BJSW Advance Access published online on October 1, 2008
British Journal of Social Work, doi:10.1093/bjsw/bcn130
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Men Who Were Sexually Abused in Childhood and Subsequent Suicidal Ideation: Community Comparison, Explanations and Practice Implications
Patrick O'Leary, Ph.D., is based in the Department of Social and Policy Sciences at the University of Bath and is a visiting Associate Professor at the University of South Australia. He has worked as both a practitioner and a researcher in the areas of gendered violence over the last fifteen years. Nick Gould, Ph.D., is a professor of social work at the University of Bath. He has over thirty years of experience in the field of mental health and social work and has researched and published widely in the areas of professional learning, social informatics, research methodology and mental health
Correspondence to Patrick O'Leary, Department of Social and Policy Sciences, University of Bath, Bath BA2 7AY, UK. E-mail: pol20{at}bath.ac.uk
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Abstract |
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In the Western world, men are particularly vulnerable to suicide, so it is important to undertake research that helps explain the manifestation of suicidality. This is one of the few studies to date that have researched men who were sexually abused in childhood and their presentation of suicidal ideation, much of the previous research with this focus having been restricted to women. The study draws on a clinical sample of 147 Australian men who were sexually abused in childhood, of whom thirty-nine also gave open-ended interviews, and comparisons are made with a community sample of 1,231 men. It was found that the sexually abused men were up to ten times more likely to report suicidal ideation than the controls. To understand risk factors for suicidal ideation, a predictive regression model was constructed, the most important variables in this model being self-blame, isolation and physical injuries sustained from the abuse. These variables are further explored and illuminated from the qualitative data. Key implications of the study for social work practice include the need for screening and assessment of men in clinical populations as well as in other vulnerable populations. Limitations of the study and future areas of inquiry are also outlined.
Keywords: Men, suicide, adult victims of childhood sexual abuse