The Relationship between Trauma Exposure and Psychiatric Hospitalization for Suicide Ideation or Suicide Attempt among Patients Admitted to a Military Treatment Setting

被引:8
作者
Ryan, Arthur T. [1 ,2 ]
Daruwala, Samantha E. [3 ]
Perera, Kanchana U. [3 ]
Lee-Tauler, Su Yeon [3 ]
Tucker, Jennifer [3 ]
Grammer, Geoffrey [4 ]
Weaver, Jennifer [5 ]
Ghahramanlou-Holloway, Marjan [3 ]
机构
[1] Vet Affairs VISN 5 Mental Illness Res Educ & Clin, Baltimore, MD 21201 USA
[2] Univ Maryland, Sch Med, Dept Psychiat, Baltimore, MD 21201 USA
[3] Uniformed Serv Univ Hlth Sci, Dept Med & Clin Psychol, Bethesda, MD 20814 USA
[4] Greenbrook TMS NeroHlth Ctr, Mclean, VA 22102 USA
[5] Ft Belvoir Community Hosp, Ft Belvoir, VA 22060 USA
关键词
adverse childhood experience; trauma; suicide; psychiatric hospitalization; military; CHILD SEXUAL-ABUSE; RISK; POPULATION; SOLDIERS; BEHAVIOR; ASSOCIATION; SEVERITY; VETERANS; BEFRIEND; STRESS;
D O I
10.3390/ijerph17082729
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Suicide attempts and psychiatric hospitalization represent the final outcomes of a complex dynamical system of interacting factors that influence a particular individual's likelihood of engaging in suicidal behavior, as well as their ability to seek help prior to acting upon suicidal impulses. This study examined the association between different types of lifetime trauma exposure and the likelihood of psychiatric hospitalization following a suicide attempt (SA) rather than suicidal ideation (SI) alone. Electronic medical records for 1100 U.S. military service members and their dependents admitted to a military psychiatric inpatient setting for SA or SI were reviewed for documented lifetime trauma exposure history. Findings indicated that exposure to at least one childhood trauma of any type, and childhood neglect in particular, increased the likelihood that an individual would be hospitalized for SA rather than SI. Exploratory gender-stratified analyses demonstrated that childhood neglect, childhood sexual abuse, and adulthood traumatic loss may be linked with the likelihood of being hospitalized for SA. These findings demonstrate the importance of developing more detailed and nuanced conception of factors known to be associated with suicide as their effects may depend on details of their timing and nature, as well as their interactions with other systems.
引用
收藏
页数:12
相关论文
共 37 条
[1]   Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences [J].
Afifi, Tracie O. ;
Enns, Murray W. ;
Cox, Brian J. ;
Asmundson, Gordon J. G. ;
Stein, Murray B. ;
Sareen, Jitender .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2008, 98 (05) :946-952
[2]   Association of Child Abuse Exposure With Suicidal Ideation, Suicide Plans, and Suicide Attempts in Military Personnel and the General Population in Canada [J].
Afifi, Tracie O. ;
Taillieu, Tamara ;
Zamorski, Mark A. ;
Turner, Sarah ;
Cheung, Kristene ;
Sareen, Jitender .
JAMA PSYCHIATRY, 2016, 73 (03) :229-238
[3]   The enduring effects of abuse and related adverse experiences in childhood - A convergence of evidence from neurobiology and epidemiology [J].
Anda, RF ;
Felitti, VJ ;
Bremner, JD ;
Walker, JD ;
Whitfield, C ;
Perry, BD ;
Dube, SR ;
Giles, WH .
EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE, 2006, 256 (03) :174-186
[4]   Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis [J].
Angelakis, Ioannis ;
Gillespie, Emma Louise ;
Panagioti, Maria .
PSYCHOLOGICAL MEDICINE, 2019, 49 (07) :1057-1078
[5]  
[Anonymous], 2016, INCREASE SUICIDE US
[6]   Biological embedding of childhood adversity: from physiological mechanisms to clinical implications [J].
Berens, Anne E. ;
Jensen, Sarah K. G. ;
Nelson, Charles A., III .
BMC MEDICINE, 2017, 15
[7]   Premilitary Trauma as a Correlate of Suicidal Ideation Among Veterans [J].
Blosnich, John R. ;
Bossarte, Robert M. .
PSYCHIATRIC SERVICES, 2017, 68 (08) :755-755
[8]   Childhood adversities as risk factors for onset and persistence of suicidal behaviour [J].
Bruffaerts, Ronny ;
Demyttenaere, Koen ;
Borges, Guilherme ;
Maria Haro, Josep ;
Chiu, Wai Tat ;
Hwang, Irving ;
Karam, Elie G. ;
Kessler, Ronald C. ;
Sampson, Nancy ;
Alonso, Jordi ;
Andrade, Laura Helena ;
Angermeyer, Matthias ;
Benjet, Corina ;
Bromet, Evelyn ;
de Girolamo, Giovanni ;
de Graaf, Ron ;
Florescu, Silvia ;
Gureje, Oye ;
Horiguchi, Itsuko ;
Hu, Chiyi ;
Kovess, Viviane ;
Levinson, Daphna ;
Posada-Villa, Jose ;
Sagar, Rajesh ;
Scott, Kate ;
Tsang, Adley ;
Vassilev, Svetlozar M. ;
Williams, David R. ;
Nock, Matthew K. .
BRITISH JOURNAL OF PSYCHIATRY, 2010, 197 (01) :20-27
[9]   The association of military and premilitary sexual trauma with risk for suicide ideation, plans, and attempts [J].
Bryan, Craig J. ;
Bryan, AnnaBelle O. ;
Clemans, Tracy A. .
PSYCHIATRY RESEARCH, 2015, 227 (2-3) :246-252
[10]   The Associations of Physical and Sexual Assault with Suicide Risk in Nonclinical Military and Undergraduate Samples [J].
Bryan, Craig J. ;
McNaugton-Cassill, Mary ;
Osman, Augustine ;
Hernandez, Ann Marie .
SUICIDE AND LIFE-THREATENING BEHAVIOR, 2013, 43 (02) :223-234