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
Hauptverfasser: Jeon, Hong Jin, Park, Jong-Ik, Fava, Maurizio, Mischoulon, David, Sohn, Jee Hoon, Seong, Sujeong, Park, Jee Eun, Yoo, Ikki, Cho, Maeng Je
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container_end_page 212
container_issue
container_start_page 206
container_title Journal of affective disorders
container_volume 166
creator Jeon, Hong Jin
Park, Jong-Ik
Fava, Maurizio
Mischoulon, David
Sohn, Jee Hoon
Seong, Sujeong
Park, Jee Eun
Yoo, Ikki
Cho, Maeng Je
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 &lt;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 &amp; 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. 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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 &lt;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. 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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 &amp; 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 &amp; 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 &amp; 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 &lt;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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