Adverse childhood experiences and suicide attempts among those with mental and substance use disorders |
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| Institution: | 1. University of Texas at Austin School of Social Work, 1925 San Jacinto Blvd, Austin, TX 78712, United States;2. Univeristy of California at Berkeley School of Social Welfare, 120 Haviland Hall #7400, Berkeley, CA 94720-7400, United States;1. Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland;2. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA;1. Instituto de Geriatria e Gerontologia - IGG, Pontifícia Universidade Católica do Rio Grande do Sul - PUCRS, Brazil;2. Service Universitaire de Psychiatrie de l''Age Avance - SUPAA, University of Lausanne - UNIL, Switzerland;3. Nucleo Especifico de Formacao em Psiquiatria, Escola de Medicina da Pontifícia Universidade Católica do Rio Grande do Sul, Brazil;4. Departamento de Psiquiatria, Universidade Federal do Rio Grande do Sul – UFRGS, Brazil;1. Mental Health Institute of the Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan Province, 139 Middle Renmin Road, Changsha, Hunan 410011, People''s Republic of China;2. Department of Applied Psychology, Traditional Chinese Medicine University of Hunan, Changsha 410208, People''s Republic of China;1. Behavioral Medicine, Butler Hospital, Providence, RI, 02906, USA;2. Boston University School of Public Health, Boston, MA, 02118, USA;3. Stanley Street Treatment and Resources, Inc., Fall River, MA, 02720, USA;4. Warren Alpert Medical School of Brown University, Providence, RI, 02912, USA;1. Division of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia;2. Division of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia;3. Education Development Center, Inc., Suicide Prevention Resource Center, Waltham, Massachusetts;1. Department of Psychiatry, Taipei City Psychiatric Center, Taipei City Hospital, Taipei, Taiwan;2. Graduate Institute of Epidemiology and Preventive Medicine, National Taiwan University College of Public Health, Taipei, Taiwan;3. Institute of Public Health and Department of Public Health, National Yang-Ming University, Taipei, Taiwan;4. Department of Public Health & Institute of Epidemiology, College of Public Health, National Taiwan University, Taipei, Taiwan;5. Department of Psychiatry, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan;6. Psychiatric Research Center, Taipei Medical University Hospital, Taipei, Taiwan |
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| Abstract: | Using the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions data, we examined the associations of ten types of adverse childhood experiences (ACEs) with (1) lifetime suicide attempts and (2) number and age of attempts among U.S. adults aged 18+. In a case-control design, suicide attempters (5.14% of the full sample) were matched with never attempters (matched sample N = 3912) on nine mental and substance use disorders. ACE rates were higher among attempters (3.30 SE = 0.07]) than their matched controls (2.19 SE = 0.06]). Results from multivariable logistic regression analyses showed that sexual abuse and parental/other family member’s mental illness were associated with increased odds of having attempted suicide among both genders, and emotional neglect was also a factor for men. Population attributable risk fractions for sexual abuse were 25.75% for women and 8.56% for men. Sexual abuse and a higher number of ACEs were also related to repeated suicide attempts. A higher number of ACEs was associated with a younger first attempt age. Gay/bisexual orientation in men and the lack of college education in both genders were significant covariates. In conclusion, this study underscores that ACEs are significantly associated with lifetime suicide attempts even when mental and substance use disorders are controlled. |
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| Keywords: | Adverse childhood experiences Sexual abuse Mental disorders Substance use disorders Suicide attempts |
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