title: Suicide risk factors and mediators between childhood sexual abuse and suicide ideation among male and female suicide attempters.
abstract: The current study examined the manner in which childhood sexual abuse (CSA) history relates to risk factors for suicidal behavior among recent suicide attempters (n = 166). Men who recently attempted suicide and endorsed a CSA history had higher scores on measures of hopelessness and suicide ideation than men without a CSA history. Men with a CSA history were also more likely to have made multiple suicide attempts and meet diagnostic criteria for posttraumatic stress disorder and borderline personality disorder. In contrast, there were fewer group differences as a function of CSA history among the female suicide attempters. Hopelessness was a significant mediator between CSA history and suicide ideation in both men and women.
authors.affiliation: Department of Psychiatry, University of Pennsylvania, Philadelphia, PA 19104, USA. mspokas@mail.med.upenn.edu
authors.forename: Megan
authors.initials: M
authors.lastname: Spokas
authors.forename: Amy
authors.initials: A
authors.lastname: Wenzel
authors.forename: Shannon Wiltsey
authors.initials: SW
authors.lastname: Stirman
authors.forename: Gregory K
authors.initials: GK
authors.lastname: Brown
authors.forename: Aaron T
authors.initials: AT
authors.lastname: Beck
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000368:Aged; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D012307:Risk Factors; D012737:Sex Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology