Suicidal ideation among adults with a recent sexual assault: Prescription opioid use and prior sexual assault
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Introduction Sexual assault (SA) is common, and recent sexual assault is associated with suicidal ideation and prescription opioid (PO) use. PO use is also associated with increased risk of suicidal ideation. The current study examined suicidal ideation among adults seeking medical and psychological follow-up care after a SA medical forensic examination based on PO use and prior SA. Methods Adults (n = 60) who received a SA medical forensic exam at the emergency room within 120 h of a SA were invited to receive medical and psychological follow-up care, which included a questionnaire about current mental health symptoms. Results Results from a linear regression model revealed that more acute stress symptoms were associated with higher suicidal ideation. Further, there was a significant association between PO use and suicidal ideation among those with a prior SA such that those with a prior SA and who used POs reported more severe suicidal ideation than those with a prior SA who did not use POs. Conclusions Routine screening at the emergency department for PO use and prior SA may help prevention efforts for suicide among adults who recently experienced SA.
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Sexual assault (SA) is a robust predictor of posttraumatic stress disorder (PTSD), substance use disorder (SUD), and suicidality.
“Sexual assault (SA) is a highly prevalent global public health problem and a robust predictor of posttraumatic stress disorder (PTSD), substance use disorder (SUD), and suicidality.”
From Drug-facilitated sexual assault, impaired trauma memory, and implications for mental health treatment (2022) · cites this paper as Gilmore et al., 2018
The Re-victimization and suicidal ideation section says sexual assault increases risk of suicidal ideation and attempts. The PO use, SA, and suicidal ideation section links sexual assault to prescription-opioid use and disorders, but does not establish it as a robust predictor of substance use disorder generally. The paper discusses PTSD symptoms among people with sexual-assault histories without establishing the claimed predictive relationship between sexual assault and PTSD. Page numbers are unavailable in our copy. (LLM, conf=0.84)
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Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
Sexual Revictimization: A Review of the Empirical Literature
Classen, C. C., Palesh, O. G., & Aggarwal, R. (2005) · Trauma, Violence, & Abuse · doi:10.1177/1524838005275087 · Cited by 813 · see citing works
Rudd, M. D. (2006) · Cognition and suicide: Theory, research, and therapy. · doi:10.1037/11377-016 · Cited by 463 · cited 1× · see citing works
“Re-victimization may increase risk for suicidal behaviors by contributing to an underlying vulnerability (Bryan et al., 2013; Rudd, 2006).”
BackgroundStein, D. J., Chiu, W. T., Hwang, I., Kessler, R. C., Sampson, N., Alonso, J., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., et al. (2010) · PLoS ONE · doi:10.1371/journal.pone.0010574 · Cited by 354 · see citing works
Sexual assault history and suicidal behavior in a national sample of women
Ullman, S. E., & Brecklin, L. R. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.2.117.24398 · Cited by 179 · see citing works
The risk of suicide mortality in chronic pain patients
Hassett, A. L., Aquino, J. K., & Ilgen, M. A. (2014) · Current Pain and Headache Reports · doi:10.1007/s11916-014-0436-1 · Cited by 140 · see citing works
Flagged first, then by citations
Research works printed but not linked: 35
- Balsam KF, Lehavot K, & Beadnell B (2011). Sexual revictimization and mental health: A comparison of lesbians, gay men, and heterosexual women. Journal of Interpersonal Violence, 26, 1798– 1814. doi: 10.1177/0886260510372946 20724297 · DOI
