scholarly journals Social‐ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community–academic partnerships

2021 ◽  
Author(s):  
Semra A. Aytur ◽  
Sydney Carlino ◽  
Felicity Bernard ◽  
Kelsi West ◽  
Victoria Dobrzycki ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Adverse Childhood Experiences ◽  
Substance Misuse ◽  
Ecological Theory ◽  
Childhood Experiences ◽  
Social Ecological ◽  
Adverse Childhood ◽  
Academic Partnerships ◽  
Social Ecological Theory

scholarly journals Associations of adverse childhood experiences and social support with self-injurious behaviour and suicidality in adolescents

2018 ◽  
Vol 214 (3) ◽  
pp. 146-152 ◽  
Author(s):  
Yuhui Wan ◽  
Ruoling Chen ◽  
Shuangshuang Ma ◽  
Danielle McFeeters ◽  
Ying Sun ◽  
...  
Keyword(s):  
Social Support ◽  
Gender Differences ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Adverse Childhood Experiences ◽  
Interaction Effects ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Increased Risk ◽  
The Individual

BackgroundThere is little investigation on the interaction effects of adverse childhood experiences (ACEs) and social support on non-suicidal self-injury (NSSI), suicidal ideation and suicide attempt in community adolescent populations, or gender differences in these effects.AimsTo examine the individual and interaction effects of ACEs and social support on NSSI, suicidal ideation and suicide attempt in adolescents, and explore gender differences.MethodA school-based health survey was conducted in three provinces in China between 2013–2014. A total of 14 820 students aged 10–20 years completed standard questionnaires, to record details of ACEs, social support, NSSI, suicidal ideation and suicide attempt.ResultsOf included participants, 89.4% reported one or more category of ACEs. The 12-month prevalence of NSSI, suicidal ideation and suicide attempt was 26.1%, 17.5% and 4.4%, respectively; all were significantly associated with increased ACEs and lower social support. The multiple adjusted odds ratio of NSSI in low versus high social support was 2.27 (95% CI 1.85–2.67) for girls and 1.81 (95% CI 1.53–2.14) for boys, and their ratio (Ratio of two odds ratios, ROR) was 1.25 (P = 0.037). Girls with high ACEs scores (5–6) and moderate or low social support also had a higher risk of suicide attempt than boys (RORs: 2.34, 1.84 and 2.02, respectively; all P < 0.05).ConclusionsACEs and low social support are associated with increased risk of NSSI and suicidality in Chinese adolescents. Strategies to improve social support, particularly among female adolescents with a high number of ACEs, should be an integral component of targeted mental health interventions.Declaration of interestNone.

scholarly journals Factors Predictive of Behavioural and Emotional Dysfunction in Adolescents in a Secure Children’s Home

2020 ◽  
Author(s):  
Rebecca Harris ◽  
Daniel R. Stubbings ◽  
Karen De Claire
Keyword(s):  
Young People ◽  
Adverse Childhood Experiences ◽  
Regression Models ◽  
Substance Misuse ◽  
Policy Implications ◽  
Early Interventions ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Emotional Dysfunction ◽  
Children's Home

AbstractThe aim of the present study was to investigate what factors are predictive of behavioural and emotional dysfunction in adolescence. A sample of 60 young people accommodated under a welfare or youth custody service order in a UK secure children’s home between 2016 and 2018 was used. Data regarding young people’s Adverse Childhood Experiences (ACE’s) history, scores on standard assessments and factors thought to indicate behavioural and emotional dysfunction were collected from file information. Correlations and regression models were used to analyse the data. Analyses found that young people in this setting had been exposed to more ACEs than the general population. Furthermore, signs of behavioural and emotional dysfunction as a result of exposure to ACE’s appeared to be present from early adolescence. It was found that exposure to verbal and sexual abuse were the greatest predictors of involvement in risk incidents. The young person’s substance misuse habits were the best predictor of the length of stay in the secure children’s home. These findings may have policy implications and highlight the need for early interventions with young people exposed to ACE’s.

