Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample
Background Suicide is a leading cause of death among adolescents and young adults. The current study extends the research linking adverse childhood experiences (ACEs) to suicidal behaviors by testing these associations using a nationally representative sample, assessing for suicide ideation and atte...
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| Veröffentlicht in: | Child : care, health & development health & development, 2019-01, Vol.45 (1), p.121-128 |
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| creator | Thompson, Martie P. Kingree, J. B. Lamis, Dorian |
| description | Background
Suicide is a leading cause of death among adolescents and young adults. The current study extends the research linking adverse childhood experiences (ACEs) to suicidal behaviors by testing these associations using a nationally representative sample, assessing for suicide ideation and attempts in adulthood, controlling for established risk factors for suicidality, and measuring a broad array of ACEs.
Methods
The sample included 9,421 participants from the National Longitudinal Study of Adolescent Health who participated in four waves of assessments spanning 13 years. We examined longitudinal associations between eight different ACEs (physical, sexual, and emotional abuse, neglect, parental death, incarceration, alcoholism, and family suicidality) with suicidal ideation and suicide attempts in adulthood, while controlling for depression, problem alcohol use, drug use, delinquency, impulsivity, gender, race, age, and urbanicity. We also tested for cumulative associations of ACEs with suicide ideation and attempts.
Results
Logistic regression analyses indicated that physical, sexual, and emotional abuse, parental incarceration, and family history of suicidality each increased the risk by 1.4 to 2.7 times for suicidal ideation and suicide attempts in adulthood. The accumulation of ACEs increased the odds of suicide ideation and attempts. Compared with those with no ACEs, the odds of seriously considering suicide or attempting suicide in adulthood increased more than threefold among those with three or more ACEs.
Conclusions
Intervention strategies need to prevent ACEs from occurring and, if they do occur, should take into account the impact of cumulative ACEs on suicide risk. Future research should focus on identifying mediating mechanisms for the ACEs‐suicidality association using longitudinal research designs and determine which ACEs are most important to include in a cumulative ACE measure. |
| doi_str_mv | 10.1111/cch.12617 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2099041175</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2099041175</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3887-b8af70e21cf0adfe2bd3e4fe5de6f882f4df84f62913430d20271e79fb006f143</originalsourceid><addsrcrecordid>eNp1kU1rGzEQhkVoqF23h_yBIuilPawjabVfR2PyBYYckpwXrTTCCvJqq_G6NeTHV7bTHAKZixjxzAMzLyEXnM15qkut13MuSl6dkSnPyyITgstPZMpyVmS8LsWEfEF8ZqlKyT6TSc54VciimZKXBWLQTm1d6JEGS5XZQUSgeu28WYdgKPwdIDroNSBVvaE4Ou2M8rSDtdq5EJG6Ps2NfnvkDw19mj_MaX_UKu_3NMIQAaHfpq8dUFSbwcNXcm6VR_j2-s7I0_XV4_I2W93f3C0Xq0zndV1lXa1sxUBwbZkyFkRncpAWCgOlrWthpbG1tKVoeC5zZgQTFYeqsV3a13KZz8jPk3eI4fcIuG03DjV4r3oII7aCNQ2TPN0koT_eoc9hjGmHRPHDySQv60T9OlE6BsQIth2i26i4bzlrD5G0KZL2GEliv78ax24D5o38n0ECLk_AH-dh_7GpXS5vT8p_QK6Wlw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2154594168</pqid></control><display><type>article</type><title>Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample</title><source>MEDLINE</source><source>Sociological Abstracts</source><source>Access via Wiley Online Library</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>EBSCOhost Education Source</source><creator>Thompson, Martie P. ; Kingree, J. B. ; Lamis, Dorian</creator><creatorcontrib>Thompson, Martie P. ; Kingree, J. B. ; Lamis, Dorian</creatorcontrib><description>Background
Suicide is a leading cause of death among adolescents and young adults. The current study extends the research linking adverse childhood experiences (ACEs) to suicidal behaviors by testing these associations using a nationally representative sample, assessing for suicide ideation and attempts in adulthood, controlling for established risk factors for suicidality, and measuring a broad array of ACEs.
Methods
The sample included 9,421 participants from the National Longitudinal Study of Adolescent Health who participated in four waves of assessments spanning 13 years. We examined longitudinal associations between eight different ACEs (physical, sexual, and emotional abuse, neglect, parental death, incarceration, alcoholism, and family suicidality) with suicidal ideation and suicide attempts in adulthood, while controlling for depression, problem alcohol use, drug use, delinquency, impulsivity, gender, race, age, and urbanicity. We also tested for cumulative associations of ACEs with suicide ideation and attempts.
