揭示儿童性虐待受害者的自杀风险:患病率和预测标记。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Martine Hébert, Amélie Tremblay-Perreault, Ophélie Dassylva
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引用次数: 0

摘要

儿童性虐待一再被认为是自杀意念和行为的风险因素,但大多数研究都集中在青少年和年轻人身上。童年中期是一个以独特的认知和社会情感特征为特征的发展期,对遭受性虐待的儿童的自杀行为知之甚少。更好地了解这一亚组的危险因素对于告知适龄预防和干预工作至关重要。本研究的目的是:1)利用自我报告和父母报告,确定6-12岁性侵受害儿童自杀意念和行为的流行程度;2)建立回归树模型,以确定最有效的自杀风险标记。共有783名6-12岁的儿童及其无犯罪行为的照顾者完成了关于自杀和自杀风险相关因素(如抑郁、情绪调节、创伤后应激症状和披露虐待后感知到的母亲支持)的问卷调查。自杀意念的发生率分别为31.2%和11.4%。研究结果显示,情绪失调和临床抑郁水平是预测自杀风险的最重要变量。也就是说,显示出最高自杀风险的亚组包括有高度情绪失调和临床抑郁水平的儿童。决策树模型提供了一个重要的筛选工具,临床医生希望确定儿童最具自杀风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unveiling Suicidal Risk in Young Child Sexual Abuse Victims: Prevalence and Predictive Markers.

Child sexual abuse has repeatedly been identified as a risk factor for suicidal ideation and behavior, yet most research has focused on adolescents and young adults. Very little is known about suicidality in children exposed to sexual abuse in middle childhood, which is a developmental period marked by unique cognitive and socioemotional specificities. Gaining a better understanding of risk factors in this subgroup is crucial to inform age-appropriate prevention and intervention efforts. This study aimed to: 1) determine the prevalence of suicidal ideation and behavior in a sample of child victims of sexual abuse aged 6-12 years old, using both self- and parent-reports and 2) model a regression tree to identify the most potent markers of suicidal risk. A total of 783 children aged 6-12, and their non-offending caregivers, completed questionnaires on suicidality, and correlates of suicidal risk (e.g. depression, emotional regulation, post-traumatic stress symptoms, and perceived maternal support following disclosure of abuse). The prevalence of suicidal ideation was 31.2% and 11.4% according to children and parents, respectively. Findings revealed that emotional dysregulation and clinical levels of depression were the most influential variables in the prediction of suicide risk. Namely, the subgroup that showed the highest suicidal risk consisted of children who had both high levels of emotional dysregulation and clinical levels of depression. The decision tree model offers an important screening tool for clinicians wishing to identify children most at-risk of suicidality.

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来源期刊
CiteScore
6.00
自引率
6.10%
发文量
39
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