The Impact of Adverse Childhood Experiences (ACEs) on Suicidal Ideation and Suicide Attempts in an Inpatient Adolescent Sample

2021 ◽  
Vol 10 (4) ◽  
pp. 289-299
Author(s):  
Tara Benczkowski ◽  
Christine Kostoroski ◽  
Mackenzie Stabile ◽  
Karen Holler
Keyword(s):  
Suicidal Ideation ◽  
Adverse Childhood Experiences ◽  
Attempted Suicide ◽  
Suicide Attempts ◽  
Diverse Populations ◽  
Suicidal Tendency ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Impact ◽  
Adolescent Inpatients

Background: Suicidal ideation (SI) and suicide attempts (SAs) among adolescents are a significant public health concern worldwide. The current study extends previous research by exploring the association between adverse childhood experiences (ACEs) and SI and SAs in a sample of adolescent inpatients as well as identifying specific predictors for increased risk of SI and SAs. Methods: Associations between ACE scores and self-reported SI and SAs were explored in a sample of 154 adolescent inpatients via clinical interview and by analyzing the association between cumulative ACE scores and scores on the Suicidal Tendency scale of a larger personality measure. We also tested for independent relationships between 19 ACEs and SI and SAs to determine unique predictors for suicidality. Results: One-way ANOVA analyses revealed that those who attempted suicide reported significantly more ACEs compared to those who did not attempt suicide. Witnessing violence in the home, school, or neighborhood, and experiences of discrimination increased one’s likelihood to attempt suicide by two to threefold, while sexual abuse, neglect, and physical abuse increased this likelihood by three-to-fourfold. Stepwise linear regression analyses demonstrated that emotional abuse, living with someone who had mental health problems or attempted suicide were most associated with elevated Suicidal Tendency scores on a personality measure. Conclusions: Early identification, education and intervention are imperative to limit or eliminate ACEs from occurring. The impact of cumulative as well as specific ACEs on suicide risk should be closely considered as areas for such intervention. Areas for future research include extending to include more diverse populations such as the LGBTQ community as well as more ethnically and racially diverse populations.

Suicide in Mexican Prisons: Mental Health Symptomology and Risk Factors for Suicidal Ideation and Suicidal Behavior

2021 ◽  
Vol 101 (6) ◽  
pp. 675-698
Author(s):  
Berenice Pérez-Ramírez ◽  
Juan J. Barthelemy ◽  
Robin E. Gearing ◽  
Lindamarie Olson ◽  
Natalia Giraldo-Santiago ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicidal Behavior ◽  
Adverse Childhood Experiences ◽  
Suicide Risk ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Male Prisoners ◽  
Growing Population

In Mexico, suicide and suicidal behaviors (SB) have increased 275% since 1990. Prisoners constitute a growing population in Mexico and have been identified as high suicide risk. Using a sample of 194 male prisoners, we measure what demographics and mental health symptomology are associated with suicidal ideation (SI) and SB, and identify what demographics and mental health symptomology predict SI and SB. Global Severity and Adverse Childhood Experiences (ACEs) were significant predictors of experiencing SI, whereas global severity, ACEs, and age were significant predictors of experiencing SB. Findings support increased identification and comprehensive mental health services addressing suicidality in prisons.

Racial/Ethnic Inequities in Adverse Childhood Experiences and Selected Health-Related Behaviors and Problems Among Maryland Adolescents

2021 ◽  
pp. 152483992110082
Author(s):  
Renee M. Johnson ◽  
Ashley V. Hill ◽  
Vanya C. Jones ◽  
Terrinieka W. Powell ◽  
Lorraine T. Dean ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Adolescent Health ◽  
Emotional Distress ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Health Related Behaviors ◽  
Health Related ◽  
Race Ethnicity ◽  
Racial Ethnic

We examined racial/ethnic inequities in the prevalence of adverse childhood experiences (ACEs) and examined the association between ACEs and selected health-related behaviors and problems. Data for this cross-sectional study come from the 2018 Maryland Youth Risk Behavior Survey/Youth Tobacco Survey, a statewide survey of high school students (n = 40,188). ACEs included caregiver verbal abuse and household food insecurity, substance use or gambling, mental illness, and involvement with the criminal justice system. We estimated the prevalence of ACEs overall and by race/ethnicity, and then used multiple logistic regression to determine associations between ACEs and emotional/behavioral problems, adjusting for race/ethnicity. Outcome variables included emotional distress, poor school performance, suicidal ideation, fighting, alcohol use, and marijuana use. More than one fifth of students reported each individual ACE. Differences in the prevalence of ACEs by race/ethnicity were statistically significant (p < .001). More than one fourth (25.8%) reported one of the five ACEs, 15.1% reported two, and 15.4% reported three or more. For each ACE, reporting having experienced it (vs. not) was associated with a >30% higher prevalence for each of the outcome variables. Among students who reported three or more ACEs (relative to none), the odds of emotional distress and suicidal ideation were more than 8 times greater. Among Maryland adolescents, ACEs are common, are inequitably distributed by race/ethnicity, and are strongly linked to behavioral health. Findings suggest the need to monitor ACEs as a routine component of adolescent health surveillance and to refocus assessment and intervention toward “upstream” factors that shape adolescent health.

