The relationship between trauma exposure and psychiatric hospitalization for suicide ideation or suicide attempt among patients admitted to a military treatment setting
JournalInternational Journal of Environmental Research and Public Health
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AbstractSuicide attempts and psychiatric hospitalization represent the final outcomes of a complex dynamical system of interacting factors that influence a particular individual's likelihood of engaging in suicidal behavior, as well as their ability to seek help prior to acting upon suicidal impulses. This study examined the association between different types of lifetime trauma exposure and the likelihood of psychiatric hospitalization following a suicide attempt (SA) rather than suicidal ideation (SI) alone. Electronic medical records for 1100 U.S. military service members and their dependents admitted to a military psychiatric inpatient setting for SA or SI were reviewed for documented lifetime trauma exposure history. Findings indicated that exposure to at least one childhood trauma of any type, and childhood neglect in particular, increased the likelihood that an individual would be hospitalized for SA rather than SI. Exploratory gender-stratified analyses demonstrated that childhood neglect, childhood sexual abuse, and adulthood traumatic loss may be linked with the likelihood of being hospitalized for SA. These findings demonstrate the importance of developing more detailed and nuanced conception of factors known to be associated with suicide as their effects may depend on details of their timing and nature, as well as their interactions with other systems. Copyright 2020 by the authors.
SponsorsSupport for this research has been provided to the principal investigator by funds from the Department of Defense (R072ID), Congressionally Directed Medical Research Program (W81XWH-08-2-0172), Military Operational Medicine Research Program (W81XWH-09-2-0129), and the National Alliance for Research on Schizophrenia and Depression (15219).
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85083436462&doi=10.3390%2fijerph17082729&partnerID=40&md5=226e55bdd1652b445cbc7ac7bffaed96; http://hdl.handle.net/10713/12645