成人依恋风格之间的联系时，发现焦虑依恋风格与情感虐待呈正相关（rs（197）=0.293）p<0.001，回避依恋风格与情感忽视呈正相关（rs（197）=0.273）p<0.001。
结论：我们的研究结果表明，具有回避型依恋风格和童年创伤的个体可能表现出更高的自杀风险。但是，安全的依恋方式可能会降低自杀风险。
