000			04177nab a22003857a 4500
999			_c8268 _d8268
005			20250625151642.0
008			230705s2022 ||||| |||| 00| 0 eng d
040			_aAFVC
100			_aMcManus, Sally _912129
245			_aIntimate partner violence, suicidality, and self-harm : _ba probability sample survey of the general population in England _cSally McManus, Sylvia Walby, Estela Capelas Barbosa, Louis Appleby, Traolach Brugha, Paul E. Bebbington, Elizabeth A. Cook and Duleeka Knipe
260			_bThe Lancet, _c2022
500			_aThe Lancet Psychiatry, 2022, 9(7): 574-583
520			_aBackground Intimate partner violence (IPV) is a recognised risk factor for psychiatric disorders. There is little current evidence on IPV and self-harm and suicidality, and we therefore aimed to investigate the associations between experience of lifetime and past-year IPV with suicidal thoughts, suicide attempt, and self-harm in the past year. Methods We analysed the 2014 Adult Psychiatric Morbidity Survey, a cross-sectional survey of 7058 adults (aged ≥16 years) in England, which used a multistage random probability sampling design and involved face-to-face interviews. Participants were asked about experience of physical violence and sexual, economic, and emotional abuse from a current or former partner, and about suicidal thoughts, suicide attempts, and self-harm. Other adversities were recorded through an adapted version of the List of Threatening Experiences. Multivariable logistic regression models quantified associations between different indicators of lifetime and past-year IPV, with past-year non-suicidal self-harm, suicidal thoughts, and suicide attempts. All analyses were weighted. Findings Using weighted percentages, we found that a fifth (21·4%) of 7058 adults reported lifetime experience of IPV, and that 27·2% of women and 15·3% of men had experienced IPV. Among women, 19·6% had ever experienced emotional IPV, 18·7% physical IPV, 8·5% economic IPV, and 3·7% sexual IPV, which was higher than in men (8·6%, 9·3%, 3·6%, and 0·3%, respectively). Findings for ethnicity were unclear. Lifetime prevalence of IPV was higher in those living in rented accommodation or deprived neighbourhoods. Among people who had attempted suicide in the past year, 49·7% had ever experienced IPV and 23·1% had experienced IPV in the past year (including 34·8% of women and 9·4% of men). After adjusting for demographics, socioeconomics, and lifetime experience of adversities, the odds ratio of a past-year suicide attempt were 2·82 (95% CI 1·54–5·17) times higher in those who have ever experienced IPV, compared with those who had not. Fully adjusted odds ratios for past-year self-harm (2·20, 95% CI 1·37–3·53) and suicidal thoughts (1·85, 1·39–2·46) were also raised in those who had ever experienced IPV. Interpretation IPV is common in England, especially among women, and is strongly associated with self-harm and suicidality. People presenting to services in suicidal distress or after self-harm should be asked about IPV. Interventions designed to reduce the prevalence and duration of IPV might protect and improve the lives of people at risk of self-harm and suicide. (Authors' abstract). Record #8268
650			_aDOMESTIC VIOLENCE _9203
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aPREVALENCE _9457
650			_aSELF HARM _9519
650			_aSUICIDALITY _912130
650			_aSURVEYS _9592
650		4	_aVICTIMS OF DOMESTIC VIOLENCE _9624
651			_aINTERNATIONAL _93624
651		4	_aUNITED KINGDOM _92604
651			_aENGLAND _92636
700			_aWalby, Sylvia _912128
700			_aBarbosa, Estela C. _912131
700			_aApppleby, Louis _912132
700			_aBrugha, Traolach _912133
700			_aBebbington, Paul E. _912134
700			_aCook, Elizabeth A. _912121
700			_aKnipe, Duleeka _912135
773	0		_tThe Lancet Psychiatry, 2022, 9(7): 574-583
830			_aThe Lancet Psychiatry _912136
856			_uhttps://doi.org/10.1016/S2215-0366(22)00151-1 _zDOI: 10.1016/S2215-0366(22)00151-1 (Open access)
942			_2ddc _cARTICLE _hnews121