Feelings of worthlessness, traumatic experience, and their comorbidity in relation to lifetime suicide attempt in community adults with major depressive disorder
Abstract Background Major depressive disorder (MDD) and traumatic experience are independent risk factors for lifetime suicide attempt (LSA). However, the relationships between trauma history and depressive symptomatology as they relate to LSA are not fully understood. Methods A total of 12,532 adul...
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Veröffentlicht in: | Journal of affective disorders 2014-09, Vol.166, p.206-212 |
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description | Abstract Background Major depressive disorder (MDD) and traumatic experience are independent risk factors for lifetime suicide attempt (LSA). However, the relationships between trauma history and depressive symptomatology as they relate to LSA are not fully understood. Methods A total of 12,532 adults, randomly selected through one-person-per-household method, completed a face-to-face interview using the Korean version of Composite International Diagnostic Interview (K-CIDI) and a questionnaire for LSA (response rate 80.2%). Results Among 825 subjects with MDD, 141 subjects reported an LSA (17.1%). LSAs were significantly greater in those who had experienced any trauma than in those who had not ( χ2 =34.66, p |
doi_str_mv | 10.1016/j.jad.2014.05.010 |
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However, the relationships between trauma history and depressive symptomatology as they relate to LSA are not fully understood. Methods A total of 12,532 adults, randomly selected through one-person-per-household method, completed a face-to-face interview using the Korean version of Composite International Diagnostic Interview (K-CIDI) and a questionnaire for LSA (response rate 80.2%). Results Among 825 subjects with MDD, 141 subjects reported an LSA (17.1%). LSAs were significantly greater in those who had experienced any trauma than in those who had not ( χ2 =34.66, p <0.0001). Multivariate logistic regression showed that only feelings of worthlessness were significantly associated with LSA among 20 depression symptoms in individuals with MDD (AOR=3.08, 95% CI 1.70–5.60). Feelings of worthlessness was associated with LSA in those who had experienced serious trauma (AOR=5.02, 95% CI 3.35–7.52), but not in those who had not. Serious traumas associated with LSA included military combat, witnessing a violent crime, rape or sexual assault, a bad beating, being threatened by others, and learning about traumas to others. Serious trauma showed no significant association with LSA in those who did not have feelings of worthlessness. PTSD was a comorbidity that showed the highest odds ratio with LSA in individuals with MDD. Conclusions Feelings of worthlessness are more strongly associated with LSA than other depression symptoms in individuals with MDD, and it is significantly associated with LSA in those who experienced serious trauma but not in those who did not.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2014.05.010</identifier><identifier>PMID: 25012433</identifier><identifier>CODEN: JADID7</identifier><language>eng</language><publisher>Oxford: Elsevier B.V</publisher><subject>Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; Comorbidity ; Depression ; Depression - psychology ; Depressive Disorder, Major - psychology ; Depressive personality disorders ; Female ; Humans ; Independent Living ; Korea ; Major depressive disorder ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Mood disorders ; Odds Ratio ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Risk Factors ; Self Concept ; Stress Disorders, Post-Traumatic - psychology ; Suicidal behaviour ; Suicide ; Suicide attempt ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Surveys and Questionnaires ; Symptoms ; Trauma ; Traumatic life events ; Violence ; Worthlessness</subject><ispartof>Journal of affective disorders, 2014-09, Vol.166, p.206-212</ispartof><rights>Elsevier B.V.</rights><rights>2014 Elsevier B.V.