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Am J Psychiatry 1995; 152:1336-1342
Copyright © 1995 by American Psychiatric Association
Sexual abuse in childhood and deliberate self-harm
SE Romans, JL Martin, JC Anderson, GP Herbison and PE Mullen
Department of Psychological Medicine, Otago Medical School, Dunedin, New Zealand.
OBJECTIVE: The authors investigated the association between sexual abuse in
childhood and subsequent incidents of deliberate self-harm in women.
METHOD: A random community sample of women (N = 252) that reported having
been sexually abused as children was interviewed and compared to a
similarly sized group (N = 225) that did not report abuse. The subgroup of
women sexually abused as children who reported subsequent incidents of
deliberate self-harm was then contrasted with abused women who did not
report self-harm. RESULTS: There was a clear statistical association
between sexual abuse in childhood and self-harm that was most marked in
those subjected to more intrusive and more frequent abuse. Self-harm was
also associated with major interpersonal problems in the subject's family
of origin and with becoming involved in further abusive relationships as an
adult. CONCLUSIONS: Sexual abuse in childhood is associated with later
incidents of deliberate self-harm and may well be an etiologic factor in
its development.
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