Physical and sexual abuses are traumatic experiences for women. Many older women who suffer from depression and express suicidal ideation are victims of past and/or present abuse. This study reports the results of a study of 364 women aged fifty-five years and older who were former patients in one of three psychiatric facilities in Virginia. Detailed chart reviews provided the data to determine the relationship between abuse and suicidal issues in these older women. Results of the study show that women with identified suicidal issues (attempts and/or ideation) had significantly more prior victimization (child abuse, rape, battering) than women without suicidal issues. Review of existing literature and results of the present study suggest the importance of assessing for past and/or present physical and sexual abuse in older suicidal women. Assessment issues are discussed.
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References
1.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
AndersonG.YasenikL., & RossC. A. (1993). Dissociative experiences and disorders among women who identify themselves as sexual abuse survivors. Child Abuse & Neglect, 17 (5), 677–686.
3.
AstinM. C.Ogland-HandS. M.ColemanE. M., & FoyD. W. (1995). Posttraumatic stress disorder and childhood abuse in battered women: Comparisons with martially distressed women. Journal of Consulting & Clinical Psychology, 63 (2), 308–312.
4.
BeckA., & KovacsM. (1979). Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology, 47, 343–352.
5.
BeckA. T.WardC. H.MendelsonM.MockJ., & ErbaughJ. (1961). Aninventory for measuring depression. Archives of General Psychiatry, 4, 561–571.
6.
BergnerR. M.DelgadoL. K., & GraybillD. (1994). Finkelhor's risk factor checklist: A cross-validation study. Child Abuse and Neglect, 18 (4), 331–340.
7.
BergmanB., & BrismarB. (1991). A 5-year follow-up study of 117 battered women. American Journal of Public Health, 81 (11), 1486–1489.
8.
BriereJ., & RuntzM. (1989). The Trauma Symptom Checklist (TSC-33): Early data on a new scale. Journal of Interpersonal Violence, 4 (2), 151–163.
9.
BrinkT. L.YesavageJ. A.LumO.HeersemaP.AdleyM., & RoseT. L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–43.
10.
BrownellP., & AblemanI. (1998). Elder abuse: Protective and empowerment strategies for crisis intervention. In RobertsA. R. (Ed.), Battered Women and Their Families (2nd ed.) (pp. 313–334). New York, NY: Springer.
11.
BurgessA. W., & HolmstromL. L. (1974). Rape trauma syndrome. American Journal of Psychiatry, 131 (9), 981–986.
12.
CaffaroJ. V. (1995). Identification and trauma: An integrative-developmental approach. Journal of Family Violence, 10 (1), 23–40.
13.
CarmenE. H.RiekerP. P., & MillsT. (1984). Victims of violence and psychiatric illness. American Journal of Psychiatry, 141 (3), 378–383.
14.
CarlinA. S.KemperK. J.WardN. G., & SowellH. (1994). The effect of differences in objective and subjective definitions of childhood physical abuse on estimates of its incidence and relationship to psychopathology. Child Abuse & Neglect, 18 (5), 393–399.
15.
CartwrightP. S., & MooreR. A. (1989). The elderly victim of rape. Southern Medical Journal, 82 (8), 988–989.
16.
CostelloM., & ThurberS. (1993, May). Bruised faces and broken hearts: Violence in the home. Safety & Health, 147, 81–84.
17.
CourtoisC. A. (1988). Healing the incest wound: Adult survivors in therapy.New York, NY: W. W. Norton.
18.
DavisL. V.HagenJ. L., & EarlyT. J. (1994). Social services for battered women: Are they adequate, accessible, and appropriate?Social Work, 39 (6), 695–704.
19.
DominoJ. V., & HaberJ. D. (1987). Prior physical and sexual abuse in women with chronic headache: Clinical correlates. Headache, 27, 310–314.
20.
DrauckerC. B. (1992). Counseling survivors of childhood sexual abuse.Newbury Park, CA: Sage.
