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Childhood trauma as a correlative factor of suicidal behavior – via aggression traits. Similar results in an Italian and in a French sample

Published online by Cambridge University Press:  16 April 2020

M. Sarchiapone ,
I. Jaussent ,
A. Roy ,
V. Carli ,
S. Guillaume ,
F. Jollant ,
A. Malafosse  and
P. Courtet
M. Sarchiapone*
Affiliation:
Department of Health Sciences, University of Molise, Campobasso, Italy
I. Jaussent
Affiliation:
Inserm, U888, MontpellierFrance Université Montpellier 1, MontpellierFrance
A. Roy
Affiliation:
Psychiatry Service, Veterans Affairs Medical Center, East Orange, NJ 07018, USA
V. Carli
Affiliation:
Department of Health Sciences, University of Molise, Campobasso, Italy
S. Guillaume
Affiliation:
Inserm, U888, MontpellierFrance Université Montpellier 1, MontpellierFrance Service de Psychologie Médicale et Psychiatrie, CHU MontpellierF-34295, France
F. Jollant
Affiliation:
Inserm, U888, MontpellierFrance Université Montpellier 1, MontpellierFrance Service de Psychologie Médicale et Psychiatrie, CHU MontpellierF-34295, France
A. Malafosse
Affiliation:
Inserm, U888, MontpellierFrance Université Montpellier 1, MontpellierFrance Département de Psychiatrie, Hôpitaux Universitaires de Genève, Geneva, Switzerland Département de médecine génétique et Développement, Faculté de médecine, Geneva, Switzerland
P. Courtet
Affiliation:
Inserm, U888, MontpellierFrance Université Montpellier 1, MontpellierFrance Service de Psychologie Médicale et Psychiatrie, CHU MontpellierF-34295, France
*
*Corresponding author. Via De Santis, Campobasso, Italy. Tel.: +39 320 4795630. E-mail address: marco.sarchiapone@gmail.com
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Abstract

Background and objective

Childhood trauma and aggressive traits are considered risk factors for suicidal behavior. The hypothesis we aimed to test in this study was the existence of an association between childhood trauma and aggression in two distinct samples of Italian and French suicide attempters.

Method

Study participants comprise 587 subjects with different psychiatric diagnoses according to DSM-IV-TR criteria. Three different samples were analyzed and compared: a group of French suicide attempters (N = 396; mean age 40.47 SD = 13.52; M/F: 110/286); a group of Italian suicide attempters (N = 103; mean age 38.60 SD = 12.04; M/F 27/76) and an Italian psychiatric comparison group (N = 88; mean age: 41.49 SD = 12.05; M/F; 37/51). Patients were interviewed with the Brown–Goodwin Assessment for Lifetime History of Aggression (BGLHA) and the Childhood Trauma Questionnaire (CTQ) 34-items for Italian data and 28-items for French data.

Results

When compared with the comparison group, Italian suicide attempters had significantly higher scores on the BGLHA scale and reported higher scores on the CTQ scores for physical abuse, sexual abuse and emotional abuse. Significant correlations between childhood trauma and aggression were found in both groups, Italian and French, of suicide attempters.

Conclusion

The hypothesis tested was supported as psychiatric patients who had attempted suicide reported significantly more childhood trauma and aggression. Significant correlations were found between aggressive behavior, and childhood trauma in suicidal patients. This finding was replicated in two independently recruited samples in two countries with different prevalence of suicidal behavior.

