OBJECTIVE To examine associations between suicidal ideation and sexual and physical abuse among active and recently retired elite athletics (track and field) athletes. METHODS The study population consisted of all athletes (n=402) selected for a Swedish Athletics team between 2011 and 2017. Data on suicidal ideation, suicidal events (estimated through the 1 year non-sports injury prevalence), lifetime abuse experiences, sociodemographics, sense of coherence and coping strategies were collected using a cross-sectional survey. The data were analysed using binary logistic regression with suicidal ideation and non-sports injury as outcomes. RESULTS 192 athletes (47.8%) returned data. The prevalence of suicidal ideation was 15.6% (men 17.4%; women 14.2%) and the non-sports injury prevalence was 8.0% (men 11.6%; women 5.7%). Among women, suicidal ideation was associated with having been sexually abused (OR 5.94, 95% CI 1.42 to 24.90; p=0.015) and lower sense of coherence (OR 0.90, 95% CI 0.85 to 0.96; p=0.001) (Nagelkerke R2=0.33). Among men, suicidal ideation was only associated with use of behavioural disengagement for coping (OR 1.51, 95% CI 1.18 to 1.95; p=0.001) (R2 =0.25). Among women, non-sports injury prevalence was associated with having been sexually abused (OR 8.61, 95% CI 1.34 to 55.1; p=0.023) and participating in an endurance event (OR 7.37, 95% CI 1.11 to 48.9; p=0.039 (R2 =0.23), while among men, having immigrant parents (OR 5.67, 95% CI 1.31 to 24.5; p=0.020) (R2 =0.11) was associated with injury outside sports. CONCLUSIONS About one out of six international athletics athletes reported having experienced suicidal ideation. World Athletics and National Olympic Committees need to include suicide prevention in their athlete protection programmes.

中文翻译：

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精英田径（田径）运动员的自杀念头（意念）：与体育参与、心理机智以及曾遭受性虐待和/或身体虐待的关联

目的 研究活跃和最近退休的精英田径（田径）运动员的自杀意念与性虐待和身体虐待之间的关联。方法 研究人群包括 2011 年至 2017 年间为瑞典田径队选择的所有运动员（n=402）。有关自杀意念、自杀事件（通过 1 年非运动损伤流行率估计）、终生虐待经历、社会人口统计学、使用横断面调查收集连贯性和应对策略。使用以自杀意念和非运动损伤作为结果的二元逻辑回归分析数据。结果 192 名运动员 (47.8%) 返回数据。自杀意念发生率为 15.6%（男性 17.4%；女性 14.2%），非运动损伤发生率为 8.0%（男性 11.6%；女性 5.7%）。在女性当中，自杀意念与遭受过性虐待有关（OR 5.94，95% CI 1.42 至 24.90；p=0.015）和较低的连贯感（OR 0.90，95% CI 0.85 至 0.96；p=0.001）（Nagelkerke R2）=0.3 . 在男性中，自杀意念仅与使用行为脱离来应对有关（OR 1.51，95% CI 1.18 至 1.95；p=0.001）（R2 =0.25）。在女性中，非运动损伤患病率与遭受性虐待（OR 8.61，95% CI 1.34 至 55.1；p=0.023）和参加耐力事件（OR 7.37，95% CI 1.11 至 48.9；p=0.039）有关(R2 = 0.23)，而在男性中，父母移民（OR 5.67，95% CI 1.31 至 24.5；p=0.020）（R2 = 0.11）与运动之外的伤害有关。结论 大约六分之一的国际田径运动员报告经历过自杀意念。