TY  - JOUR
PY  - 2010//
TI  - Childhood adversities as risk factors for onset and persistence of suicidal behaviour
JO  - British journal of psychiatry
A1  - Bruffaerts, Ronny
A1  - Demyttenaere, Koen
A1  - Borges, Guilherme L. G.
A1  - Haro, Josep Maria
A1  - Chiu, Wai Tat
A1  - Hwang, Irving
A1  - Karam, Elie G.
A1  - Kessler, Ronald C.
A1  - Sampson, Nancy
A1  - Alonso, Jordi
A1  - Andrade, Laura Helena
A1  - Angermeyer, Matthias
A1  - Benjet, Corina
A1  - Bromet, E.
A1  - de Girolamo, Giovanni
A1  - de Graaf, Ron
A1  - Florescu, Silvia E.
A1  - Gureje, O.
A1  - Horiguchi, Itsuko
A1  - Hu, Chiyi
A1  - Kovess, Viviane
A1  - Levinson, Daphna
A1  - Posada-Villa, Jose
A1  - Sagar, Rajesh
A1  - Scott, Kate
A1  - Tsang, Adley
A1  - Vassilev, Svetlozar M.
A1  - Williams, Daniel R.
A1  - Nock, Matthew K.
SP  - 20
EP  - 27
VL  - 197
IS  - 1
N2  - BACKGROUND: Suicide is a leading cause of death worldwide, but the precise effect of childhood adversities as risk factors for the onset and persistence of suicidal behaviour (suicide ideation, plans and attempts) are not well understood. AIMS: To examine the associations between childhood adversities as risk factors for the onset and persistence of suicidal behaviour across 21 countries worldwide. METHOD: Respondents from nationally representative samples (n = 55 299) were interviewed regarding childhood adversities that occurred before the age of 18 years and lifetime suicidal behaviour. RESULTS: Childhood adversities were associated with an increased risk of suicide attempt and ideation in both bivariate and multivariate models (odds ratio range 1.2-5.7). The risk increased with the number of adversities experienced, but at a decreasing rate. Sexual and physical abuse were consistently the strongest risk factors for both the onset and persistence of suicidal behaviour, especially during adolescence. Associations remained similar after additional adjustment for respondents' lifetime mental disorder status. CONCLUSIONS: Childhood adversities (especially intrusive or aggressive adversities) are powerful predictors of the onset and persistence of suicidal behaviours.<p />  <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/10.1192/bjp.bp.109.074716
ID  - ref1
ER  -