Tara Benczkowski, Christine Kostoroski, Mackenzie Stabile, K. Holler
{"title":"The Impact of Adverse Childhood Experiences (ACEs) on Suicidal Ideation and Suicide Attempts in an Inpatient Adolescent Sample","authors":"Tara Benczkowski, Christine Kostoroski, Mackenzie Stabile, K. Holler","doi":"10.2174/2210676611666210111094448","DOIUrl":null,"url":null,"abstract":"\n\nSuicidal ideation (SI) and suicide attempts (SAs) among adolescents are a significant public health\nconcern worldwide. The current study extends previous research by exploring the association between adverse childhood\nexperiences (ACEs) and SI and SAs in a sample of adolescent inpatients as well as identifying specific predictors for\nincreased risk of SI and SAs.\n\n\n\nAssociations between ACE scores and self-reported SI and SAs were explored in a sample of 154 adolescent\ninpatients via clinical interview and by analyzing the association between cumulative ACE scores and scores on the Suicidal\nTendency scale of a larger personality measure. We also tested for independent relationships between 19 ACEs and SI and\nSAs to determine unique predictors for suicidality.\n\n\n\nOne-way ANOVA analyses revealed that those who attempted suicide reported significantly more ACEs compared\nto those who did not attempt suicide. Witnessing violence in the home, school, or neighborhood, and experiences of\ndiscrimination increased one’s likelihood to attempt suicide by two to threefold, while sexual abuse, neglect, and physical\nabuse increased this likelihood by three-to-fourfold. Stepwise linear regression analyses demonstrated that emotional abuse,\nliving with someone who had mental health problems or attempted suicide were most associated with elevated Suicidal\nTendency scores on a personality measure.\n\n\n\nEarly identification, education and intervention are imperative to limit or eliminate ACEs from occurring.\nThe impact of cumulative as well as specific ACEs on suicide risk should be closely considered as areas for such\nintervention. Areas for future research include extending to include more diverse populations such as the LGBTQ\ncommunity as well as more ethnically and racially diverse populations.\n","PeriodicalId":43326,"journal":{"name":"Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.4000,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent Psychiatry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2174/2210676611666210111094448","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
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.
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.
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.
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.
期刊介绍:
Adolescent Psychiatry a peer-reviewed journal, aims to provide mental health professionals who work with adolescents with current information relevant to the diagnosis and treatment of psychiatric disorders in adolescents. Adolescent Psychiatry reports of original research, critical reviews of topics relevant to practitioners, clinical observations with analysis and discussion, analysis of philosophical, ethical or social aspects of the fields of psychiatry and mental health, case reports with discussions, letters, and position papers. Topics include adolescent development and developmental psychopathology, psychotherapy and other psychosocial treatment approaches, psychopharmacology, and service settings and programs. The primary focus of the work should be on adolescents, transition-aged youth, The primary focus of the work should be on adolescents, transition-aged youth, or emerging adults, that is, persons 12-24 years of age . Articles on families of adolescents, or adults who have been followed since adolescence will also be considered.