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-aa7f8db9efebaacda288351065c768ed1ff7c47768acf7c911e1f382644f43383</citedby><cites>FETCH-LOGICAL-c537t-aa7f8db9efebaacda288351065c768ed1ff7c47768acf7c911e1f382644f43383</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jad.2014.05.010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,31000,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28605719$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25012433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jeon, Hong Jin</creatorcontrib><creatorcontrib>Park, Jong-Ik</creatorcontrib><creatorcontrib>Fava, Maurizio</creatorcontrib><creatorcontrib>Mischoulon, David</creatorcontrib><creatorcontrib>Sohn, Jee Hoon</creatorcontrib><creatorcontrib>Seong, Sujeong</creatorcontrib><creatorcontrib>Park, Jee Eun</creatorcontrib><creatorcontrib>Yoo, Ikki</creatorcontrib><creatorcontrib>Cho, Maeng Je</creatorcontrib><title>Feelings of worthlessness, traumatic experience, and their comorbidity in relation to lifetime suicide attempt in community adults with major depressive disorder</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><description>Abstract Background Major depressive disorder (MDD) and traumatic experience are independent risk factors for lifetime suicide attempt (LSA). However, the relationships between trauma history and depressive symptomatology as they relate to LSA are not fully understood. Methods A total of 12,532 adults, randomly selected through one-person-per-household method, completed a face-to-face interview using the Korean version of Composite International Diagnostic Interview (K-CIDI) and a questionnaire for LSA (response rate 80.2%). Results Among 825 subjects with MDD, 141 subjects reported an LSA (17.1%). LSAs were significantly greater in those who had experienced any trauma than in those who had not ( χ2 =34.66, p <0.0001). Multivariate logistic regression showed that only feelings of worthlessness were significantly associated with LSA among 20 depression symptoms in individuals with MDD (AOR=3.08, 95% CI 1.70–5.60). Feelings of worthlessness was associated with LSA in those who had experienced serious trauma (AOR=5.02, 95% CI 3.35–7.52), but not in those who had not. Serious traumas associated with LSA included military combat, witnessing a violent crime, rape or sexual assault, a bad beating, being threatened by others, and learning about traumas to others. Serious trauma showed no significant association with LSA in those who did not have feelings of worthlessness. PTSD was a comorbidity that showed the highest odds ratio with LSA in individuals with MDD. Conclusions Feelings of worthlessness are more strongly associated with LSA than other depression symptoms in individuals with MDD, and it is significantly associated with LSA in those who experienced serious trauma but not in those who did not.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Depression</subject><subject>Depression - psychology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Depressive personality disorders</subject><subject>Female</subject><subject>Humans</subject><subject>Independent Living</subject><subject>Korea</subject><subject>Major depressive disorder</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Odds Ratio</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Self Concept</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Suicidal behaviour</subject><subject>Suicide</subject><subject>Suicide attempt</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Surveys and Questionnaires</subject><subject>Symptoms</subject><subject>Trauma</subject><subject>Traumatic life events</subject><subject>Violence</subject><subject>Worthlessness</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNksFu1DAQhiMEotvCA3BBviBxaBaPE8eJkCqhqgWkShyAs-W1x6xDEi-207KPw5visAtIHFAPln34_hlrvimKZ0DXQKF51a97ZdaMQr2mfE2BPihWwEVVMg7iYbHKDC9pxcRJcRpjTyltOkEfFyeMU2B1Va2KH9eIg5u-ROItufMhbQeMccrnnKSg5lElpwl-32FwOGk8J2oyJG3RBaL96MPGGZf2xE0k4JBhP5HkyeAsJjciibPTziBRKeG4SwuXY-M8LSFl5iFFcufSloyq94EY3IXc290iMS76YDA8KR5ZNUR8erzPis_XV58u35U3H96-v3xzU2peiVQqJWxrNh1a3CiljWJtW3GgDdeiadGAtULXIr-Vzq8OAMFWLWvq2uZJtNVZ8fJQdxf8txljkqOLGodBTejnKIHztmubDth9UGhYR7v7VK1rUTMu6ozCAdXBxxjQyl1wowp7CVQuvmUvs2-5-JaUy-w7Z54fy8-bEc2fxG_BGXhxBFTUarBBTdrFv1zbUC6gy9zrA4d5xLcOg4z6l3DjAuokjXf__cbFP2mdl8rlhl9xj7H3c5iyOwkyMknlx2Uxl72EmlLWtbz6CV324Fo</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Jeon, Hong Jin</creator><creator>Park, Jong-Ik</creator><creator>Fava, Maurizio</creator><creator>Mischoulon, David</creator><creator>Sohn, Jee Hoon</creator><creator>Seong, Sujeong</creator><creator>Park, Jee Eun</creator><creator>Yoo, Ikki</creator><creator>Cho, Maeng Je</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope><scope>7QJ</scope></search><sort><creationdate>20140901</creationdate><title>Feelings of worthlessness, traumatic experience, and their comorbidity in relation to lifetime suicide attempt in community adults with major depressive disorder</title><author>Jeon, Hong Jin ; Park, Jong-Ik ; Fava, Maurizio ; Mischoulon, David ; Sohn, Jee Hoon ; Seong, Sujeong ; Park, Jee Eun ; Yoo, Ikki ; Cho, Maeng Je</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c537t-aa7f8db9efebaacda288351065c768ed1ff7c47768acf7c911e1f382644f43383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Depression</topic><topic>Depression - psychology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Depressive personality disorders</topic><topic>Female</topic><topic>Humans</topic><topic>Independent Living</topic><topic>Korea</topic><topic>Major depressive disorder</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Odds Ratio</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Risk Factors</topic><topic>Self Concept</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Suicidal behaviour</topic><topic>Suicide</topic><topic>Suicide attempt</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Surveys and Questionnaires</topic><topic>Symptoms</topic><topic>Trauma</topic><topic>Traumatic life events</topic><topic>Violence</topic><topic>Worthlessness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeon, Hong Jin</creatorcontrib><creatorcontrib>Park, Jong-Ik</creatorcontrib><creatorcontrib>Fava, Maurizio</creatorcontrib><creatorcontrib>Mischoulon, David</creatorcontrib><creatorcontrib>Sohn, Jee Hoon</creatorcontrib><creatorcontrib>Seong, Sujeong</creatorcontrib><creatorcontrib>Park, Jee Eun</creatorcontrib><creatorcontrib>Yoo, Ikki</creatorcontrib><creatorcontrib>Cho, Maeng Je</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeon, Hong Jin</au><au>Park, Jong-Ik</au><au>Fava, Maurizio</au><au>Mischoulon, David</au><au>Sohn, Jee Hoon</au><au>Seong, Sujeong</au><au>Park, Jee Eun</au><au>Yoo, Ikki</au><au>Cho, Maeng Je</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feelings of worthlessness, traumatic experience, and their comorbidity in relation to lifetime suicide attempt in community adults with major depressive disorder</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>166</volume><spage>206</spage><epage>212</epage><pages>206-212</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><coden>JADID7</coden><abstract>Abstract Background Major depressive disorder (MDD) and traumatic experience are independent risk factors for lifetime suicide attempt (LSA). However, the relationships between trauma history and depressive symptomatology as they relate to LSA are not fully understood. Methods A total of 12,532 adults, randomly selected through one-person-per-household method, completed a face-to-face interview using the Korean version of Composite International Diagnostic Interview (K-CIDI) and a questionnaire for LSA (response rate 80.2%). Results Among 825 subjects with MDD, 141 subjects reported an LSA (17.1%). LSAs were significantly greater in those who had experienced any trauma than in those who had not ( χ2 =34.66, p <0.0001). Multivariate logistic regression showed that only feelings of worthlessness were significantly associated with LSA among 20 depression symptoms in individuals with MDD (AOR=3.08, 95% CI 1.70–5.60). Feelings of worthlessness was associated with LSA in those who had experienced serious trauma (AOR=5.02, 95% CI 3.35–7.52), but not in those who had not. Serious traumas associated with LSA included military combat, witnessing a violent crime, rape or sexual assault, a bad beating, being threatened by others, and learning about traumas to others. Serious trauma showed no significant association with LSA in those who did not have feelings of worthlessness. PTSD was a comorbidity that showed the highest odds ratio with LSA in individuals with MDD. Conclusions Feelings of worthlessness are more strongly associated with LSA than other depression symptoms in individuals with MDD, and it is significantly associated with LSA in those who experienced serious trauma but not in those who did not.</abstract><cop>Oxford</cop><pub>Elsevier B.V</pub><pmid>25012433</pmid><doi>10.1016/j.jad.2014.05.010</doi><tpages>7</tpages></addata></record> |
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subjects | Adult Adult and adolescent clinical studies Biological and medical sciences Comorbidity Depression Depression - psychology Depressive Disorder, Major - psychology Depressive personality disorders Female Humans Independent Living Korea Major depressive disorder Male Medical sciences Middle Aged Miscellaneous Mood disorders Odds Ratio Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Factors Self Concept Stress Disorders, Post-Traumatic - psychology Suicidal behaviour Suicide Suicide attempt Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Surveys and Questionnaires Symptoms Trauma Traumatic life events Violence Worthlessness |
title | Feelings of worthlessness, traumatic experience, and their comorbidity in relation to lifetime suicide attempt in community adults with major depressive disorder |
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