Am J Psychiatry 1989; 146:1602-1606
Copyright © 1989 by American Psychiatric Association
Sexual abuse histories and sequelae in female psychiatric emergency room patients
J Briere and LY Zaidi
Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.
The charts of 100 nonpsychotic female patients in a psychiatric emergency
room were reviewed to locate references to history of sexual molestation:
50 charts were selected at random from emergency room files, and 50 charts
had been written by clinicians asked to query abuse history. A
substantially higher rate of sexual abuse was found for patients who had
been directly asked about sexual molestation (70%) than for the random
sample (6%). Further analysis linked molestation history to suicidality,
substance abuse, sexual difficulties, multiple psychiatric diagnoses, and
axis II traits or disorders--especially borderline personality. Severe
abuse and multiple abusers best predicted psychiatric sequelae.
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