Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

The Association of Sexual Assault and Attempted Suicide Within the Community

The Association of Sexual Assault and Attempted Suicide Within the Community Abstract Background: Lifetime community rates of attempted suicide were compared between those who reported a history of sexual assault and a control group without such a history. Methods: The 2918 respondents in the Duke University Epidemiological Catchment Area Study were placed into groups with reported sexual assault (n=67) and those with no known history of such (n=2851). Multivariate and bivariate procedures were used to examine the relation between sexual assault and attempted suicide. Results: Subjects reporting a history of sexual assault were more likely to be female, younger, and to report higher rates of lifetime suicide attempt and posttraumatic stress symptoms; no differences were found in the number of chronic medical disorders, major depression, substance abuse or substance dependence, or panic attacks. Nine (14.9%) of the 67 index group subjects reported a suicide attempt, 4 of whom reported their first sexual assault as occurring before age 16 years. A sexual assault history was associated with increased prevalence of lifetime suicide attempt after controlling for sex, age, education, posttraumatic stress symptoms, and psychiatric disorder. Findings were similar in the femaleonly subsample (n=1778). For women, the odds of attempting suicide was 3 to 4 times greater when the first reported sexual assault occurred prior to age 16 years compared with age 16 years or older. Conclusions: Sexual assault is associated with an increased lifetime rate of attempted suicide. In women, a history of sexual trauma before age 16 years is a particularly strong correlate of attempted suicide. References 1. Kolb LC. Chronic posttraumatic stress disorder implications of recent epidemiological and neuropsychological studies . Psychol Med . 1989;10:821-824.Crossref 2. Kolb LC. Posttraumatic stress disorder in Vietnam veterans . N Engl J Med . 1976;6:641-642. 3. Kilpatrick DG, Best CL, Veronen LJ, Amick AE, Villeponteux LA, Ruff GA. Mental health correlates of criminal victimization: a random community survey . J Consult Clin Psychol . 1985;53:866-873.Crossref 4. Wyatt GE. The sexual abuse of Afro-American and white American women in childhood . Child Abuse Negl . 1985;9:50-59.Crossref 5. Mullen PE, Martin JL, Anderson JC, Romans GE, Herbison GP. Childhood sexual abuse and mental health in later life . Br J Psychiatry . 1993;163:721-732.Crossref 6. Winfield I, George LK, Swartz M, Blazer DG. Sexual assault and psychiatric disorders among a community sample of women . Am J Psychiatry . 1990;147:335-341. 7. Siegel JM, Sorenson SB, Golding JM, Burnam MA, Stein JA. The prevalence of childhood sexual assault: the Los Angeles Epidemiological Catchment Area Project . Am J Epidemiol . 1987;126:1141-1153. 8. Sorenson SB, Stein JA, Siegel JM, Golding JM, Burnam MA. The prevalence of adult sexual assault: the Los Angeles Epidemiological Catchment Area Project . Am J Epidemiol . 1987;126:1154-1164. 9. Sheldrick C. Adult sequelae of child sexual abuse . Br J Psychiatry . 1991;158 ( (suppl 10) ):55-62. 10. Burnam MA, Stein JA, Golding JM, Siegel JM, Sorensen SB, Forsythe AB, Telles CA. Sexual assault and mental disorders in a community population . J Consult Clin Psychol . 1988;56:843-850.Crossref 11. Mullen PE, Romans-Clarkson SE, Walton VA, Herbison GP. Impact of sexual and physical abuse on women's mental health . Lancet . 1988;941-845. 12. Davidson JRT, Hughes DC, Blazer DG, George LK. Posttraumatic stress disorder in the community: an epidemiological study . Psychol Med . 1991;21:713-721.Crossref 13. Stevenson JM. Suicide . In: Talbott JA, Hales RE, Yudofsky SC, eds. Textbook of Psychiatry . Washington, DC: American Psychiatric Press; 1988:1021-1035. 14. Weissman MM, Klerman GL, Markowitz JS, Ouellette R. Suicidal ideation and suicide attempts in panic disorder and attacks . N Engl J Med . 1989;321:1209-1214.Crossref 15. Johnson J, Weissman MM, Klerman GL. Panic disorder, comorbidity, and suicide attempts . Arch Gen Psychiatry . 1990;47:805-808.Crossref 16. Blazer DG, George LK, Landerman RG, Pennybacker M, Melville ML, Woodbury M. Manton- KG, Jordan K, Locke B. Psychiatric disorders . Arch Gen Psychiatry . 1985;42:651-656.Crossref 17. Eaton WW, Kessler LG, eds. Epidemiological Field Methods in Psychiatry: The NIMH Epidemiological Catchment Area Program . Orlando, Fla: Academic Press Inc; 1985. 18. Blazer DG, Swartz M, Woodbury M, Manton KG, Hughes DC, George LK. Depressive symptoms and depression diagnoses in a community population . Arch Gen Psychiatry . 1988;45:1078-1084.Crossref 19. Robins LN, Helzer JE, Croughland JL, Williams JBW, Spitzer RL. NIMH Diagnostic Interview Schedule—Version III . Rockville, Md: National Institutes of Mental Health; 1981. Public Health Service (PHS) publication PHS ADM-T-42-3. 20. Kessler LG, Folsom R, Royall R, Forsythe A, McEvoy L, Holzer CE, Rae DS, Woodbury M. Parameter and variance estimation . In: Eaton WW, Kessler LG, eds. Epidemiological Field Methods in Psychiatry: The NIMH Epidemiological Catchment Area Program . Orlando, Fla: Academic Press Inc; 1985:327-348. 21. Shah BV, Folsom R, Harrell RE, Dillard CN. RTI Logit: Procedure for Logistic Regression on Survey Data . Research Triangle Park, NC: Research Triangle Institute; 1987. 22. Golding JM, Stein JA, Siegel JM, Burnam MA, Sorensen SB. Sexual assault history and use of health and mental health services . Am J Commun Psychol . 1988;16:625-644.Crossref 23. Mullen PE, Romans-Clarkson SE, Martin JL, Anderson JD. The long-term effects of sexual assault on women's mental health . N Z Med J . 1989;102:633-634. 24. Mullen PE, Martin JL, Anderson JC, Romans SE, Herbison GP. The effect of child sexual abuse on social interpersonal and sexual freedom in adult life . Br J Psychiatry . 1994;165:35-47.Crossref 25. Sorenson SB, Siegel JM, Golding JM, Stein JA. Repeated sexual victimization . Violence Victims . 1991;6:299-308. 26. Bagley C, Ramsay R. Sexual abuse in childhood: psychosocial outcomes and implications for social work practice . J Soc Work Hum Sexual . 1986;4:33-47.Crossref 27. Russell DEH. Sexual Exploitation: Rape Child Sexual Abuse, and Work Place Harassment . Beverly Hills, Calif: Sage Publications; 1984. 28. Siegel JM, Golding JM, Stein JA, Burnam MA, Sorensen SB. Reactions to sexual assault: a community study . J Interpers Violence . 1990;6:229-246.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

