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Early trauma and lifetime suicidal behavior in a nationwide sample of Korean medical students
- Source :
- Journal of Affective Disorders. 119:210-214
- Publication Year :
- 2009
- Publisher :
- Elsevier BV, 2009.
-
Abstract
- No previous study has investigated the association between early trauma and suicidal behavior in medical students. We evaluated the types of early trauma which are the most strongly associated with a lifetime history of suicidal behavior in medical students.A total of 6986 medical students completed a self-administered questionnaire (response rates: 49.6% of the entire medical student body in Korea) which included lifetime suicidal behavior, stressors, and the Early Trauma Inventory Self Report-Short Form (ETISR-SF). This was used to evaluate the most serious forms of trauma experienced before the age of 18, including general trauma, physical, emotional and sexual abuse.Among medical students, lifetime prevalence of suicidal behavior was 34.0% for those who experienced early trauma and 18.1% in those without a history of trauma (chi(2)=215.7, p0.0001). Emotional abuse exhibited a higher odds ratio for lifetime suicidal behavior (OR=3.6, 95%CI=2.9-4.4) than other traumas including general trauma (OR=2.1, 95%CI=1.8-2.4), sexual (OR=2.0, 95%CI=1.5-2.8) or physical (OR=1.8, 95%CI=1.5-2.1) abuse, and current stressors including heavy stress (OR=1.5, 95%CI=1.4-1.8), poor physical health (OR=1.3, 95%CI=1.2-1.5), and poor economic status (OR=1.2, 95%CI=1.0-1.3). Emotional abuse also showed a higher odds ratio for lifetime suicidal ideation (OR=3.5, 95%CI=2.8-4.4), plan (OR=3.9, 95%CI=2.4-6.2), and attempt (OR=4.1, 95%CI=2.4-6.8) than other early traumas or stressors. In emotional abuse, a continuously cold or uncaring parental attitude exhibited a stronger association with lifetime suicidal behavior (OR=4.5, 95%CI=2.7-7.7) than other emotional abuse.Emotional abuse, especially continuous parental emotional abuse in childhood, is significantly associated with lifetime suicidal behavior in Korean medical students.
- Subjects :
- Adult
Male
Child abuse
medicine.medical_specialty
Students, Medical
Medical psychology
Cross-sectional study
Health Status
Poison control
Suicide, Attempted
Suicide prevention
Young Adult
Odds Ratio
Prevalence
medicine
Humans
Parent-Child Relations
Psychological abuse
Psychiatry
Korea
Suicide attempt
business.industry
Adult Survivors of Child Abuse
Psychiatry and Mental health
Clinical Psychology
Cross-Sectional Studies
Logistic Models
Sexual abuse
Female
business
Clinical psychology
Subjects
Details
- ISSN :
- 01650327
- Volume :
- 119
- Database :
- OpenAIRE
- Journal :
- Journal of Affective Disorders
- Accession number :
- edsair.doi.dedup.....33f3a3d0e0ad39ad1831d6be1e06426b