| Titre : | Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span : Findings from the adverse childhood experiences study. (2001) |
| Auteurs : | Shanta-R DUBE ; Robert-F ANDA ; Daniel-P CHAPMAN ; Vincent-J FELITTI ; Wayne-H GILES ; David-F WILLIAMSON |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 286, n° 24, 2001) |
| Pagination : | 3089-3096 |
| Langues: | Anglais |
| Mots-clés : | Enfance maltraitée ; Abus sexuel ; Relation conjugale ; Famille ; Facteur risque ; Suicide ; Longévité ; Epidémiologie ; Etats Unis ; Amérique ; Etude comparée ; Prévalence ; Etat dépressif ; Alcoolisme ; Stupéfiant ; Homme ; Maltraitance ; Trouble humeur ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 1oj7R0xR. Diffusion soumise à autorisation]. Context Suicide is a leading cause of death in the United States, but identifying persons at risk is difficult. Thus, the US surgeon general has made suicide prevention a national priority. An expanding body of research suggests that childhood trauma and adverse experiences can lead to a variety of negative health outcomes, including attempted suicide among adolescents and adults. Objective To examine the relationship between the risk of suicide attempts and adverse childhood experiences and the number of such experiences (adverse childhood experiences [ACE] score). Design, Setting, and Participants A retrospective cohort study of 17337 adult health maintenance organization members (54% female ; mean [SD] age, 57 [15.3] years) who attended a primary care clinic in San Diego, Calif, within a 3-year period (1995-1997) and completed a survey about childhood abuse and household dysfunction, suicide attempts (including age at first attempt), and multiple other health-related issues. Main Outcome Measure Self-reported suicide attempts, compared by number of adverse childhood experiences, including emotional, physical, and sexual abuse ; household substance abuse, mental illness, and incarceration ; and parental domestic violence, separation, or divorce. Results The lifetime prevalence of having at least 1 suicide attempt was 3.8%. Adverse childhood experiences in any category increased the risk of attempted suicide 2-to 5-fold. The ACE score had a strong, graded relationship to attempted suicide during childhood/adolescence and adulthood (P<. 001). Compared with persons with no such experiences (prevalence of attempted suicide, 1.1%), the adjusted odds ratio of ever attempting suicide among persons with 7 or more experiences (35.2%) was 31.1 (95% confidence interval, 20.6-47.1). (...) |
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