Longitudinal Associations Between Types of Childhood Trauma and Suicidal Behavior Among Substance Users: A Cohort Study

dc.contributor.authorMarshall, B. D., Galea, S., Wood, E., & Kerr, T.
dc.date.accessioned2017-03-16T13:54:09Z
dc.date.available2017-03-16T13:54:09Z
dc.date.issued2013
dc.description.abstractchildhood trauma and suicide attempts among illicit drug users. Methods: Data came from 2 prospective cohort studies of illicit drug users in Vancouver, Canada, in 2005 to 2010. We used recurrent event proportional means models to estimate adjusted and weighted associations between types and severities of childhood maltreatment and suicide attempts. Results: Of 1634 participants, 411 (25.2%) reported a history of suicidal behavior at baseline. Over 5 years, 80 (4.9%) participants reported 97 suicide attempts, a rate of 2.6 per 100 person-years. Severe to extreme levels of sexual abuse (adjusted hazard ratio [AHR] = 2.5; 95% confidence interval [CI] = 1.4, 4.4), physical abuse (AHR = 2.0; 95% CI = 1.1, 3.8), and emotional abuse (AHR = 3.5; 95% CI = 1.4, 8.7) predicted suicide attempts. Severe forms of physical and emotional neglect were not significantly associated with an increased risk of suicidal behavior. Conclusions: Severe sexual, physical, and emotional childhood abuse confer substantial risk of repeated suicidal behavior in adulthood. Illicit drug users require intensive secondary suicide prevention efforts, particularly among those with a history of childhood trauma. (Author Abstract)en_US
dc.identifier.citationMarshall, B. D., Galea, S., Wood, E., & Kerr, T. (2013). Longitudinal associations between types of childhood trauma and suicidal behavior among substance users: A cohort study. American journal of public health, 103(9), e69-e75.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3966683/pdf/AJPH.2013.301257.pdf
dc.identifier.urihttp://hdl.handle.net/11212/3265
dc.language.isoenen_US
dc.publisherAmerican journal of public healthen_US
dc.subjectchild abuseen_US
dc.subjectsexual abuseen_US
dc.subjectphysical abuseen_US
dc.subjectlong term effectsen_US
dc.subjectresearchen_US
dc.subjectCanadaen_US
dc.subjectInternational Resourcesen_US
dc.titleLongitudinal Associations Between Types of Childhood Trauma and Suicidal Behavior Among Substance Users: A Cohort Studyen_US
dc.typeArticleen_US

Files