TY - JOUR
T1 - Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men
AU - Scheer, Jillian R.
AU - Clark, Kirsty A.
AU - Talan, Ali
AU - Cabral, Cynthia
AU - Pachankis, John E.
AU - Rendina, H. Jonathon
N1 - Funding Information:
This work was funded by a grant jointly awarded by the National Institute of Allergy and Infectious Diseases, National Institute of Mental Health, Eunice Kennedy Shriver National Institute of Child Health and Human Development, and National Institute of Drug Abuse (UG3-AI133674, PI: Rendina). Dr. Jillian R. Scheer acknowledges support from the National Institute of Alcohol Abuse and Alcoholism under grant K01AA028239. Dr. Kirsty A. Clark acknowledges support from the National Institute of Mental Health under grant K01MH125073. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Funding Information:
This work was funded by a grant jointly awarded by the National Institute of Allergy and Infectious Diseases , National Institute of Mental Health , Eunice Kennedy Shriver National Institute of Child Health and Human Development , and National Institute of Drug Abuse ( UG3-AI133674 , PI: Rendina). Dr. Jillian R. Scheer acknowledges support from the National Institute of Alcohol Abuse and Alcoholism under grant K01AA028239 . Dr. Kirsty A. Clark acknowledges support from the National Institute of Mental Health under grant K01MH125073 . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/12
Y1 - 2021/12
N2 - Background: Sexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. Objective: In a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. Participants and setting: Participants included 6305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. Methods: Bivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. Results: CSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15–2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. Conclusions: CSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men's elevated suicide risk, particularly among those who lack social support and report loneliness.
AB - Background: Sexual minority men report high rates of childhood sexual abuse (CSA) and adulthood suicidality. However, mechanisms (e.g., PTSD symptoms) through which CSA might drive suicidality remain unknown. Objective: In a prospective cohort of sexual minority men, we examined: (1) associations between CSA and suicidal thoughts and behaviors; (2) prospective associations between CSA-related PTSD symptoms and suicidal ideation; and (3) interpersonal moderators of these associations. Participants and setting: Participants included 6305 sexual minority men (Mage = 33.2, SD = 11.5; 82.0% gay; 53.5% White) who completed baseline and one-year follow-up at-home online surveys. Methods: Bivariate analyses were used to assess baseline demographic and suicidality differences between CSA-exposed participants and non-CSA-exposed participants. Among CSA-exposed participants, multivariable logistic regression analyses were used to regress passive and active suicidal ideation at one-year follow-up on CSA-related PTSD symptoms at baseline. Interactions were examined between CSA-related PTSD symptoms and interpersonal difficulties. Results: CSA-exposed sexual minority men reported two-and-a-half times the odds of suicide attempt history compared to non-CSA-exposed men (95% CI = 2.15–2.88; p < 0.001). Among CSA-exposed sexual minority men, CSA-related PTSD symptoms were prospectively associated with passive suicidal ideation (adjusted odds ratio [aOR] = 1.38; 95% CI = 1.19; 1.61). Regardless of CSA-related PTSD symptom severity, those with lower social support and greater loneliness were at elevated risk of active suicidal ideation at one-year follow-up. Conclusions: CSA-related PTSD symptom severity represents a psychological mechanism contributing to CSA-exposed sexual minority men's elevated suicide risk, particularly among those who lack social support and report loneliness.
KW - Childhood sexual abuse
KW - PTSD
KW - Sexual minority men
KW - Social support
KW - Suicidality
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U2 - 10.1016/j.chiabu.2021.105353
DO - 10.1016/j.chiabu.2021.105353
M3 - Article
C2 - 34638046
AN - SCOPUS:85116921795
SN - 0145-2134
VL - 122
JO - Child Abuse and Neglect
JF - Child Abuse and Neglect
M1 - 105353
ER -