The Association of Sexual Assault and Attempted Suicide Within the Community

Loading next page...
 
/lp/american-medical-association/the-association-of-sexual-assault-and-attempted-suicide-within-the-eynGPC5SNY
Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1996.01830060096013
Publisher site
See Article on Publisher Site

Abstract

Abstract Background: Lifetime community rates of attempted suicide were compared between those who reported a history of sexual assault and a control group without such a history. Methods: The 2918 respondents in the Duke University Epidemiological Catchment Area Study were placed into groups with reported sexual assault (n=67) and those with no known history of such (n=2851). Multivariate and bivariate procedures were used to examine the relation between sexual assault and attempted suicide. Results: Subjects reporting a history of sexual assault were more likely to be female, younger, and to report higher rates of lifetime suicide attempt and posttraumatic stress symptoms; no differences were found in the number of chronic medical disorders, major depression, substance abuse or substance dependence, or panic attacks. Nine (14.9%) of the 67 index group subjects reported a suicide attempt, 4 of whom reported their first sexual assault as occurring before age 16 years. A sexual assault history was associated with increased prevalence of lifetime suicide attempt after controlling for sex, age, education, posttraumatic stress symptoms, and psychiatric disorder. Findings were similar in the femaleonly subsample (n=1778). For women, the odds of attempting suicide was 3 to 4 times greater when the first reported sexual assault occurred prior to age 16 years compared with age 16 years or older. Conclusions: Sexual assault is associated with an increased lifetime rate of attempted suicide. In women, a history of sexual trauma before age 16 years is a particularly strong correlate of attempted suicide. References 1. Kolb LC. Chronic posttraumatic stress disorder implications of recent epidemiological and neuropsychological studies . Psychol Med . 1989;10:821-824.Crossref 2. Kolb LC. Posttraumatic stress disorder in Vietnam veterans . N Engl J Med . 1976;6:641-642. 3. Kilpatrick DG, Best CL, Veronen LJ, Amick AE, Villeponteux LA, Ruff GA. Mental health correlates of criminal victimization: a random community survey . J Consult Clin Psychol . 1985;53:866-873.Crossref 4. Wyatt GE. The sexual abuse of Afro-American and white American women in childhood . Child Abuse Negl . 1985;9:50-59.Crossref 5. Mullen PE, Martin JL, Anderson JC, Romans GE, Herbison GP. Childhood sexual abuse and mental health in later life . Br J Psychiatry . 1993;163:721-732.Crossref 6. Winfield I, George LK, Swartz M, Blazer DG. Sexual assault and psychiatric disorders among a community sample of women . Am J Psychiatry . 1990;147:335-341. 7. Siegel JM, Sorenson SB, Golding JM, Burnam MA, Stein JA. The prevalence of childhood sexual assault: the Los Angeles Epidemiological Catchment Area Project . Am J Epidemiol . 1987;126:1141-1153. 8. Sorenson SB, Stein JA, Siegel JM, Golding JM, Burnam MA. The prevalence of adult sexual assault: the Los Angeles Epidemiological Catchment Area Project . Am J Epidemiol . 1987;126:1154-1164. 9. Sheldrick C. Adult sequelae of child sexual abuse . Br J Psychiatry . 1991;158 ( (suppl 10) ):55-62. 