Psychological Medicine



Original Article

Childhood adversities and risk for suicidal ideation and attempts: a longitudinal population-based study


MURRAY W. ENNS a1c1, BRIAN J. COX a1, TRACIE O. AFIFI a1, RON DE GRAAF a2, MARGREET TEN HAVE a2 and JITENDER SAREEN a1
a1 Department of Psychiatry and Community Health Sciences, University of Manitoba, Canada
a2 Department of Psychiatry and Community Health Sciences, Trimbos Institute, The Netherlands

Article author query
enns mw   [PubMed][Google Scholar] 
cox bj   [PubMed][Google Scholar] 
afifi to   [PubMed][Google Scholar] 
de graaf r   [PubMed][Google Scholar] 
ten have m   [PubMed][Google Scholar] 
sareen j   [PubMed][Google Scholar] 

Abstract

Background. Developmental adversities may be risk factors for adult suicidal behavior, but this relationship has rarely been studied prospectively. The present study examined the association between childhood adversities and new onset suicidal ideation and attempts in an adult population-based sample.

Method. The study used a large community mental health survey (the Netherlands Mental Health Survey and Incidence Study; n=7076, age range 18–64 years). Logistic regression analyses were used to evaluate the relationship between childhood adversities and new onset of suicidal ideation and attempts over 3 years of longitudinal follow-up.

Results. During the study period 85 new cases of suicidal ideation and 39 new onset suicide attempts were observed. The incidence rate for new suicide ideation was 0·67% per year and the incidence rate for new suicide attempts was 0·28% per year. Childhood neglect, psychological abuse and physical abuse were strongly associated with new onset suicidal ideation and suicide attempts. Odds ratios (ORs) ranged from 2·80 to 4·66 for new onset suicidal ideation and from 3·60 to 5·43 for new onset suicide attempts. The total number of adversities reported had a strong graded relationship to new onset suicidal ideation and attempts. These associations remained significant after controlling for the effects of mental disorders.

Conclusions. Childhood abuse and multiple adversities are strongly associated with future suicidal behavior and the mental disorders assessed in the present study do not fully account for this effect. A comprehensive understanding of suicidal behavior must take childhood adversities into account.

(Published Online September 26 2006)


Correspondence:
c1 PZ430 771 Bannatyne Avenue, Winnipeg, Manitoba, Canada R3E 3N4. (Email: menns@hsc.mb.ca)


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