{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T01:44:10Z","timestamp":1784339050672,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,9,5]],"date-time":"2016-09-05T00:00:00Z","timestamp":1473033600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Childhood sexual abuse (<jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>) can be a devastating life experience and is associated with a higher incidence of mental disorders and suicide attempts. The aim of this study was therefore to identify predictors of mental disorder and suicide attempt in children and adolescents with a history of <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 181 Turkish children and adolescents with a history of <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content> were evaluated for age, gender, suicide attempts, family relationships and educational background. Abuse involving the insertion of an organ or foreign object into the individual's body was designated as \u201cqualified sexual abuse\u201d (<jats:styled-content style=\"fixed-case\">QSA<\/jats:styled-content>); other forms of sexual abuse were designated \u201cbasic sexual abuse\u201d (<jats:styled-content style=\"fixed-case\">BSA<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Suicide attempts were significantly higher in adolescent girls in the <jats:styled-content style=\"fixed-case\">QSA<\/jats:styled-content> subgroup; age, gender, family integrity, and school attendance were not associated with risk of mental disorders in this group. Among <jats:styled-content style=\"fixed-case\">BSA<\/jats:styled-content> patients, family integrity was significantly associated with suicide attempts. Suicide attempts were approximately 10\u2010fold higher (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 10.154; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 2.020\u201351.051; <jats:italic>P<\/jats:italic> = 0.005) in children from broken families. Family integrity and school attendance were also noted as weak protective factors against mental disorders in <jats:styled-content style=\"fixed-case\">BSA<\/jats:styled-content> patients. The incidence of mental disorders was 3.5\u2010fold higher in children who had not been attending school (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>, 3.564; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.379\u20139.211; <jats:italic>P<\/jats:italic> = 0.009).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Family integrity and school attendance were weakly related with psychopathology (e.g. mental disorders or suicide attempts) in <jats:styled-content style=\"fixed-case\">BSA<\/jats:styled-content> survivors but not in <jats:styled-content style=\"fixed-case\">QSA<\/jats:styled-content> survivors. Female gender and puberty also increased the likelihood of suicide attempt in <jats:styled-content style=\"fixed-case\">QSA<\/jats:styled-content> survivors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.13065","type":"journal-article","created":{"date-parts":[[2016,6,11]],"date-time":"2016-06-11T13:16:40Z","timestamp":1465651000000},"page":"10-15","source":"Crossref","is-referenced-by-count":12,"title":["Childhood sexual abuse and supportive factors"],"prefix":"10.1111","volume":"59","author":[{"given":"Muharrem Burak","family":"Baytunca","sequence":"first","affiliation":[{"name":"Department of Child and Adolescent Psychiatry School of Medicine Ege University Izmir Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emsal","family":"Ata","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry School of Medicine Ege University Izmir 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