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Original scientific paper

https://doi.org/10.24869/psyd.2022.57

IMPLICATIONS OF CHILDHOOD TRAUMA ON SUICIDAL BEHAVIOR AND DELIBERATE SELF-HARM IN PATIENTS WITH MAJOR DEPRESSIVE DISORDER

Fatma Gul Helvaci Celik ; Clinic for Psychiatry, Hitit University, Erol Olçok Training and Research Hospital, Çorum, Turkey
Cicek Hocaoglu ; Department of Psychiatry, Recep Tayyip Erdogan University, School of Medicine, Rize, Turkey


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Abstract

Background: Traumatic experiences in the first years of life have an important role in the occurrence of major depression as
well as many psychiatric diseases. The aim of this study is to investigate the relationship between childhood trauma (CT), suicidal
behavior and deliberate self-harm (DSH) behavior in patients who are diagnosed with major depressive disorder (MDD).
Subjects and methods: 106 patients who were admitted with depressive complaints to the psychiatry outpatient clinic of Recep
Tayyip Erdogan University Training and Research Hospital in Turkey were included in the study. Sociodemographic and clinical
features data form, Hamilton Depression Rating Scale (HAD-D), Childhood Trauma Questionnaire (CTQ-28) and Intentional Selfharm
Questionnaire (DSHI) were applied to all of the cases.
Results: 86 (81.1%) of the cases were female and 20 (18.9%) were male. It was determined that 68.9% of the patients had CT,
49.1% had a history of DSH, and 52.1% had a suicide attempt history. It was determined that 75% of those with DSH behavior had a
history of suicide attempt. There was a significant difference between the groups (p˂0.001). When the subtypes of CT, suicide
ideation, suicide attempt and DSH behavior, were compared to each other, a significant relationship was found for all of the
subtypes. A significant correlation was found between the number of CT and suicide attempts and DSH (p˂0.001).
Conclusions: In this study, high levels of CT and its subtypes were found in patients with MDD. In the presence of CT and all of
its subtypes, suicide attempt and DSH were significantly higher. In the follow-up of cases diagnosed with MDD, questioning CT is
important in terms of suicide attempt and prevention of DSH.

Keywords

childhood trauma; major depressive disorder; suicide attempt; suicide ideation; deliberate self-harm

Hrčak ID:

275940

URI

https://hrcak.srce.hr/275940

Publication date:

3.5.2022.

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