Results of a study confirm that young adults who develop posttraumatic stress disorder (PTSD) after traumatic events are at increased risk of attempting suicide later on. Importantly, the researchers say, the study also shows that people who experience a traumatic event but do not develop PTSD are not at increased risk of attempting suicide.
"It is not trauma but PTSD that is an independent predictor of subsequent suicide attempt," Dr. Holly C. Wilcox told Reuters Health.
Wilcox of Johns Hopkins University School of Medicine, Baltimore, Maryland and her colleagues examined the association between exposure to traumatic events -- with and without the development of PTSD -- and the risk of subsequent suicide attempt.
Among 1,698 young adults interviewed at an average age of 21 years, 1,273 (75 percent) had been exposed to a traumatic event, but only 100 (8 percent of those exposed to trauma) developed PTSD.
According to the team's report in Archives of General Psychiatry, 10 percent of individuals with PTSD had attempted suicide, compared with just 2 percent of individuals who were exposed to trauma but did not develop PTSD and 5 percent of those who had never been exposed to traumatic events.
The researchers calculate that trauma-exposed young adults who developed PTSD had a 2.7-fold increased risk of a later suicide attempt, after accounting for established risk factors for attempted suicide such as depression and alcohol or drug abuse.
In contrast, "persons who had been exposed to traumatic events, including traumatic events of high magnitude that involve assaultive violence, who did not develop PTSD were not at increased risk of suicide attempt," Wilcox told Reuters Health.
Prior studies, the researchers note, have found that up to 20 percent of suicide attempts in young people are due to sexual abuse suffered in childhood. "Although we did not focus explicitly on child sexual abuse, our results point to the need to base risk estimates of attempted suicide on data that take into account the psychiatric response to the trauma," they write.
SOURCE: Archives of General Psychiatry, March 2009.
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My femur was broke by a child care provider & I was sexually assualted at 7 years old by a stranger. I suffered Post Traumatic Stress Disorder and sadly my family never knew the mental anguish that I suffered. I became a teenage runaway, a cutter & I fought becoming a teenage suicide. No one knew I suffered because I was conditioned to fear telling and I remained silent. I reached out for attention because I HATED being alone. I couldn't escape the mental anguish & I felt like a prisoner who was trapped in my own skin. "Art" helped me make important decisions like choosing life over suicide. The following is a vulnerable look inside my mind. This is what mental anguish, sexual abuse & PTSD looks like, to me. If someone you know or love has been sexually abused & suffers PTSD, watch the video. Understand what it's like to be "THAT CHILD" or "That adult" who is suffering sexual abuse & PTSD and you have the opportunity to help that person to create "Peace of mind" with "Quality of life".
Most everyone has family & friends, but not everyone knows when their loved ones are contemplating suicide.
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