Childhood adversities as risk factors for onset and persistence of suicidal behaviour

Autor(es):Mostrar menos -

Bruffaerts, Ronny ^[1] ; Demyttenaere, Koen ^[1] ; Borges, Guilherme ^{[2, 3]} ; Maria Haro, Josep ^[4] ; Chiu, Wai Tat ^[5] ; Hwang, Irving ^[5] ; Karam, Elie G. ^[6] ; Kessler, Ronald C. ^[5] ; Sampson, Nancy ^[5] ; Alonso, Jordi ^{[7, 8]} ; Andrade, Laura Helena ^{[9, 10]} ; Angermeyer, Matthias ^[11] ; Benjet, Corina ^[12] ; Bromet, Evelyn ^[13] ; de Girolamo, Giovanni ^[14] ; de Graaf, Ron ^[15] ; Florescu, Silvia ^[16] ; Gureje, Oye ^[17] ; Horiguchi, Itsuko ^[18] ; Hu, Chiyi ^{[19, 20]} ; Kovess, Viviane ^[21] ; Levinson, Daphna ^{[22, 23, 24]} ; Posada-Villa, Jose ^[25] ; Sagar, Rajesh ^[26] ; Scott, Kate ^[27] ; Tsang, Adley ^[28] ; Vassilev, Svetlozar M. ^[29] ; Williams, David R. ^[30] ; Nock, Matthew K. ^[31]

Afiliação do(s) autor(es):Mostrar menos -

^[1] Univ Hosp Gasthuisberg, Dept Psychiat, B-3000 Louvain - Belgium

^[2] Natl Inst Psychiat Mexico, Dept Epidemiol Res, Div Epidemiol & Psychosocial Res, Mexico City, DF - Mexico

^[3] Metropolitan Autonomous Univ, Mexico City, DF - Mexico

^[4] Fundacio St Joan de Deu, CIBER Salud Mental, St Boi De Llobregat, Barcelona - Spain

^[5] Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[6] Balamand Univ, St George Hosp Univ Med Ctr, Fac Med, IDRAAC, MIND, Beirut - Lebanon

^[7] CIBERESP, Barcelona - Spain

^[8] Hosp del Mar, IMIM, Hlth Serv Res Unit, Barcelona - Spain

^[9] Univ Sao Paulo, Sch Med, Inst Psychiat, Sao Paulo - Brazil

^[10] Univ Sao Paulo, LIM Dept 23, Sect Psychiat Epidemiol, Sao Paulo - Brazil

^[11] Ctr Publ Mental Hlth, Goesing Am Wagram - Austria

^[12] Natl Inst Psychiat, Mexico City, DF - Mexico

^[13] SUNY Stony Brook, Dept Psychiat, New York, NY - USA

^[14] IRCCS Ctr S Giovanni di Dio Fatebenefratelli, Brescia - Italy

^[15] Netherlands Inst Mental Hlth & Addict, Utrecht - Netherlands

^[16] Natl Sch Publ Hlth & Hlth Serv Management, Publ Hlth Res & Evidence Based Med Dept, Bucharest - Romania

^[17] Univ Coll Hosp, Ibadan - Nigeria

^[18] Juntendo Univ, Sch Med, Dept Publ Hlth, Tokyo - Japan

^[19] Shenzhen Inst Mental Hlth, Shenzhen - Peoples R China

^[20] Shenzhen Kangning Hosp, Shenzhen - Peoples R China

^[21] Univ Paris 05, EA 4069, Paris - France

^[22] Minist Hlth, Mental Hlth Serv, Jerusalem - Israel

^[23] Minist Hlth, Res Serv, Jerusalem - Israel

^[24] Minist Hlth, Planning Serv, Jerusalem - Israel

^[25] Ctr Med Sabana, U Javerina, Bogota - Colombia

^[26] All India Inst Med Sci, Dept Psychiat, Delhi - India

^[27] Wellington Sch Med & Hlth Sci, Dept Psychol Med, Otago - New Zealand

^[28] Prince Wales Hosp, CUHK, Hong Kong Mood Disorders Ctr, Hong Kong, Hong Kong - Peoples R China

^[29] New Bulgarian Univ, Sofia - Bulgaria

^[30] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 - USA

^[31] Harvard Univ, Dept Psychol, Cambridge, MA 02138 - USA

• Tipo de documento: Artigo Científico
• Fonte: BRITISH JOURNAL OF PSYCHIATRY; v. 197, n. 1, p. 20-27, JUL 2010.
• Citações Web of Science: 147

Resumo

Background Suicide is a leading cause of death worldwide, but the precise effect of childhood adversities as risk factors for the onset and persistence of suicidal behaviour (suicide ideation, plans and attempts) are not well understood. Aims To examine the associations between childhood adversities as risk factors for the onset and persistence of suicidal behaviour across 21 countries worldwide. Method Respondents from nationally representative samples (n = 55 299) were interviewed regarding childhood adversities that occurred before the age of 18 years and lifetime suicidal behaviour. Results Childhood adversities were associated with an increased risk of suicide attempt and ideation in both bivariate and multivariate models (odds ratio range 1.2-5.7). The risk increased with the number of adversities experienced, but at a decreasing rate. Sexual and physical abuse were consistently the strongest risk factors for both the onset and persistence of suicidal behaviour, especially during adolescence. Associations remained similar after additional adjustment for respondents' lifetime mental disorder status. Conclusions Childhood adversities (especially intrusive or aggressive adversities) are powerful predictors of the onset and persistence of suicidal behaviours. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático