Document Type : Original Article


1 Imam Khomeini Hospital Clinical Research Development Unit, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Department of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Department of Psychiatry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz Iran

4 Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran


Objective: People with a significant childhood history of abuse may exhibit emotional
dysregulations and psychiatric disorders and, in some cases, present suicidal ideation.
Methods: In this descriptive-analytical and cross-sectional study data were collected
from suicidal patients referred to two grand hospitals in 2019. One hundred ninetyfive participants were evaluated concerning child abuse and neglect history. Data were
reported as mean, SD, frequency, and percent. T-test and chi-square tests were used for
statistical analyses accordingly.
Results: Child abuse regarding suicidal people were to the following order, neglect
(n=103), child emotional abuse (n=102), child physical abuse (n=101), malnutrition (n=96),
and child sexual abuse (n=87). Suicide was different between the two genders, but it was
not different based on parents’ education and marital status.
Conclusion: The harassed child is not equipped with proper behavioral skills and is
subjected to low self-esteem due to incorrect training. Therefore, he/she may commit
suicide in adolescence by facing some problems and failures. In this regard, community
plays an important role, parents must be informed and use the right culture to reward the


Main Subjects

1. Pipe ME, Lamb ME, Orbach Y, Cederborg AC. Child Sexual Abuse: Disclosure, Delay, and Denial. Psychology Press; 2013.
2. Arensman E, Larkin C, McCarthy J, Leitao S, Corcoran P, Williamson E, et al. Psychosocial, psychiatric and workrelated
risk factors associated with suicide in Ireland: optimised methodological approach of a case-control psychological autopsy study. BMC Psychiatry 2019; 19(1):275. doi: 10.1186/s12888-019-2249-6.
3. Page A, Sperandei S, Spittal MJ, Milner A, Pirkis J. The impact of transitions from employment to retirement
on suicidal behaviour among older aged Australians. Soc Psychiatry Psychiatr Epidemiol 2021; 56(5): 759-71. doi:
4. Chang Q, Yip PSF, Chen Y-Y. Gender inequality and suicide gender ratios in the world. J Affect Disord 2019; 243: 297-
304. doi: 10.1016/j.jad.2018.09.032
5. Szanto K, Bruine de Bruin W, Parker AM, Hallquist MN, Vanyukov PM, Dombrovski AY. Decision-making competence and attempted suicide. J Clin Psychiatry 2015;76(12): e1590-7. doi: 10.4088/JCP.15m09778.
6. MacMillan HL, Tanaka M, Duku E, Vaillancourt T, Boyle MH. Child physical and sexual abuse in a community sample of young adults: results from the Ontario Child Health Study. Child Abuse Negl 2013; 37(1): 14-21. doi:10.1016/j.chiabu.2012.06.005.
7. Devries KM, Mak JY, Child JC, Falder G, Bacchus LJ, Astbury J, et al. Childhood sexual abuse and suicidal behavior: a meta-analysis. Pediatrics 2014; 133(5): e1331-44. doi: 10.1542/peds.2013-2166.
8. Bagley C, Mallick K. Prediction of sexual, emotional, and physical maltreatment and mental health outcomes in a
longitudinal cohort of 290 adolescent women. Child Maltreat 2000; 5(3): 218-26. doi: 10.1177/1077559500005003002.
9. Tomoda A, Navalta CP, Polcari A, Sadato N, Teicher MH. Childhood sexual abuse is associated with reduced gray matter volume in visual cortex of young women. Biol Psychiatry 2009; 66(7): 642-8. doi: 10.1016/j.biopsych.2009.04.021.
10. Andersen SL, Tomada A, Vincow ES, Valente E, Polcari A, Teicher MH. Preliminary evidence for sensitive periods
in the effect of childhood sexual abuse on regional brain development. J Neuropsychiatry Clin Neurosci 2008; 20(3):
292-301. doi: 10.1176/jnp.2008.20.3.292.
11. Ito Y, Teicher MH, Glod CA, Ackerman E. Preliminary evidence for aberrant cortical development in abused children: a quantitative EEG study. J Neuropsychiatry Clin Neurosci 1998; 10(3): 298-307. doi: 10.1176/jnp.10.3.298.
