Childhood Physical and Sexual Abuse Predicts Suicide Risk in a Large Cohort of Veterans

The Primary Care Companion to CNS Disorders
Maju Mathew KoolaErica J Duncan

Abstract

To examine whether childhood physical and sexual abuse is a significant predictor of suicide risk in veterans. This study was a retrospective chart review of 4,709 patients admitted to a psychiatric ward (August 2004 through July 2014) at the Atlanta Veterans Affairs Medical Center (VAMC). Sociodemographic and clinical data and history of childhood (aged ≤ 18 years) physical and sexual abuse were obtained from the patients' electronic health records. Suicide risk data of patients who attempted and completed suicide were obtained from the Atlanta VAMC suicide high-risk team. Binary logistic regressions with maximum likelihood estimation method were used to examine the association of demographic (age, sex, marital status, race, service) and clinical (psychiatric diagnoses, number of hospital admissions, and length of stay) variables and childhood physical and sexual abuse and type with suicide behavior. The combination of childhood physical and sexual abuse, number of admissions to a psychiatric inpatient unit, and major depressive disorder (MDD) were the best predictors of enhanced suicide risk (P < .001). This combination accounted for 9.9% variance in suicide risk and correctly classified 83% of cases into respective suicide v...Continue Reading

Citations

Sep 13, 2019·Crisis·Wilfred Hing-Sang WongPatrick Ip
Oct 6, 2021·International Journal of Psychology : Journal International De Psychologie·Amir Mohsen RahnejatArsia Taghva

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