title: Childhood trauma and suicide risk in the population living in Zonguldak Province.
abstract: BACKGROUND
  No previous study has investigated the association between early trauma and suicidal behavior in Zonguldak. The aim of this study was to investigate the incidence of childhood abuse and neglect in the general population living in Zonguldak province and the relationship between childhood trauma and suicidal ideations and attempts.
  
  
  METHODS
  The present study was carried out with 897 people in the general population, as assessed in a representative sample from Zonguldak province. The cluster sampling method was used. After obtaining written consent from the people who agreed to participate in the study, the Socio-demographic Information Form, Suicide Probability Scale, Childhood Trauma Questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory were administered.
  
  
  RESULTS
  The lifetime prevalence of suicidal ideations was 18.3% among those who experienced at least one type of early trauma, and it was 9.6% among those without a history of childhood trauma (P < 0.001). Only emotional abuse exhibited a significantly high odds ratio for lifetime suicidal ideations (odds ratio [OR] = 3.168, 95% confidence interval [CI] = 1.731-5.798) and attempts (OR = 3.467, 95% CI = 1.343-8.952). Emotional neglect showed a high odds ratio only for lifetime suicidal attempts (OR = 3.282, 95% CI = 1.287-8.371). There were significant correlations among the Beck Depression Inventory, Beck Anxiety Inventory, and Suicidal Probability Scale sub-scores and all six Childhood Trauma Questionnaire scores.
  
  
  CONCLUSIONS
  Emotional abuse and neglect in childhood are significantly associated with lifetime suicidal ideations and attempts in the general population living in Zonguldak province. Therefore, clinicians should be aware of the importance of the childhood trauma in the patients with suicidal ideations and attempts.
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Özge
authors.initials: Ö
authors.lastname: Saraçlı
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Nuray
authors.initials: N
authors.lastname: Atasoy
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Şenormancı
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Levent
authors.initials: L
authors.lastname: Atik
authors.affiliation: Psychiatry Clinic, Zonguldak Atatürk Public Hospital, Zonguldak, Turkey.
authors.forename: Hasret Ozan
authors.initials: HO
authors.lastname: Açıkgöz
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Veysel
authors.initials: V
authors.lastname: Doğan
authors.affiliation: Department of Sociology, Faculty of Arts and Sciences, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: Sankır
authors.affiliation: Department of Biostatistic, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Fürüzan
authors.initials: F
authors.lastname: Köktürk
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Bülent Ecevit University, Zonguldak, Turkey.
authors.forename: Sibel
authors.initials: S
authors.lastname: Örsel
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000706:statistics & numerical data; D000069586:Adult Survivors of Child Adverse Events / Q000706:statistics & numerical data*; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012306:Risk; D059020:Suicidal Ideation; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult
keywords: child abuse; emotional abuse; epidemiology; sexual abuse; suicide