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Journal Article

Citation

Cramer RJ, Desmarais SL, Johnson KL, Gemberling TM, Nobles MR, Holley SR, Wright S, Van Dorn R. Int. J. Soc. Psychiatry 2017; 63(1): 78-85.

Affiliation

7 RTI International, Research Triangle Park, NC, USA.

Copyright

(Copyright © 2017, SAGE Publishing)

DOI

10.1177/0020764016683728

PMID

28135995

Abstract

BACKGROUND: Suicide and interpersonal violence (i.e. victimization and perpetration) represent pressing public health problems, and yet remain mostly addressed as separate topics. AIMS: To identify the (1) frequency and overlap of suicide and interpersonal violence and (2) characteristics differentiating subgroups of violence-related experiences.

METHODS: A health survey was completed by 2,175 respondents comprised of three groups: college students ( n = 702), adult members of a sexuality special interest organization ( n = 816) and a community adult sample ( n = 657). Latent class analysis was used to identify subgroups characterized by violence experiences; logistic regression was used to identify respondent characteristics differentiating subgroups.

RESULTS: Overall rates of violence perpetration were low; perpetration, victimization and self-directed violence all varied by sample. Adults with alternative sexual interests reported high rates of victimization and self-directed violence. Analyses indicated two subgroups: (1) victimization + self-directed violence and (2) self-directed violence only. The victimization + self-directed violence subgroup was characterized by older, White, female and sexual orientation minority persons. The self-directed violence subgroup was characterized by younger, non-White, male and straight counterparts engaging with more sexual partners and more frequent drug use.

CONCLUSION: Findings support the Centers for Disease Control and Prevention (CDC) definition of suicide as self-directed violence. Suicide intervention and prevention should further account for the role of violent victimization by focusing on the joint conceptualization of self-directed and interpersonal violence. Additional prevention implications are discussed.


Language: en

Keywords

Self-directed violence; interpersonal violence; perpetration; physical assault; suicide; victimization

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