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Psychopathology, temperament and suicide risk in adolescence: The role of early traumatic experience

Published online by Cambridge University Press:  23 March 2020

P. Venturini ,
F. Fagioli ,
L. Sapienza ,
T. Boldrini ,
E. Bonaccorsi ,
D. Erbuto ,
F. Montebovi ,
P. Girardi  and
M. Pompili
P. Venturini*
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
F. Fagioli
Affiliation:
Department of Mental Health, Rome E Health Trust. Adolescents Department Via Plinio 31, Rome, Italy
L. Sapienza
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
T. Boldrini
Affiliation:
Department of Mental Health, Rome E Health Trust. Adolescents Department Via Plinio 31, Rome, Italy Department of Dynamic and Clinical Psychology. Sapienza University of Rome, Rome, Italy
E. Bonaccorsi
Affiliation:
Department of Mental Health, Rome E Health Trust. Adolescents Department Via Plinio 31, Rome, Italy
D. Erbuto
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
F. Montebovi
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
P. Girardi
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
M. Pompili
Affiliation:
Department of Neurosciences, Mental Health and Sensory Functions, Suicide Prevention Center, Sant’Andrea Hospital, Sapienza University of Rome, Rome, Italy
*
*Corresponding author.

Abstract

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Introduction

Previous researches showed that adolescents are at high risk of suicide. Suicide is a trans-nosographic phenomenon regardless of psychiatric diagnosis. Trauma is an important risk factor for suicide and young help-seeking patients usually refer traumatic experiences, especially during childhood.

Objectives

The objective of this study is to assess the relationship between traumatic experience and suicide risk comparing adolescents with suicide risk with adolescents without suicide risk.

Aims

To investigate correlations between trauma, psychopathology and suicide risk in a sample of young help-seeking outpatients.

Methods

We recruited 99 outpatients aged between 14 and 21 years admitted to department for prevention and early intervention in adolescence of Rome. We administered psychometric instruments exploring suicide risk (SHSS, BHS), prodromal (SIPS/SOPS), affective and anxious symptoms (HAM-A, HAM-D,MRS), child abuse (CTQ) and experiences of depersonalization (CDS).

Results

Sample is composed of 31 men and 68 women. A total of 34.3% had mood disorder. A total of 28.3% reported history of emotional neglect, 20.2% emotional abuse, 9.15 sexual abuse, 5.1% physical neglect, 9,1% sexual abuse, 4% physical abuse. More than 30% of patients were at increased suicide risk. Depressive, irritable, anxious and cyclothymic temperament was associated with suicide risk. Patients with suicide risk had higher score at HAM-D (t63 = 2.65; P = 0.01), CDS (t63 = 2.77; P = 0.007), in CTQ (t63 = 3.20; P = 0.002) and BHS (t63 = 3.23; P = 0.002).

Conclusions

Adolescents with suicide risk, compared with those without, reported more frequently early traumatic experiences and psychiatric symptoms. Early traumatic experiences constitute a risk factor for both suicide risk and psychiatric symptoms during adolescence.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW657
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. s288
Copyright
Copyright © European Psychiatric Association 2014
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