Keywords

Suicidal behaviourChild abuseAggressionViolence
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 1 , 2009 , pp. 57 - 62
Copyright
Copyright © Elsevier Masson SAS 2009

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References

Bernal, M., Haro, J.M., Bernert, S., Brugha, T., de Graaf, R., Bruffaerts, R.et al.Risk factors for suicidality in Europe: results from the ESEMED study. J Affect Disord 2006;Google ScholarPubMed
Bernstein, D.P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzel, K.et al.Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry 1994;151:1132–1136Google ScholarPubMed
Brown, G.L., Ebert, M.H., Goyer, P.F., Jimerson, D.C., Klein, W.J., Bunney, W.E.et al.Aggression, suicide, and serotonin: relationships to CSF amine metabolites. Am J Psychiatry 1982;139:741–746Google ScholarPubMed
Brown, G.L., Goodwin, F.K., Ballenger, J.C., Goyer, P.F., Major, L.F.Aggression in humans correlates with cerebrospinal fluid amine metabolites. Psychiatry Res 1979;1:131–139CrossRefGoogle ScholarPubMed
Bernstein, D.P., Ahluvalia, T., Pogge, D., Handelsman, L.Validity of the childhood trauma questionnaire in an adolescent psychiatric population. J Am Acad Child Adolesc Psychiatry 1997;36:340–348CrossRefGoogle Scholar
Brodsky, B.S., Oquendo, M., Ellis, S.P., Haas, G.L., Malone, K.M., Mann, J.J.The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression. Am J Psychiatry 2001;158:1871–1877CrossRefGoogle ScholarPubMed
Bifulco, A., Moran, P.M., Ball, C., Jacobs, C., Baines, R., Bunn, A.et al.Childhood adversity, parental vulnerability and disorder: examining inter-generational transmission of risk. J Child Psychol Psychiatry 2002;43:1075–1086CrossRefGoogle ScholarPubMed
Davidson, J.R., Hughes, D.C., George, L.K., Blazer, D.G.The association of sexual assault and attempted suicide within the community. Arch Gen Psychiatry 1996;53:550–555CrossRefGoogle ScholarPubMed
Garno, J.L., Goldberg, J.F., Ramirez, P.M., Ritzler, B.A.Impact of childhood abuse on the clinical course of bipolar disorder. Br J Psychiatry 2005;186:121–125CrossRefGoogle ScholarPubMed
Goodman, L.A., Thompson, K.M., Weinfurt, K., Corl, S., Acker, P.et al.Reliability of reports of violent victimization and posttraumatic stress disorder among men and women with serious mental illness. J Trauma Stress 1999;12:587–599CrossRefGoogle ScholarPubMed
Heim, C., Nemeroff, C.B.The role of childhood trauma in the neurobiology of mood and anxiety disorders: preclinical and clinical studies. Biol Psychiatry 2001;49:1023–1039CrossRefGoogle ScholarPubMed
Lee, R.Childhood trauma and personality disorder: toward a biological model. Curr Psychiatry Rep 2006;8:43–52CrossRefGoogle Scholar
Molnar, B.E., Berkman, L.F., Buka, S.L.Psychopathology, childhood sexual abuse and other childhood adversities: relative links to subsequent suicidal behaviour in the US. Psychol Med 2001;31:965–977CrossRefGoogle ScholarPubMed
Osvath, P., Voros, V., Fekete, S.Life events and psychopathology in a group of suicide attempters. Psychopathology 2004;37:36–40CrossRefGoogle Scholar
Perry, B.D., Pollard, R.Homeostasis, stress, trauma, and adaptation. A neurodevelopmental view of childhood trauma. Child Adolesc Psychiatr Clin N Am 1998;7:33–51CrossRefGoogle ScholarPubMed
Preisig, M., Fenton, B.T., Matthey, M.L., Berney, A., Ferrero, F.Diagnostic interview for genetic studies (DIGS): inter-rater and test-retest reliability of the French version. Eur Arch Psychiatry Clin Neurosci 1999;249:174–179CrossRefGoogle ScholarPubMed
