title: The association of adverse childhood experiences and appetitive aggression with suicide attempts and violent crimes in male forensic psychiatry inpatients.
abstract: Although previous studies in inmates, forensic and psychiatric samples suggest the relation between childhood trauma and suicide behavior as well as between childhood trauma and violent delinquency, the understanding of possible underlying mechanisms is still fragmentary. In a naturalistic study design, we tested if suicidal attempts and violent crimes are differently associated with adverse childhood experiences and levels of appetitive aggression in male forensic psychiatry inpatients. Adverse childhood experiences and appetitive aggression styles were collected by means of self-report measures, suicide attempts were taken from the medical history and violent crimes were appraised by official court records. The data were analyzed by the means of generalized linear models. Results revealed that appetitive aggression and adverse childhood experiences were significant predictors of suicide attempts, whereas violent crimes were associated solely with appetitive aggression. Suicide attempts and violent delinquency in forensic patients seem to be both positively associated with high levels of appetitive aggression, whereas their etiological pathways might differ with regard to adverse childhood experiences. Considering these interrelations to a greater extent might improve both diagnostics and treatment of forensic patients.
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Manuela
authors.initials: M
authors.lastname: Dudeck
authors.affiliation: Department of Psychiatry and Psychotherapy III, University of Ulm, Germany.
authors.forename: Zrinka
authors.initials: Z
authors.lastname: Sosic-Vasic
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Stefanie
authors.initials: S
authors.lastname: Otte
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Rasche
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Katharina
authors.initials: K
authors.lastname: Leichauer
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Susanne
authors.initials: S
authors.lastname: Tippelt
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Riad
authors.initials: R
authors.lastname: Shenar
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Solveig
authors.initials: S
authors.lastname: Klingner
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany.
authors.forename: Nenad
authors.initials: N
authors.lastname: Vasic
authors.affiliation: Department of Forensic Psychiatry and Psychotherapy, University of Ulm, Germany. Electronic address: judith.streb@bkh-guenzburg.de.
authors.forename: Judith
authors.initials: J
authors.lastname: Streb
mesh_terms: D000328:Adult; D000374:Aggression / Q000523:psychology*; D057237:Criminals / Q000523:psychology*; D006801:Humans; D007297:Inpatients; D007604:Juvenile Delinquency / Q000523:psychology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013406:Suicide, Attempted / Q000523:psychology*; D014754:Violence / Q000523:psychology*; D055815:Young Adult
keywords: Aggressive behavior; Child abuse; Forensic inpatients; Maltreatment; Violence