Cited by 97Suicide and Self-Harm StudiesChild Abuse and TraumaHomicide, Infanticide, and Child Abuse

Suicide and fatal drug overdose in child sexual abuse victims: a historical cohort study

Cutajar, Margaret C, Mullen, Paul E, Ogloff, James R P, Thomas, Stuart D, Wells, David L, Spataro, Josie·2010·Medical Journal of Australia

Abstract

Objective To determine the rate and risk of suicide and accidental fatal drug overdose (ie, overdose deemed not to have been suicide) in individuals who had been medically ascertained as having been sexually abused during childhood. Design A historical cohort linkage study of suicide and accidental drug-induced death among victims of child sexual abuse (CSA). Setting and patients Forensic medical records of 2759 victims of CSA who were assessed between 1964 and 1995 were obtained from the Victorian Institute of Forensic Medicine and linked with coronial data representing a follow-up period of up to 44 years. Main outcome measures Rates of suicide and accidental fatal drug overdose recorded in coronial databases between 1991 and 2008, and rates of psychiatric disorders and substance use recorded in public mental health databases. Results Twenty-one cases of fatal self-harm were recorded. Relative risks for suicide and accidental fatal overdose among CSA victims, compared with age-limited national data for the general population, were 18.09 (95% CI, 10.96-29.85; population-attributable risk, 0.37%), and 49.22 (95% CI, 36.11-67.09; population-attributable risk, 0.01%) respectively. Relative risks were higher for female victims. Similar to the general population, CSA victims who died as a result of self-harm were predominantly aged in their 30s at time of death. Most had contact with the public mental health system and half were recorded as being diagnosed with an anxiety disorde…

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Crossref · 10.5694/j.1326-5377.2010.tb03475.x

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  • Individuals who had been sexually abused had an 18-fold greater risk for dying by suicide (OR 18.14, 95% CI 9.05-36.36), based on one large retrospective study.

    “We only identified one large retrospective study that presented relevant data on suicide deaths among 12 million participants (Cutajar et al., 2010); between 1964 and 1995 individuals who had been sexually abused had an 18-fold greater risk for dying by suicide (OR 18.14, 95% CI 9.05–36.36).”

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Authors
Cutajar, M. C., Mullen, P. E., Ogloff, J. R. P., Thomas, S. D., Wells, D. L., & Spataro, J.
Affiliations
  • Monash University (AU)
  • Victorian Institute of Forensic Medicine (AU)
  • Noesis Clinical Psychology and Psychotherapy Centre, Melbourne, VIC.
Venue
Medical Journal of Australia
Publisher
Wiley
Published
2010-02
Volume
192
Issue
4
Pages
184-187
ISSN
  • 0025-729X (ISSN-L)
  • 1326-5377
OpenAlex
W1817251396
Cited by
97
References
0
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 11 · 2019: 3 · 2018: 23 · 2017: 7 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 9 · 2012: 6
FWCI
8.06
Type
journal article
Language
en
Open access
closed
Locations
  • The Medical Journal of Australia (publishedVersion)
  • PubMed (publishedVersion)
  • Research Online (University of Wollongong) (submittedVersion)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders
Monash University
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
child sexual abuse, suicide, drug overdose deaths, self-harm, mental illness, anxiety disorders, substance use, risk factors, coronial data, long-term follow-up
MeSH terms
Adolescent, Adult, Cause of Death, Child, Child Abuse, Sexual, Female, Follow-Up Studies, Forensic Medicine, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Suicide, Victoria, Incidence, Age Distribution, Sex Distribution, Young Adult, Drug Overdose

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