21.
EnsinkB. J. (1992). Confusing realities: A study on child sexual abuse and psychiatric symptoms.Amsterdam: VU University Press.
22.
FinkelhorD., & BrowneA. (1985). The traumatic impact of child sexual abuse: A conceptualization. American Journal of Orthopsychiatric Association, 55 (4), 530–541.
23.
GreenspanG. S., & SamuelS. E. (1989). Self-cutting after rape. American Journal of Psychiatry, 146, 789–790.
24.
HudsonW. W. (1992). The WALMYR assessment scales scoring manual.Tempe, AZ: WALMYR Publishing Co.
25.
IngramR. (1994). Taking a pro-active approach: Communicating with women experiencing violence from a known man in the emergency department. Accident and Emergency Nursing, 2, 143–148.
26.
IsacM., & SchneiderS. (1992). Some psychological reactions of rape victims. Medicine and the Law, 11, 303–308.
27.
KossM. P.WoodruffW. J., & KossP. G. (1991). Criminal victimization among primary care medical patients: Incidence, prevalence, and physician usage. Behavioral Sciences and the Law, 9, 85–96.
28.
LangbehnD. R., & PfohlB. (1993). Clinical correlates of self-mutilation among psychiatric inpatients. Annals of Clinical Psychiatry, 5 (1), 45–51.
29.
MaltzW., & HolmanB. (1987). Incest and sexuality.Lexington, MA: Lexington Books.
30.
ManciniC.Van AmeringenM., & MacMillanH. (1995). Relationship of childhood sexual and physical abuse to anxiety disorders. Journal of Nervous & Mental Disease, 183 (5), 309–314.
31.
McMurrayA., & MooreK. (1994). Domestic violence: Are we listening? Do we see?The Australian Journal of Advanced Nursing: A Quarterly Publication of the Royal Australian Nursing Federation, 12 (1), 23–28.
32.
National Center on Child Abuse & Neglect (1988). National incident and prevalence of child abuse and neglect.Washington, DC: Author.
33.
PillemerK., & FinkelhorD. (1988). The prevalence of elder abuse: A random sample survey. The Gerontologist, 28 (1), 51–57.
34.
RadloffL. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 358–401.
35.
Ramsey-KlawsnikH. (1991). Elder sexual abuse: Preliminary findings. Journal of Elder Abuse & Neglect, 3 (3), 1991.
36.
RaymondR. H. (1994, March). Elder abuse and victimization: The hidden epidemic. Focus on Geriatric Care & Rehabilitation.
37.
RobertsA. R., & BurmanS. (1998). Crisis intervention and cognitive problem-solving therapy with battered women: A national survey and practice model. In RobertsA. R. (Ed.), Battered women and their families (2nd ed.) (pp. 3–28). New York: Springer.
38.
RuchL. O.GartrellJ. W.AmedeoS. R.CoyneB. J., (1991). The sexual assault symptom scale: Measuring self-reported sexual assault trauma in the emergency room. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3 (1), 3–8.
39.
SadlerP. (1994). What helps? Elder abuse interventions and research. Australian Social Work, 47 (4), 27–36.
SorensonS. B.SiegelJ. M.GoldingJ. M., & SteinJ. A. (1991). Repeated sexual victimization. Violence and Victims, 6 (4), 299–308.
42.
StrausM. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactic (CT) scale. Journal of Marriage and the Family, 41 (1), 75–88.
43.
StepakoffS. (1998). Effects of sexual victimization on suicidal ideation and behavior in U.S. college women. Suicide and Life-Threatening Behavior, 28 (1), 107–126.
44.
U.S. Department of Justice (1991). Uniform crime reports 1990 (282–0761/US 217). Washington, DC: U.S. Government Printing Office.
45.
WirtzP. W., & HarrellA. V. (1987). Assaultive versus nonassaultive victimization: A profile analysis of psychological response. Journal of Interpersonal Violence, 2 (3), 264–277.