Perroud, N., Courtet, P., Vincze, I., Jaussent, I., Jollant, F., Bellivier, F.et al.Interaction between BDNF Val66Met and childhood trauma on adult’s violent suicide attempt. Genes Brain Behav 2008;7:314–322CrossRefGoogle ScholarPubMed
Roy, A.Characteristics of opiate dependent patients who attempt suicide. J Clin Psychiatry 2002;63:403–407CrossRefGoogle ScholarPubMed
Roy, A.Childhood trauma and suicidal behavior in male cocaine dependent patients. Suicide Life Threat Behav 2001;31:194–196CrossRefGoogle ScholarPubMed
Roy, A.Childhood trauma and attempted suicide in alcoholics. J Nerv Ment Dis 2001;189:120–121CrossRefGoogle ScholarPubMed
Roy, A.Childhood trauma and hostility as an adult: relevance to suicidal behavior. Psychiatry Res 2001;102:97–101CrossRefGoogle ScholarPubMed
Roy, A.Family history of suicide and neuroticism: a preliminary study. Psychiatry Res 2002;110:87–90CrossRefGoogle ScholarPubMed
Roy, A.Childhood trauma and neuroticism as an adult: possible implication for the development of the common psychiatric disorders and suicidal behaviour. Psychol Med 2002;32:1471–1474CrossRefGoogle ScholarPubMed
Roy, A.African American and Caucasian attempters compared for suicide risk factors: a preliminary study. Suicide Life Threat Behav 2003;33:443–447CrossRefGoogle ScholarPubMed
Roy, A.Distal risk factors for suicidal behavior in alcoholics: replications and new findings. J Affect Disord 2003;77:267–271CrossRefGoogle ScholarPubMed
Roy, A.Relationship of childhood trauma to age of first suicide attempt and number of attempts in substance dependent patients. Acta Psychiatr Scand 2004;109:121–125CrossRefGoogle ScholarPubMed
Roy, A.Childhood trauma and impulsivity. Possible relevance to suicidal behavior. Arch Suicide Res 2005;9:147–151CrossRefGoogle ScholarPubMed
Roy, A.Reported childhood trauma and suicide attempts in schizophrenic patients. Suicide Life Threat Behav 2005;35:690–693CrossRefGoogle ScholarPubMed
Roy, A., Janal, M.Family history of suicide, female sex, and childhood trauma: separate or interacting risk factors for attempts at suicide?. Acta Psychiatr Scand 2005;112:367–371CrossRefGoogle ScholarPubMed
Roy, A., Janal, M.Gender in suicide attempt rates and childhood sexual abuse rates: is there an interaction?. Suicide Life Threat Behav 2006;36:329–335CrossRefGoogle ScholarPubMed
Roy, A., Hu, X.Z., Janal, M.N., Goldman, D.Interaction between childhood trauma and serotonin transporter gene variation in suicide. Neuropsychopharmacology 2007;32:2046–2052CrossRefGoogle ScholarPubMed
Schafer, I., Harfst, T., Aderhold, V., Briken, P., Lehmann, M., Moritz, S.et al.Childhood trauma and dissociation in female patients with schizophrenia spectrum disorders: an exploratory study. J Nerv Ment Dis 2006;194:135–138CrossRefGoogle Scholar
Sarchiapone, M., Carli, V., Cuomo, C., Roy, A. Childhood trauma and suicide attempts in patients with unipolar depression. Depress Anxiety 2006;CrossRefGoogle Scholar
Sheehan, D.V., Lecrubier, Y., Sheehan, K.H., Amorim, P., Janavs, J., Weiller, E.et al.The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 1998;20(Suppl. 59):22–33Google Scholar
Turecki, G.Dissecting the suicide phenotype: the role of impulsive-aggressive behaviours. J Psychiatry Neurosci 2005;30:398–408Google ScholarPubMed
Thombs, B.D., Bennett, W., Ziegelstein, R.C., Bernstein, D.P., Scher, C.D., Forde, D.R.Cultural sensitivity in screening adults for a history of childhood abuse: evidence from a community sample. J Gen Intern Med 2007;22:368–373CrossRefGoogle ScholarPubMed
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