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1102 – Suicidal Intent Is Increased In Suicide Attempters With Posttraumatic Stress Disorder After Childhood Abuse

Published online by Cambridge University Press:  15 April 2020

J. Lopez-Castroman ,
I. Jaussent ,
S. Guillaume ,
S. Beziat ,
E. Olié ,
E. Baca-Garcia ,
A. Malafosse  and
P. Courtet
J. Lopez-Castroman
Affiliation:
INSERM U 1061, Montpellier, France Psychiatry, Fundacion Jimenez Diaz, Madrid, Spain
I. Jaussent
Affiliation:
INSERM U 1061, Montpellier, France
S. Guillaume
Affiliation:
Emergency Psychiatry, CHRU, INSERM U 1061, University of Montpellier, Montpellier, France
S. Beziat
Affiliation:
INSERM U 1061, Montpellier, France
E. Olié
Affiliation:
Emergency Psychiatry, CHRU, INSERM U 1061, University of Montpellier, Montpellier, France
E. Baca-Garcia
Affiliation:
Psychiatry, Fundacion Jimenez Diaz, Madrid, Spain Psychiatry, New York State Psychiatric Institute and Columbia University, New York, NY, USA
A. Malafosse
Affiliation:
INSERM U 1061, Montpellier, France Psychiatry, Hôpitaux Universitaires de Genève, Geneva, Switzerland
P. Courtet
Affiliation:
Emergency Psychiatry, CHRU, INSERM U 1061, University of Montpellier, Montpellier, France

Abstract

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Introduction

The diagnosis of Posttraumatic Stress Disorder (PTSD) and the experience of childhood maltreatment have been independently associated with a higher risk for suicide attempts.

Objectives

To investigate if PTSD diagnoses following childhood abuse are correlated with markers of suicide severity, such as the age at the first suicide attempt, the number of attempts or the suicidal intent.

Methods

We studied a sample of 726 suicide attempters. Lifetime clinical diagnoses and history of childhood abuse were registered. The association of PTSD and childhood abuse dimensions with age at first suicide attempt, number of suicide attempts and suicide intent was studied. An adjusted multinomial logistic regression was performed to ascertain if combined childhood abuse and PTSD increased the severity of the suicidal behavior.

Results

Several types of childhood abuse (emotional, physical and sexual abuse) when combined with a lifetime diagnosis of PTSD showed an increased risk for more suicide attempts and a higher level of suicidal intent compared with the absence of any or both risk factors.

Conclusions

The combination of PTSD and childhood abuse should be investigated in clinical settings due to an augmented risk for more severe suicidal behavior.

[Suicide intent associated with PTSD and/or abuse]

Type
Abstract
Information
European Psychiatry , Volume 28 , Issue S1: Abstracts of the 21th European Congress of Psychiatry , 2013 , 28-E496
Copyright
Copyright © European Psychiatric Association 2013
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