title: Parental sexual abuse and suicidal behaviour among women with major depressive disorder.
abstract: OBJECTIVE
  Women with major depressive disorder (MDD) and childhood sexual abuse histories have an increased risk for suicidal behaviours, but it is unclear whether specific abuse characteristics contribute to risk. We aimed to examine the contributions of abuse characteristics to lifetime history of suicide attempts and multiple suicide attempts, independent of posttraumatic stress disorder and borderline personality disorder.
  
  
  METHODS
  Women with MDD and sexual abuse histories (n = 106) were assessed regarding sexual abuse characteristics, psychiatric diagnoses, and suicide attempts.
  
  
  RESULTS
  In multivariate logistic regressions, the odds of having multiple suicide attempts increased 12.27-fold when childhood sexual abuse was perpetrated by a parent figure or a parent, compared with a nonparent.
  
  
  CONCLUSIONS
  Parental perpetration of sexual abuse increases the likelihood of multiple suicide attempts among women outpatients. The relationship of the perpetrator to the abused woman is important in suicide risk evaluation and treatment planning.
  
  
  BACKGROUND
  NCT00843700.
authors.affiliation: Koc University, Istanbul, Turkey.
authors.forename: Banu
authors.initials: B
authors.lastname: Cankaya
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Talbot
authors.forename: Erin A
authors.initials: EA
authors.lastname: Ward
authors.forename: Paul R
authors.initials: PR
authors.lastname: Duberstein
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D001883:Borderline Personality Disorder / Q000150:complications*; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D002675:Child, Preschool; D003865:Major Depressive Disorder / Q000150:complications*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D010287:Parent-Child Relations; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000150:complications*; D019966:Substance-Related Disorders / Q000150:complications; D013406:Suicide, Attempted / Q000523:psychology*