Premium
Childhood sexual abuse and supportive factors
Author(s) -
Baytunca Muharrem Burak,
Ata Emsal,
Ozbaran Burcu,
Kaya Ahsen,
Kose Sezen,
Aktas Ekin Ozgur,
Aydın Rezzan,
Guney Selcen,
Yuncu Zeki,
Erermis Serpil,
Bildik Tezan,
Aydin Cahide
Publication year - 2017
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.13065
Subject(s) - medicine , sexual abuse , psychopathology , attendance , psychiatry , incidence (geometry) , child sexual abuse , family history , child abuse , clinical psychology , poison control , suicide prevention , medical emergency , physics , optics , economics , economic growth
Background Childhood sexual abuse ( CSA ) can be a devastating life experience and is associated with a higher incidence of mental disorders and suicide attempts. The aim of this study was therefore to identify predictors of mental disorder and suicide attempt in children and adolescents with a history of CSA . Methods A total of 181 Turkish children and adolescents with a history of CSA were evaluated for age, gender, suicide attempts, family relationships and educational background. Abuse involving the insertion of an organ or foreign object into the individual's body was designated as “qualified sexual abuse” ( QSA ); other forms of sexual abuse were designated “basic sexual abuse” ( BSA ). Results Suicide attempts were significantly higher in adolescent girls in the QSA subgroup; age, gender, family integrity, and school attendance were not associated with risk of mental disorders in this group. Among BSA patients, family integrity was significantly associated with suicide attempts. Suicide attempts were approximately 10‐fold higher ( OR , 10.154; 95% CI : 2.020–51.051; P = 0.005) in children from broken families. Family integrity and school attendance were also noted as weak protective factors against mental disorders in BSA patients. The incidence of mental disorders was 3.5‐fold higher in children who had not been attending school ( OR , 3.564; 95% CI : 1.379–9.211; P = 0.009). Conclusion Family integrity and school attendance were weakly related with psychopathology (e.g. mental disorders or suicide attempts) in BSA survivors but not in QSA survivors. Female gender and puberty also increased the likelihood of suicide attempt in QSA survivors.