Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents

Gulsen Unlu, Burcu Cakaloz Department of Child and Adolescent Psychiatry, Faculty of Medicine, Pamukkale University, Denizli, Turkey Purpose: Child sexual abuse and sexual dating violence victimization are common problems that are known to have long-term negative consequences. This study aimed to...

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Autores principales:	Unlu G, Cakaloz B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	sexual abuse dating violence incest mental health suicidality non-suicidal self injury Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b7e5afc5b036499ca5519036b389a67c
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spelling	oai:doaj.org-article:b7e5afc5b036499ca5519036b389a67c2021-12-02T07:42:52ZEffects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents1178-2021https://doaj.org/article/b7e5afc5b036499ca5519036b389a67c2016-06-01T00:00:00Zhttps://www.dovepress.com/effects-of-perpetrator-identity-on-suicidality-and-nonsuicidal-self-in-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Gulsen Unlu, Burcu Cakaloz Department of Child and Adolescent Psychiatry, Faculty of Medicine, Pamukkale University, Denizli, Turkey Purpose: Child sexual abuse and sexual dating violence victimization are common problems that are known to have long-term negative consequences. This study aimed to compare the sociodemographic, abuse-related, and clinical features of female adolescents who were sexually abused by different perpetrators, and identify the factors associated with suicidality and nonsuicidal self-injury (NSSI) in these cases. Patients and methods: Data of 254 sexually abused female adolescents between the ages of 12–18 years were evaluated. The cases were classified into three groups, namely “sexual dating violence”, “incest”, and “other child sexual abuse”, according to the identity of the perpetrator. The three groups were compared in terms of sociodemographic, abuse-related, and clinical features. Results: Major depressive disorder was the most common psychiatric diagnosis, which was present in 44.9% of the cases. Among all victims, 25.6% had attempted suicide, 52.0% had suicidal ideation, and 23.6% had NSSI during the postabuse period. A logistic regression analysis revealed that attempted suicide was predicted by dating violence victimization (adjusted odds ratio [AOR] =3.053; 95% confidence interval [CI] =1.473, 6.330) and depression (AOR =2.238; 95% CI =1.226, 4.086). Dating violence victimization was also the strongest predictor of subsequent suicidal ideation (AOR =3.500; 95% CI =1.817, 6.741). In addition, revictimization was determined to be an important risk factor for both suicidal ideation (AOR =2.897; 95% CI =1.276, 6.574) and NSSI (AOR =3.847; 95% CI =1.899, 7.794). Conclusion: Perpetrator identity and revictimization are associated with negative mental health outcomes in sexually victimized female adolescents. Increased risk of suicidality and NSSI should be borne in mind while assessing cases with dating violence and revictimization histories, in particular. Keywords: sexual abuse, dating violence, incest, mental health, suicide, self-harmUnlu GCakaloz BDove Medical Pressarticlesexual abusedating violenceincestmental healthsuicidalitynon-suicidal self injuryNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1489-1497 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	sexual abuse dating violence incest mental health suicidality non-suicidal self injury Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	sexual abuse dating violence incest mental health suicidality non-suicidal self injury Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Unlu G Cakaloz B Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
description	Gulsen Unlu, Burcu Cakaloz Department of Child and Adolescent Psychiatry, Faculty of Medicine, Pamukkale University, Denizli, Turkey Purpose: Child sexual abuse and sexual dating violence victimization are common problems that are known to have long-term negative consequences. This study aimed to compare the sociodemographic, abuse-related, and clinical features of female adolescents who were sexually abused by different perpetrators, and identify the factors associated with suicidality and nonsuicidal self-injury (NSSI) in these cases. Patients and methods: Data of 254 sexually abused female adolescents between the ages of 12–18 years were evaluated. The cases were classified into three groups, namely “sexual dating violence”, “incest”, and “other child sexual abuse”, according to the identity of the perpetrator. The three groups were compared in terms of sociodemographic, abuse-related, and clinical features. Results: Major depressive disorder was the most common psychiatric diagnosis, which was present in 44.9% of the cases. Among all victims, 25.6% had attempted suicide, 52.0% had suicidal ideation, and 23.6% had NSSI during the postabuse period. A logistic regression analysis revealed that attempted suicide was predicted by dating violence victimization (adjusted odds ratio [AOR] =3.053; 95% confidence interval [CI] =1.473, 6.330) and depression (AOR =2.238; 95% CI =1.226, 4.086). Dating violence victimization was also the strongest predictor of subsequent suicidal ideation (AOR =3.500; 95% CI =1.817, 6.741). In addition, revictimization was determined to be an important risk factor for both suicidal ideation (AOR =2.897; 95% CI =1.276, 6.574) and NSSI (AOR =3.847; 95% CI =1.899, 7.794). Conclusion: Perpetrator identity and revictimization are associated with negative mental health outcomes in sexually victimized female adolescents. Increased risk of suicidality and NSSI should be borne in mind while assessing cases with dating violence and revictimization histories, in particular. Keywords: sexual abuse, dating violence, incest, mental health, suicide, self-harm
format	article
author	Unlu G Cakaloz B
author_facet	Unlu G Cakaloz B
author_sort	Unlu G
title	Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
title_short	Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
title_full	Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
title_fullStr	Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
title_full_unstemmed	Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
title_sort	effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/b7e5afc5b036499ca5519036b389a67c
work_keys_str_mv	AT unlug effectsofperpetratoridentityonsuicidalityandnonsuicidalselfinjuryinsexuallyvictimizedfemaleadolescents AT cakalozb effectsofperpetratoridentityonsuicidalityandnonsuicidalselfinjuryinsexuallyvictimizedfemaleadolescents
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Effects of perpetrator identity on suicidality and nonsuicidal self-injury in sexually victimized female adolescents

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