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| Articles
by
S Florescu |
Total Records (
2 ) for
S Florescu |
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R Bruffaerts
,
K Demyttenaere
,
G Borges
,
J. M Haro
,
W. T Chiu
,
I Hwang
,
E. G Karam
,
R. C Kessler
,
N Sampson
,
J Alonso
,
L. H Andrade
,
M Angermeyer
,
C Benjet
,
E Bromet
,
G de Girolamo
,
R de Graaf
,
S Florescu
,
O Gureje
,
I Horiguchi
,
C Hu
,
V Kovess
,
D Levinson
,
J Posada Villa
,
R Sagar
,
K Scott
,
A Tsang
,
S. M Vassilev
,
D. R Williams
and
M. K. Nock
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Background
Suicide is a leading cause of death worldwide, but the precise effect of
childhood adversities as risk factors for the onset and persistence of
suicidal behaviour (suicide ideation, plans and attempts) are not well
understood.
Aims
To examine the associations between childhood adversities as risk factors
for the onset and persistence of suicidal behaviour across 21 countries
worldwide.
Method
Respondents from nationally representative samples (n = 55 299)
were interviewed regarding childhood adversities that occurred before the age
of 18 years and lifetime suicidal behaviour.
Results
Childhood adversities were associated with an increased risk of suicide
attempt and ideation in both bivariate and multivariate models (odds ratio
range 1.2–5.7). The risk increased with the number of adversities
experienced, but at a decreasing rate. Sexual and physical abuse were
consistently the strongest risk factors for both the onset and persistence of
suicidal behaviour, especially during adolescence. Associations remained
similar after additional adjustment for respondents’ lifetime mental
disorder status.
Conclusions
Childhood adversities (especially intrusive or aggressive adversities) are
powerful predictors of the onset and persistence of suicidal behaviours. |
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R. C Kessler
,
K. A McLaughlin
,
J. G Green
,
M. J Gruber
,
N. A Sampson
,
A. M Zaslavsky
,
S Aguilar Gaxiola
,
A. O Alhamzawi
,
J Alonso
,
M Angermeyer
,
C Benjet
,
E Bromet
,
S Chatterji
,
G de Girolamo
,
K Demyttenaere
,
J Fayyad
,
S Florescu
,
G Gal
,
O Gureje
,
J. M Haro
,
C. y Hu
,
E. G Karam
,
N Kawakami
,
S Lee
,
J. P Lepine
,
J Ormel
,
J Posada Villa
,
R Sagar
,
A Tsang
,
T. B Ustun
,
S Vassilev
,
M. C Viana
and
D. R. Williams
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Background
Although significant associations of childhood adversities with adult
mental disorders are widely documented, most studies focus on single childhood
adversities predicting single disorders.
Aims
To examine joint associations of 12 childhood adversities with first onset
of 20 DSM–IV disorders in World Mental Health (WMH) Surveys in 21
countries.
Method
Nationally or regionally representative surveys of 51 945 adults assessed
childhood adversities and lifetime DSM–IV disorders with the WHO
Composite International Diagnostic Interview (CIDI).
Results
Childhood adversities were highly prevalent and interrelated. Childhood
adversities associated with maladaptive family functioning (e.g. parental
mental illness, child abuse, neglect) were the strongest predictors of
disorders. Co-occurring childhood adversities associated with maladaptive
family functioning had significant subadditive predictive associations and
little specificity across disorders. Childhood adversities account for 29.8%
of all disorders across countries.
Conclusions
Childhood adversities have strong associations with all classes of
disorders at all life-course stages in all groups of WMH countries. Long-term
associations imply the existence of as-yet undetermined mediators. |
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