- Blevins CA, Weathers FW, Davis MT, Witte TK, & Domino JL (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28, 489– 498. doi: 10.1002/jts.22059 26606250 · DOI · Paper page
- Bradley KA, Bush KR, Epler AJ, Dobie DJ, Davis TM, Sporleder JL, … & Kivlahan DR (2003). Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): Validation in a female Veterans Affairs patient population. Archives of Internal Medicine, 163(7), 821– 829. 12695273
- Bryan CJ, McNaugton‐Cassill M, Osman A, & Hernandez AM (2013). The associations of physical and sexual assault with suicide risk in nonclinical military and undergraduate samples. Suicide and Life-Threatening Behavior, 43, 223– 234. doi: 10.1111/sltb.12011 23330584 · DOI
- Bush K, Kivlahan DR, McDonell MB, Fihn SD, & Bradley KA (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Archives of Internal Medicine, 158(16), 1789– 1795. 9738608
- Carpenter LL, Shattuck TT, Tyrka AR, Geracioti TD, & Price LH (2011). Effect of childhood physical abuse on cortisol stress response. Psychopharmacology, 214, 367– 375. 20838776 PMC3580170
- Chang EC, Yu T, Jilani Z, Fowler EE, Yu EA, Lin J, & Hirsch JK (2015). Hope under assault: Understanding the impact of sexual assault on the relation between hope and suicidal risk in college students. Journal of Social and Clinical Psychology, 34, 221– 238. doi: 10.1521/jscp.2015.34.3.221 · DOI
- Cloitre M, Scarvalone P, & Difede J (1997). Posttraumatic stress disorder, self- and interpersonal dysfunction among sexually retraumatized women. Journal of Traumatic Stress, 10, 437– 452. doi: 10.1023/A.1024893305226 9246651 · DOI
- Davidson JT, Hughes DC, George LK, & Blazer DG (1996). The association of sexual assault and attempted suicide within the community. Archives of General Psychiatry, 53, 550– 555. doi: 10.1001/archpsyc.1996.01830060096013 8639039 · DOI
- Elliott DM, Mok DS, & Briere J (2004). Adult sexual assault: prevalence, symptomatology, and sex differences in the general population. Journal of Traumatic Stress, 17, 203– 11. 15253092
- Finkelhor D, Shattuck A, Turner HA, & Hamby SL (2014). The lifetime prevalence of child sexual abuse and sexual assault assessed in late adolescence. J. Adolesc. Health, 55, 329– 333. 24582321
- Gilmore AK, Guille C, Baker NL, Brady KT, Hahn CK, Davis CM, McCauley J, & Back SE (under review). Gender differences in subjective stress and neuroendocrine response to a stress task among individuals with prescription opioid use disorder: A pilot study. Manuscript under review for publication PMC6499664 30640146
- Gilmore AK, Walsh K, Badour CL, Ruggiero KJ, Kilpatrick DG, & Resnick HS (2018). Suicidal ideation, posttraumatic stress, and substance abuse based on forcible and drug‐ or alcohol‐ facilitated/incapacitated rape histories in a national sample of women. Suicide and Life‐ Threatening Behavior, 48, 183– 192. 28261856
- Han B, Compton WM, Blanco C, Crane E, Lee J, & Jones CM (2017). Prescription Opioid Use, Misuse, and Use Disorders in U.S. Adults: 2015 National Survey on Drug Use and Health. Annals of Internal Medicine, 167(5), 293– 301. doi: 10.7326/M17-0865 28761945 · DOI · Paper page
- Hilden M, Schei B, Swahnberg K, Halmesmaki E, Langhoff-Roos J, Offerdal K, (2004). A history of sexual abuse and health: A Nordic multicentre study. BJOG, 111, 1121– 7. 15383115
- Jessell L, Mateu-Gelabert P, Guarino H, Vakharia SP, Syckes C, Goodbody E, … & Friedman S (2017). Sexual violence in the context of drug use among young adult opioid users in New York City. Journal of Interpersonal Violence, 32(19), 2929– 2954. 26240068 PMC4740284
- Joint Commission (2016). Detecting and treating suicide ideation in all settings. Sentinel Event Alert, Issue 56 Washington, DC Retrieved February 6, 2018 from https://www.jointcommission.org/assets/1/18/SEA_56_Suicide.pdf 26915165
- Kemp A, Green BL, Hovanitz C, & Rawlings EI (1995). Incidence and correlates of posttraumatic stress disorder in battered women: Shelter and community samples. Journal of Interpersonal Violence, 10, 43– 55.
