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Identifying the pathways to suicide in child sexual abuse victims

Ross S Kalucy
Med J Aust 2010; 192 (4): . || doi: 10.5694/j.1326-5377.2010.tb03474.x
Published online: 15 February 2010

New findings highlight that child sexual abuse is a major risk factor for future illness

Child sexual abuse is a social issue but, because of its association with psychological and other problems, it is of special concern to the medical profession.1 An article by Cutajar and colleagues in this issue of the Journal (page 184) shows a greatly increased risk of suicide among people who have experienced sexual abuse in childhood.2 The findings are somewhat stunning: compared with the general population, those with a record of experiencing child sexual abuse had a relative risk of suicide of 18.09 (14.20 for males and 40.38 for females). The relative risk of accidental fatal drug overdose was 88.42 for females and 38.46 for males. Such relative risks are high and of the same order of magnitude as those that link cigarette smoking to lung cancer and chronic obstructive airways disease.3


  • Department of Psychiatry, Flinders Medical Centre, Adelaide, SA.



  • 1. Dinwiddie S, Heath AC, Dunne MP, et al. Early sexual abuse and lifetime psychopathology: a co-twin control study. Psychol Med 2000; 30: 41-52.
  • 2. Cutajar MC, Mullen PE, Ogloff JRP, et al. Suicide and fatal drug overdose in child sexual abuse victims: a historical cohort study. Med J Aust 2010; 192: 184-187. <MJA full text>
  • 3. Doll R, Peto R, Wheatley K, et al. Mortality in relation to smoking: 40 years’ observations on male British doctors. BMJ 1994; 309: 901-911.
  • 4. Goldney RD. Depression and suicidal behavior: the real estate analogy. J Crisis Interv Suicide Prev 2003; 24: 87-88.
  • 5. Lieb K, Zanarini MC, Schmahl C, et al. Borderline personality disorder. Lancet 2004; 364: 453-461.
  • 6. Johnson JG, Cohen P, Brown J, et al. Childhood maltreatment increases risk for personality disorders during early adulthood. Arch Gen Psychiatry 1999; 56: 600-606.
  • 7. Robins CJ, Chapman AL. Dialectical behavior therapy: current status, recent developments, and future directions. J Pers Disord 2004; 18: 73-89.

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