12. Braquehais MD, Oquendo MA, Baca-García E, Sher L. Is impulsivity a link between childhood abuse and suicide?
Compr Psychiatry 2010; 51(2): 121-9. doi: 10.1016/j.comppsych.2009.05.003.
13. Laird JJ, Klettke B, Hall K, Clancy E, Hallford D. Demographic and psychosocial factors associated with child sexual exploitation: a systematic review and metaanalysis. JAMA Netw Open 2020; 3(9): e2017682. doi:10.1001/jamanetworkopen.2020.17682.
14. Lim L, Hart H, Mehta M, Worker A, Simmons A, Mirza K, et al. Grey matter volume and thickness abnormalities in
young people with a history of childhood abuse. Psychol Med 2018; 48(6): 1034-46. doi: 10.1017/s0033291717002392.
15. Lim L, Hart H, Howells H, Mehta MA, Simmons A, Mirza K, et al. Altered white matter connectivity in young people
exposed to childhood abuse: a tract-based spatial statistics (TBSS) and tractography study. J Psychiatry Neurosci 2019;
44(4): E11-E20. doi: 10.1503/jpn.170241.
16. Harford TC, Yi HY, Grant BF. Associations between childhood abuse and interpersonal aggression and suicide attempt among U.S. adults in a national study. Child Abuse Negl 2014; 38(8): 1389-98. doi: 10.1016/j.chiabu.2014.02.011.
17. Afifi TO, MacMillan HL, Boyle M, Taillieu T, Cheung K, Sareen J. Child abuse and mental disorders in Canada. CMAJ 2014; 186(9): E324-32. doi: 10.1503/cmaj.131792.
18. Salokangas RKR, Luutonen S, Heinimaa M, From T, Hietala J. A study on the association of psychiatric diagnoses and childhood adversities with suicide risk. Nord J Psychiatry 2019; 73(2): 125-31. doi: 10.1080/08039488.2018.1493748.
19. Simbar M, Golezar S, Alizadeh S, Hajifoghaha M. Suicide risk factors in adolescents worldwide: a narrative review. J
Rafsanjan Univ Med Sci 2018; 16(12): 1153-68. [Persian]. 20. Maniglio R. The role of child sexual abuse in the etiology of
suicide and non-suicidal self-injury. Acta Psychiatr Scand 2011; 124(1): 30-41. doi: 10.1111/j.1600-0447.2010.01612.x.
21. Yaghoubi Doust M, Enayat H. Sociological factors of domestic violence towards adolescent female children (case
study: high schools in Ahwaz). Woman & Study of Family 2012; 4(14): 143-71. [Persian].
22. Der EM, Dakwah IA, Derkyi-Kwarteng L, Badu AA. Hanging as a method of suicide in Ghana: a 10 year autopsy
study. Pathol Discov 2016; 4: 2. doi: 10.7243/2052-7896-4-2.
23. Asscher JJ, Van der Put CE, Stams GJ. Gender differences in the impact of abuse and neglect victimization on adolescent offending behavior. J Fam Violence 2015; 30(2): 215-25. doi: 10.1007/s10896-014-9668-4.
24. Higgins DJ, McCabe MP. Multiple forms of child abuse and neglect: adult retrospective reports. Aggress Violent Behav 2001; 6(6): 547-78. doi: 10.1016/s1359-1789(00)00030-6.
25. Vanderminden J, Hamby S, David-Ferdon C, Kacha- Ochana A, Merrick M, Simon TR, et al. Rates of neglect in a national sample: child and family characteristics and psychological impact. Child Abuse Negl 2019; 88: 256-65.
doi: 10.1016/j.chiabu.2018.11.014.
26. Grudet C, Malm J, Westrin A, Brundin L. Suicidal patients are deficient in vitamin D, associated with a pro inflammatory status in the blood. Psychoneuroendocrinology 2014; 50: 210-9. doi: 10.1016/j.psyneuen.2014.08.016.
27. Stickley A, Koyanagi A, Inoue Y, Leinsalu M. Childhood hunger and thoughts of death or suicide in older adults. Am
J Geriatr Psychiatry 2018; 26(10): 1070-8. doi: 10.1016/j.jagp.2018.06.005.
28. Auersperg F, Vlasak T, Ponocny I, Barth A. Long-term effects of parental divorce on mental health - a metaanalysis.
J Psychiatr Res 2019; 119: 107-15. doi: 10.1016/j.jpsychires.2019.09.011.
29. Léveillée S, Doyon L, Cantinotti M. “Evolution of paternal filicide-suicide in the province of Quebec”. Encephale 2019;45(1): 34-9. doi: 10.1016/j.encep.2017.10.007. [French].
30. Houtepen LC, Heron J, Suderman MJ, Fraser A, Chittleborough CR, Howe LD. Associations of adverse childhood experiences with educational attainment and adolescent health and the role of family and socioeconomic factors: a prospective cohort study in the UK. PLoS Med 2020; 17(3): e1003031. doi: 10.1371/journal.pmed.1003031.