Childhood Sexual Abuse and Suicidal Behavior

兒時性侵害與自殺行為之相關性

10.29478/TJP.200812.0003

洪敬倫(Galen Chin-Lun Hung)；黃名琪(Ming-Chi Huang)；高淑芬(Susan Shur-Fen Gau)；陳映燁(Ying-Yeh Chen)

兒時性侵害 ； 自殺 ； 精神疾病 ； 生活壓力事件 ； childhood sexual abuse ； suicide ； psychopathology ； life event

台灣精神醫學

22卷4期（2008 / 12 / 01）

268 - 277

英文

兒時性侵害為一重要之精神衛生議題，此經驗對於受害者有廣泛而深遠的影響。曾遭受性侵害之兒童日後的自殺危險性顯著提高，且性侵害之嚴重程度與自殺危險性成正比。此關係即使在排除其他兒時不良經驗對自殺之影響後仍存在。可能之媒介因子包括精神疾病及生活壓力事件。早期發現兒時性侵害病史並積極治療相關之精神疾病，協助發展有效之因應策略，對於降低此一族群之自殺危險性十分重要。

Objective: childhood sexual abuse (CSA) is an important mental health issue with pervasive and sustaining impact. Method: we did a comprehensive review over 29 recently-published literatures. Results: increased suicidal risk has been reported among CSA individuals and there exists a graded relationship between the CSA severity and suicidal risk. This relationship is independent of the confounding effect of other coexisting childhood adversities. Possible mediators, which facilitate the development of suicidal behavior, may include psychopathology and stressful life events. Conclusion: early recognition of CSA and prompt management of related psychosocial difficulties may help reduce subsequent suicidal risk in this specific population.

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