10. Burnam MA, Stein JA, Golding JM, Siegel JM, Sorensen SB, Forsythe AB, Telles CA. Sexual assault and mental disorders in a community population . J Consult Clin Psychol . 1988;56:843-850.Crossref 11. Mullen PE, Romans-Clarkson SE, Walton VA, Herbison GP. Impact of sexual and physical abuse on women's mental health . Lancet . 1988;941-845. 12. Davidson JRT, Hughes DC, Blazer DG, George LK. Posttraumatic stress disorder in the community: an epidemiological study . Psychol Med . 1991;21:713-721.Crossref 13. Stevenson JM. Suicide . In: Talbott JA, Hales RE, Yudofsky SC, eds. Textbook of Psychiatry . Washington, DC: American Psychiatric Press; 1988:1021-1035. 14. Weissman MM, Klerman GL, Markowitz JS, Ouellette R. Suicidal ideation and suicide attempts in panic disorder and attacks . N Engl J Med . 1989;321:1209-1214.Crossref 15. Johnson J, Weissman MM, Klerman GL. Panic disorder, comorbidity, and suicide attempts . Arch Gen Psychiatry . 1990;47:805-808.Crossref 16. Blazer DG, George LK, Landerman RG, Pennybacker M, Melville ML, Woodbury M. Manton- KG, Jordan K, Locke B. Psychiatric disorders . Arch Gen Psychiatry . 1985;42:651-656.Crossref 17. Eaton WW, Kessler LG, eds. Epidemiological Field Methods in Psychiatry: The NIMH Epidemiological Catchment Area Program . Orlando, Fla: Academic Press Inc; 1985. 18. Blazer DG, Swartz M, Woodbury M, Manton KG, Hughes DC, George LK. Depressive symptoms and depression diagnoses in a community population . Arch Gen Psychiatry . 1988;45:1078-1084.Crossref 19. Robins LN, Helzer JE, Croughland JL, Williams JBW, Spitzer RL. NIMH Diagnostic Interview Schedule—Version III . Rockville, Md: National Institutes of Mental Health; 1981. Public Health Service (PHS) publication PHS ADM-T-42-3. 20. Kessler LG, Folsom R, Royall R, Forsythe A, McEvoy L, Holzer CE, Rae DS, Woodbury M. Parameter and variance estimation . In: Eaton WW, Kessler LG, eds. Epidemiological Field Methods in Psychiatry: The NIMH Epidemiological Catchment Area Program . Orlando, Fla: Academic Press Inc; 1985:327-348. 21. Shah BV, Folsom R, Harrell RE, Dillard CN. RTI Logit: Procedure for Logistic Regression on Survey Data . Research Triangle Park, NC: Research Triangle Institute; 1987. 22. Golding JM, Stein JA, Siegel JM, Burnam MA, Sorensen SB. Sexual assault history and use of health and mental health services . Am J Commun Psychol . 1988;16:625-644.Crossref 23. Mullen PE, Romans-Clarkson SE, Martin JL, Anderson JD. The long-term effects of sexual assault on women's mental health . N Z Med J . 1989;102:633-634. 24. Mullen PE, Martin JL, Anderson JC, Romans SE, Herbison GP. The effect of child sexual abuse on social interpersonal and sexual freedom in adult life . Br J Psychiatry . 1994;165:35-47.Crossref 25. Sorenson SB, Siegel JM, Golding JM, Stein JA. Repeated sexual victimization . Violence Victims . 1991;6:299-308. 26. Bagley C, Ramsay R. Sexual abuse in childhood: psychosocial outcomes and implications for social work practice . J Soc Work Hum Sexual . 1986;4:33-47.Crossref 27. Russell DEH. Sexual Exploitation: Rape Child Sexual Abuse, and Work Place Harassment . Beverly Hills, Calif: Sage Publications; 1984. 28. Siegel JM, Golding JM, Stein JA, Burnam MA, Sorensen SB. Reactions to sexual assault: a community study . J Interpers Violence . 1990;6:229-246.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jun 1, 1996

References