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      Nonfatal Suicidal Behavior Among Women Prisoners : The Predictive Roles of Childhood Victimization, Childhood Neglect, and Childhood Positive Support

      1 , 1 , 2
      International Journal of Offender Therapy and Comparative Criminology
      SAGE Publications

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          Abstract

          Women entering prison report high rates of childhood victimization. Women in prison also report higher rates of nonfatal suicidal behavior (self-reported suicide attempts) than women in the general population and similar rates to their male counterparts despite having significantly lower suicide rates than males in the general population. Yet, there is a dearth of research that addresses the relationship between childhood victimization and suicidality for women prisoners in the United States. The purpose of this study is (a) to assess the relationship between childhood victimization and nonfatal suicidal behavior for a random sample of women prisoners; (b) to investigate predictive differences between childhood physical victimization, childhood sexual victimization, childhood neglect, and childhood support; and (c) to determine whether women prisoners with higher frequencies of childhood victimization and neglect are more likely to have attempted suicide than women prisoners with lower frequencies. Results indicate that childhood victimization, neglect, and lack of support are all significantly associated with nonfatal suicidal behavior among women prisoners. Frequency of childhood neglect had a larger effect size than frequency of childhood physical victimization, childhood sexual victimization, and lack of support. The results of this study add to the growing body of literature on childhood victimization and suicidality in general, and nonfatal suicidal behavior for prisoner populations in particular. The article ends with a discussion on clinical implications; particularly the finding that frequency of childhood victimization, childhood neglect, and lack of childhood support matters when determining the risk of suicidality.

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          Most cited references32

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          Childhood Abuse, Household Dysfunction, and the Risk of Attempted Suicide Throughout the Life Span

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            The reliability of the CIDI-SAM: a comprehensive substance abuse interview.

            The CIDI-SAM is a fully-structured interview that ascertains DSM-III, DSM-III-R, Feighner, RDC and ICD-10 diagnoses for alcohol, tobacco and nine classes of psychoactive drugs. It was designed at the request of the WHO/ADAMHA Task Force on Psychiatric Assessment instruments to expand the substance abuse sections of the CIDI. Using a test-retest design, the diagnostic and item reliabilities of this instrument were tested in a sample of 39 patients in substance abuse treatment at three St. Louis treatment facilities. Kappa values and their 95% confidence intervals, and Yule's Y values are reported. The average kappa for DSM-III substance disorders was 0.84, for DSM-III-R it was 0.82. We report, on the average, excellent kappa values for individual alcohol and drug symptoms. We also ascertained from the respondent's themselves the reasons why answers to specific questions might have been discordant. The findings from this unique 'discrepancy interview' are reported.
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              Adverse childhood experiences and suicidal behavior.

              Early experiences of physical and sexual abuse and parental neglect are risk factors for suicidal behavior in adolescence and adulthood. This article reviews the correlational, retrospective findings, emphasizing the more recent prospective and familial transmission studies that explore the factors mediating the relationship between childhood abuse/neglect and suicidal behavior. Related areas of research such as protective factors and the personality traits that are possible risk factors that mediate this relationship are reviewed. Research on the neurobiologic correlates of trauma that might have implications for understanding suicidal behavior is discussed, and several models for the study of the relationship between childhood adverse experiences and suicidal behavior are described.
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                Author and article information

                Journal
                International Journal of Offender Therapy and Comparative Criminology
                Int J Offender Ther Comp Criminol
                SAGE Publications
                0306-624X
                1552-6933
                February 27 2014
                April 2014
                January 11 2013
                April 2014
                : 58
                : 4
                : 394-411
                Affiliations
                [1 ]Florida State University, Tallahassee, USA
                [2 ]Washington University in St. Louis, MO, USA
                Article
                10.1177/0306624X12472879
                23315427
                cb30e892-fabf-40aa-b578-e912aea4c5f1
                © 2014

                http://journals.sagepub.com/page/policies/text-and-data-mining-license

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