scholarly journals Evaluating the association of adverse childhood experiences, mood and anxiety disorders, and suicidal ideation among behavioral health patients at a large federally qualified health center

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254385
Author(s):  
April Joy Damian ◽  
May Oo ◽  
Daniel Bryant ◽  
Joseph J. Gallo
Keyword(s):  
Suicidal Ideation ◽  
Anxiety Disorders ◽  
Generation X ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Behavioral Healthcare ◽  
Mood And Anxiety Disorders ◽  
Adverse Childhood ◽  
Race Ethnicity ◽  
The Relationship

Although numerous studies have examined the relationship between adverse childhood experiences (ACEs) and suicide, research is needed that studies the effects of specific ACEs, including subclasses of ACEs, independent of the effect of other ACEs. We explored the relationship between ACEs and suicidal ideation (SI) with special attention to patterns according to generation cohort (millennials: 22–37 years old, generation X: 38–53 years old, and baby boomers: 54–72 years old), and assessed the extent to which mood and anxiety disorders account for the relationship between ACEs and suicidal ideation. Patients in behavioral healthcare services of a large federally qualified health center (n = 4,392) were assessed at baseline on ACEs, SI, and mood and anxiety disorders. Logistic regression modeling was used to examine the data. Emotional neglect was the strongest predictor of SI among Millennials (OR = 1.59), Generation X (OR = 1.81), and Baby Boomers (OR = 1.88) after controlling for mood and anxiety disorders, race/ethnicity, and gender. Findings suggest ACEs predict an increased likelihood of having SI over and above the influence of mood and anxiety disorders, in models adjusted for gender and race/ethnicity. Across generations, the association with suicidal ideation was strongest for any child abuse and neglect, but not for household dysfunction. The observed association of ACEs with suicidal ideation suggests that ACEs should be considered as a risk factor and incorporated into screening assessments for suicidal ideation. Lastly, additional research on the association of ACEs and suicidality in individuals not actively being managed in behavioral healthcare settings is also warranted.

scholarly journals Sexual Orientation Change Efforts, Adverse Childhood Experiences, and Suicide Ideation and Attempt Among Sexual Minority Adults, United States, 2016–2018

2020 ◽  
Vol 110 (7) ◽  
pp. 1024-1030 ◽  
Author(s):  
John R. Blosnich ◽  
Emmett R. Henderson ◽  
Robert W. S. Coulter ◽  
Jeremy T. Goldbach ◽  
Ilan H. Meyer
Keyword(s):  
United States ◽  
Sexual Orientation ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Sexual Minority ◽  
Adverse Childhood Experiences ◽  
Sexual Minorities ◽  
Childhood Experiences ◽  
Orientation Change ◽  
Adverse Childhood

Objectives. To examine how sexual orientation change efforts (SOCE) are associated with suicide morbidity after controlling for adverse childhood experiences (ACEs). Methods. Cross-sectional survey data are from the Generations survey, a nationally representative sample of 1518 nontransgender sexual minority adults recruited between March 28, 2016, and March 30, 2018, in the United States. Self-identified transgender individuals were included in a separate, related TransPop study. We used weighted multiple logistic regression analyses to assess the independent association of SOCE with suicidal ideation and suicide attempt while controlling for demographics and ACEs. Results. Approximately 7% experienced SOCE; of them, 80.8% reported SOCE from a religious leader. After adjusting for demographics and ACEs, sexual minorities exposed to SOCE had nearly twice the odds of lifetime suicidal ideation, 75% increased odds of planning to attempt suicide, and 88% increased odds of a suicide attempt with minor injury compared with sexual minorities who did not experience SOCE. Conclusions. Over the lifetime, sexual minorities who experienced SOCE reported a higher prevalence of suicidal ideation and attempts than did sexual minorities who did not experience SOCE. Public Health Implications. Evidence supports minimizing exposure of sexual minorities to SOCE and providing affirming care with SOCE-exposed sexual minorities.

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