Estudo de associação entre comportamento suicida, trauma precoce e dor psicológica em mulheres deprimidas

Abstract

Introduction: Suicide is a public health issue associated with mental disorders, nonetheless, their occurrence is not sufficient to explain the phenomenon of suicide. Early trauma may be a distal risk factor and psychological pain can be a proximal risk factor that contributes to suicidal behaviour. Objective: To investigate associations between suicidal behaviour and early trauma and psychological pain in female depressed outpatients. Method: It is a cross-sectional, analytical, quantitative study. The following instruments were used in the assessment of the patients: Sociodemographic Questionnaire, Mini International Neuropsychiatric Intreview (M.I.N.I 7.0.2), Beck Depression Inventory, Psychache Scale and Childhood Trauma Questionnaire (CTQ). Results: Forty-eight female depressed outpatients were interviewed. The mean age was 42.5 (±11.9) years old. Suicidal behaviour was reported by 89.6% of the patients and 85.4% referred that suffered from any kind of early trauma. The prevalence of passive suicidal ideation was 83.3% and it was associated with physical negligence (p<0.01), greater severity of depressive episode (p<0.01) and higher psychache scores (p<0.05). The prevalence of active suicidal ideation was 62.5% and its occurrence was five times more common among the women that reported physical negligence during childhood (Odds ratio: 5.2; IC 95%: 1.28 – 21.18). Active suicidal ideation was also associated with greater depressive symptoms (p<0.01) and higher psychache scores (p<0.05). Suicide attempts were associated with physical abuse (p<0.05). Intention to commit suicide in the next few days was associated with physical negligence (p<0.05), and also with greater severity of depressive symptoms (p<0.01) and higher psychache scores (p<0.01). Conclusion: Report of early trauma, especially physical negligence, contributed to the occurrence of passive and active suicidal ideation among depressed female outpatients. Early physical abuse was related with suicide atttempts during life. Psychache presented important association with passive and active suicidal ideation and with acute intention to commit suicide.