Abstract
To analyze associations between attempted suicide and childhood trauma. A seven month comparative case-control study (28 subjects - patients with suicide attempt; 56 controls - patients without suicide attempt). The following instruments were used: Childhood Trauma Questionnaire (CTQ), Mini International Neuropsychiatric Interview (MINI), and Medical Outcomes Study (MOS). The group with suicide attempt had significantly higher scores for some variables: emotional abuse (p < 0.001), physical abuse (p < 0.001), emotional neglect (p < 0.001), and physical neglect (p < 0.001). The results suggest that variables related to previous trauma may influence future suicide attempts. The adoption of preventive and therapeutic actions related to mistreatments during child development is a crucial factor in reduction of suicide risk.
Highlights
Suicide is a multi-causal problem for which, to date, no unified reference theory has been identified
Certain crises, such as vital and circumstantial, for example, may lead to what Botega[20] calls existential collapse. This collapse generates anguish, helplessness, incapacity, burnout, and lack of prospects for solutions and may increase vulnerability to suicide, which begins to seem like a solution for the unbearable pain.[20]. We investigated whether such existential collapse can be triggered by anniversaries or special dates that bring back memories or whether such dates can become overwhelming due to the individual having suffered intensely, such as feeling abandoned, helpless, and lacking prospects
The results of this study show that situations of abuse or neglect provoke unbearable psychic pain, many times impairing reality test performance
Summary
Suicide is a multi-causal problem for which, to date, no unified reference theory has been identified. It may be the result of a multifaceted interaction between biological, genetic, psychological, social, and cultural factors. Suicide behavior must be confronted as a public health problem. This is a broad task, because it involves training healthcare professionals for suicide risk (SR) detection as well as prevention and immediate treatment at the different levels of care.[1,2] Suicide is an ancient and cross-cultural theme and remains a public health problem worldwide.[3]. One recent meta-analysis by Zatti et al.[4] identified childhood trauma as a modifiable risk factor for lifetime suicide attempts. Sexual and emotional abuse and physical neglect (considered psychological traumas) were associated with suicide attempt (SA). Other studies have reported findings pointing in the same direction.[4]
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