M. Ferradanoli et al., SUICIDAL-BEHAVIOR AFTER SEVERE TRAUMA - PART 1 - PTSD DIAGNOSES, PSYCHIATRIC COMORBIDITY, AND ASSESSMENTS OF SUICIDAL-BEHAVIOR, Journal of traumatic stress, 11(1), 1998, pp. 103-112
The study comprises 149 refugees from various countries, reporting exp
osure to severe traumata, who were referred for psychiatric diagnosis
and assessment of suicide risk, The stressors reported comprised both
personal experience of and/or forced witnessing of combat atrocities (
including explosions or missile impacts in ur ban areas), imprisonment
(including isolation), torture and inflicted pain, sexual violence, w
itnessing others' suicide, and of summary and/or mock executions. Post
traumatic stress disorder (PTSD) was diagnosed in 79% of all cases, ot
her psychiatric illness in 16% and no mental pathology in 5%. The prev
alence of suicidal behavior was significantly greater among refugees w
ith principal PTSD diagnoses than among the remainder PTSD patients wi
th depression comorbidity reported higher frequency of suicidal though
ts; PTSD nondepressive patients manifested increased frequency of suic
ide attempts.