TY - JOUR PY - 2022// TI - Association of dissociation with suicide attempt and non-suicidal self injury in adolescents with a history of sexual abuse JO - Psychiatry interpersonal and biological processes A1 - Bikmazer, Alperen A1 - Koyuncu, Zehra A1 - Kavruk Erdim, Nese A1 - Kadak, Muhammed Tayyib A1 - Tarakcioglu, Mahmut Cem A1 - Gokler, Enes A1 - Gormez, Vahdet A1 - Ozer, Omer Akil SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Dissociative symptoms are considered risk factors for suicide and non-suicidal self-injury (NSSI). In this study, the relationship between suicidal behaviors and NSSI with dissociative symptoms in adolescents with a history of Child Sexual Abuse (CSA) was investigated.

METHODS: A total of 100 adolescents with a history of CSA were evaluated with a detailed forensic psychiatric interview. Dissociative symptoms were measured with the self-report Adolescent Dissociative Experiences Scale (A-DES) and the parent-reported Child Dissociative Checklist (CDC).

RESULTS: While dissociative symptoms did not differ between adolescents with and without suicide attempts (CDC; p = .068 and A-DES; p = .060), they were significantly higher in adolescents with non-suicidal self-harming behavior (CDC; p < .001 and A-DES; p = .001). Suicide attempts and NSSI were more common in those who reported genital touching as a type of sexual abuse (respectively, p = .003; p = .048). In regression analysis; history of psychiatric treatment (OR = 9.09 [95% CI = 1.52, 54.29]) and NSSI (OR = 8.18 [95% CI = 2.01, 33.23]) were independently associated with suicide attempts. In addition, parent-reported dissociative symptoms (CDC scores) (OR = 1.27 [95% CI = 1.06, 1.53] and suicide attempt (OR = 8.09 [95%CI = 1.96,33.42] showed independent association with NSSI.

CONCLUSIONS: Dissociative symptoms may be predictive factors for NSSI and should be considered in risk assessment of adolescents with a history of CSA.

Language: en

LA - en SN - 0033-2747 UR - http://dx.doi.org/10.1080/00332747.2022.2114268 ID - ref1 ER -