- Kuramoto SJ, Chilcoat HD, Ko J, & Martins SS (2012). Suicidal ideation and suicide attempt across stages of nonmedical prescription opioid use and presence of prescription opioid disorders among US adults. Journal of Studies on Alcohol and Drugs, 73(2), 178– 184. 22333325 PMC3281977
- Maloney E, Degenhardt L, Darke S, Mattick RP, & Nelson E (2007). Suicidal behaviour and associated risk factors among opioid‐dependent individuals: A case–control study. Addiction, 102(12), 1933– 1941. 17784898
- Marchand K, Palis H, Fikowski J, Harrison S, Spittal P, Schechter MT, & Oviedo-Joekes E (2017). The role of gender in suicidal ideation among long-term opioid users. The Canadian Journal of Psychiatry, 0706743717711173. PMC5528992 28521111
- Melhem NM, Keilp JG, Porta G, Oquendo MA, Burke A, Stanley B, … & Brent DA (2016). Blunted HPA axis activity in suicide attempters compared to those at high risk for suicidal behavior. Neuropsychopharmacology, 41, 1447– 1456. 26450815 PMC4832012
- Nilsson D, Dahlstöm Ö, Priebe G, & Svedin CG (2015). Polytraumatization in an adult national sample and its association with psychological distress and self‐esteem. Brain and Behavior, 5(1). doi: 10.1002/brb3.298 PMC4321395 25722950 · DOI
- Nock MK, Borges G, Bromet EJ, Alonso J, Angermeyer M, Beautrais A, … & Williams D (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry, 192, 98– 105. doi: 10.1192/bjp.bp.107.040113 18245022 PMC2259024 · DOI · Paper page
- Price M. Davidson TM, Ruggiero KJ, Acierno R, & Resnick HS (2014). Predictors of using mental health services after sexual assault. Journal of Traumatic Stress, 27, 331– 337. 24852357 PMC4161950
- Resnick HS, Holmes MM, Kilpatrick DG, Clum G, Acierno R, Best CL, (2000). Predictors of post-rape medical care in a national sample of women. Am J Prev Med, 19, 214– 19. 11064223
- Rudd RA (2016). Increases in drug and opioid-involved overdose deaths—United States, 2010–2015. MMWR. Morbidity and mortality weekly report, 65, 1445– 1452. 28033313
- Spiegel DR, Shaukat AM, Mccroskey AL, Chatterjee A, Ahmadi T, Simmelink D, & … Raulli O (2016). Conceptualizing a subtype of patients with chronic pain: The necessity of obtaining a history of sexual abuse. International Journal of Psychiatry in Medicine, 51(1), 84– 103. doi: 10.1177/0091217415621268 26681238 · DOI
- Sturza ML, & Campbell R (2005). An exploratory study of rape survivors’ prescription drug use as a means of coping with sexual assault. Psychology of Women Quarterly, 29(4), 353– 363.
- Thompson MP, Kaslow NJ, & Kingree JB (2002). Risk factors for suicide attempts among African American women experiencing recent intimate partner violence. Violence and Victims, 17, 283– 295. 12102054
- Tomasula JL, Anderson LM, Littleton HL, & Riley-Tillman TC (2012). The association between sexual assault and suicidal activity in a national sample. School Psychology Quarterly, 27(2), 109– 119. 22774785
- Ullman SE, & Brecklin LR (2003). Sexual assault history and health-related outcomes in a national sample of women. Psychology of Women Quarterly, 27, 46– 57.
- Walker HE, Freud JS, Ellis RA, Fraine SM, & Wilson LC (2017). The prevalence of sexual revictimization: A meta-analytic review. Trauma, Violence, & Abuse Advance online publication. doi: 10.1177/1524838017692364 29333937 · DOI
- Walsh K, Keyes KM, Koenen KC, & Hasin D (2015). Lifetime prevalence of gender-based violence in US women: Associations with mood/anxiety and substance use disorders. Journal of Psychiatric Research, 62, 7– 13. 25648384 PMC4386280
- Wichmann S, Kirschbaum C, Böhme C, & Petrowski K (2017). Cortisol stress response in post-traumatic stress disorder, panic disorder, and major depressive disorder patients. Psychoneuroendocrinology, 83, 135– 141. 28623762
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Sorted by citations
Fields, L., Young, D. A., Patel, A. R., Munroe, C., Shumway, M., Bell, S., & Richer, L. A. (2022) · European Journal of Psychotraumatology · doi:10.1080/20008198.2022.2057165 · Cited by 22 · see citing works
- Authors
- Gilmore, A. K., Hahn, C. K., Jaffe, A. E., Walsh, K., Moreland, A. D., & Ward-Ciesielski, E. F.
- Affiliations
- Medical University of South Carolina (US)
- Yeshiva University (US)
- Corresponding author
- Gilmore, Amanda K.
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 85
- Pages
- 120-124
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC6375294
- OpenAlex
- W2806867722
- Cited by
- 12
- References
- 6
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 4
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (K23DA042935, K12-5K12DA031794-03)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Keywords
- suicidal ideation, sexual assault, prescription opioid use, acute stress symptoms, forensic medical examination, suicide prevention, emergency department screening
- MeSH terms
- Patient Health Questionnaire, Adult, Analgesics, Opioid, Depression, Emergency Service, Hospital, Female, Humans, Mass Screening, Opioid-Related Disorders, Sex Offenses, Linear Models, Stress Disorders, Traumatic, Acute, Young Adult, Suicidal Ideation
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