TABLE 5-2 Child Trauma as a Risk Factor for Attempted Suicide: Recent Large, Controlled Studies

Citation

No. Subjects

Odds Ratio for Suicide Attempts

Prospective, Population- or Community-based Studies

Silverman et al., 1996

375

Physical abuse

Sexual abuse

8a

14.4a

Brown et al., 1999

776

Sexual abuse

Physical abuse

Neglect

5.71b

1.79b

1.42b

Fergusson et al., 2000a

1265

Sexual abuse

Physical abuse

7.9

5.41

Cross-sectional, Population- or Community-based Studies

Molnar et al., 2001a

5877 Ages 15-54

Rape and molestation

3-11

Silverman et al., 2001

2186 Girls

Intimate partner violenced

8.6

Dinwiddie et al., 2000

5995 twins Adults

Sexual abuse

7.07-7.74

Edgardh and Ormstad, 2000

1943 Age 17

Sexual abuse

4.36-9.28

Flisher et al., 1997

665 Ages 9-17

Physical abuse

Not significante

Cross-sectional, Community-based Primary Care

Felitti et al., 1998

9508 Adults

1-4 or more categories of adverse childhood exposuresd

1.8-12.2

McCauley et al., 1997

1931 Women

Physical or sexual abuse

3.7c

aFemales only. Findings for physically abused males were non-significant, and males were not assessed for suicide attempts and sexual abuse because too few males were affected.

bAfter controlling for other factors. Neglect and physical abuse were not significant, as confidence intervals included 1.0.

cCrude prevalence ratio reported by study.

d1999 only; Intimate partner violence= physical and/or sexual.

Adverse childhood exposures refers to psychological, physical, or sexual abuse; violence against mother; or living with household members who were substance abusers, mentally ill or suicidal, or ever imprisoned.

eSuicide attempts in the past 6 months only.



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