不幸的童年会增加自杀的风险
创作:Epi汪 审核:Epi汪 2019年02月22日
  • 检索并筛选截止至2018年1月之前发表的相关文章,最终纳入68篇研究共261660个研究对象;
  • 经历过性虐待、躯体虐待、精神虐待以及情感上受冷落的儿童在成年后自杀的风险将分别提高3.17、2.52、2.49和2.29倍;
  • 经历以上三种虐待的儿童在成年时拥有自杀念头的风险也将增加;
  • 童年期经历多样且复杂的虐待行为,其成年后自杀风险将增高5倍多;
  • 不同人口学特征的人以上关系基本存在;
  • 儿童期受虐待经历将增加成年后自杀风险。
主编推荐语
Epi汪
全世界每年有超过80万人死于自杀,而自杀往往是多因一果的行为。自杀者本身经历的负性生活事件、心理承受力差等往往是人们关注的重点。近期的研究表明,儿童期经历的虐待行为,包括身体、心理和情感上的虐待、性虐待,以及情感上受到忽视,都将增加其成年后自杀行为或者自杀意念的风险。
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Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis

儿童期受虐待和成年期自杀的关系:一项基于Meta分析的系统综述

10.1017/S0033291718003823.

2019-01-04, Article

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Abstract:收起
This comprehensive systematic review and meta-analysis aims to quantify the association between different types of childhood maltreatment and suicidality. We searched five bibliographic databases, including Medline, PsychINFO, Embase, Web of Science and CINAHL, until January 2018. Random-effects meta-analysis was employed followed by univariable and multivariable meta-regressions. Heterogeneity was quantified using the I2 statistic and formal publication bias tests were undertaken. The methodological quality of the studies was critically appraised and accounted in the meta-regression analyses. Data from 68 studies based on n = 261.660 adults were pooled. All different types of childhood maltreatment including sexual abuse [odds ratio (OR) 3.17, 95% confidence interval (CI) 2.76-3.64], physical abuse (OR 2.52, 95% CI 2.09-3.04) and emotional abuse (OR 2.49, 95% CI 1.64-3.77) were associated with two- to three-fold increased risk for suicide attempts. Similar results were found for the association between childhood maltreatment and suicidal ideation. Complex childhood abuse was associated with a particularly high risk for suicide attempts in adults (OR 5.18, 95% CI 2.52-10.63). Variations across the studies in terms of demographic and clinical characteristics of the participants and other core methodological factors did not affect the findings of the main analyses. We conclude that there is solid evidence that childhood maltreatment is associated with increased odds for suicidality in adults. The main outstanding challenge is to better understand the mechanisms which underpin the development of suicidality in people exposed to childhood maltreatment because current evidence is scarce.

First Authors:
Ioannis Angelakis

Correspondence Authors:
Ioannis Angelakis

All Authors:
Ioannis Angelakis,Emma Louise Gillespie,Maria Panagioti

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