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Windle M., Windle R.C., Scheidt D.M., Miller G.B.

Physical and Sexual Abuse and Associated Mental Disorders Among Alcoholic Inpatients

Am.J.Psychiatry 152:9 pp. 1322-1328 (1995)

Abstract

Results:

The overall prevalence of reported childhood abuse was 59% for women and 30% for men. Family history of alcoholism was associated with higher levels of physical and sexual abuse.

Some Quotes

[...]

Method

Measures

Childhood abuse

History of childhood abuse was based on interview responses regarding abuse before age 18. Because the criteria for abuse were conservative, the abuse incidents identified would be characterized as relatively severe. Physical abuse was defined as a positive response to a query about experiencing "violent physical attack that was so violent that it resulted in a fracture or other physical injury requiring hospital treatment; not referring to a single incident of a slap." Sexual abuse was defined as a positive response to a query about experiencing "incidents in which the other person either touched you or demanded that you touch him/her in sexual ways, or forced himself/herself on you sexually". [...]

Discussion

Lifetime suicide attempts were also predicted by abuse status variables (physical abuse only for men and dual abuse for both men and women). These findings are consistent with the literature (1,5) and highlight the potential impulsive, self-destructive nature of some adult behaviors associated with childhood abuse. Dual abuse was an especially potent predictor, increasing the probability of a suicide attempt almost fivefold among male and female alcoholics. Similarly, Brown and Anderson (1) found that 79% of the dually abused psychiatric patients in their study reported suicidal thoughts or behavior.