Results
Logistic regression analyses indicated that physical, sexual, and emotional abuse, parental incarceration, and family history of suicidality each increased the risk by 1.4 to 2.7 times for suicidal ideation and suicide attempts in adulthood. The accumulation of ACEs increased the odds of suicide ideation and attempts. Compared with those with no ACEs, the odds of seriously considering suicide or attempting suicide in adulthood increased more than threefold among those with three or more ACEs.
Conclusions
Intervention strategies need to prevent ACEs from occurring and, if they do occur, should take into account the impact of cumulative ACEs on suicide risk. Future research should focus on identifying mediating mechanisms for the ACEs‐suicidality association using longitudinal research designs and determine which ACEs are most important to include in a cumulative ACE measure.</description><identifier>ISSN: 0305-1862</identifier><identifier>EISSN: 1365-2214</identifier><identifier>DOI: 10.1111/cch.12617</identifier><identifier>PMID: 30175459</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject><![CDATA[Accumulation ; Adolescent ; Adolescents ; Adult Survivors of Child Abuse - psychology ; Adult Survivors of Child Abuse - statistics & numerical data ; Adults ; Adverse childhood experiences ; Adverse Childhood Experiences - statistics & numerical data ; Alcoholism ; Antisocial Behavior ; Behavior ; child trauma ; Childhood ; Childhood experiences ; Childhood factors ; Death ; Death & dying ; Drinking behavior ; Drug abuse ; Drug Use ; Emotional abuse ; Families & family life ; Family medical history ; Female ; Health Surveys ; Humans ; Imprisonment ; Impulsivity ; Juvenile delinquency ; Longitudinal Studies ; Male ; Medical History Taking - statistics & numerical data ; Parental death ; Parents & parenting ; Race ; Risk factors ; Self destructive behavior ; Sexual abuse ; Substance abuse ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; United States - epidemiology ; Young Adult ; Young adults]]></subject><ispartof>Child : care, health & development, 2019-01, Vol.45 (1), p.121-128</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><rights>2019 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3887-b8af70e21cf0adfe2bd3e4fe5de6f882f4df84f62913430d20271e79fb006f143</citedby><cites>FETCH-LOGICAL-c3887-b8af70e21cf0adfe2bd3e4fe5de6f882f4df84f62913430d20271e79fb006f143</cites><orcidid>0000-0002-5879-9615</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcch.12617$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcch.12617$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,33774,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30175459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thompson, Martie P.</creatorcontrib><creatorcontrib>Kingree, J. B.</creatorcontrib><creatorcontrib>Lamis, Dorian</creatorcontrib><title>Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample</title><title>Child : care, health & development</title><addtitle>Child Care Health Dev</addtitle><description>Background
Suicide is a leading cause of death among adolescents and young adults. The current study extends the research linking adverse childhood experiences (ACEs) to suicidal behaviors by testing these associations using a nationally representative sample, assessing for suicide ideation and attempts in adulthood, controlling for established risk factors for suicidality, and measuring a broad array of ACEs.
Methods
The sample included 9,421 participants from the National Longitudinal Study of Adolescent Health who participated in four waves of assessments spanning 13 years. We examined longitudinal associations between eight different ACEs (physical, sexual, and emotional abuse, neglect, parental death, incarceration, alcoholism, and family suicidality) with suicidal ideation and suicide attempts in adulthood, while controlling for depression, problem alcohol use, drug use, delinquency, impulsivity, gender, race, age, and urbanicity. We also tested for cumulative associations of ACEs with suicide ideation and attempts.
Results
Logistic regression analyses indicated that physical, sexual, and emotional abuse, parental incarceration, and family history of suicidality each increased the risk by 1.4 to 2.7 times for suicidal ideation and suicide attempts in adulthood. The accumulation of ACEs increased the odds of suicide ideation and attempts. Compared with those with no ACEs, the odds of seriously considering suicide or attempting suicide in adulthood increased more than threefold among those with three or more ACEs.
Conclusions
Intervention strategies need to prevent ACEs from occurring and, if they do occur, should take into account the impact of cumulative ACEs on suicide risk. Future research should focus on identifying mediating mechanisms for the ACEs‐suicidality association using longitudinal research designs and determine which ACEs are most important to include in a cumulative ACE measure.</description><subject>Accumulation</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adult Survivors of Child Abuse - psychology</subject><subject>Adult Survivors of Child Abuse - statistics & numerical data</subject><subject>Adults</subject><subject>Adverse childhood experiences</subject><subject>Adverse Childhood Experiences - statistics & numerical data</subject><subject>Alcoholism</subject><subject>Antisocial Behavior</subject><subject>Behavior</subject><subject>child trauma</subject><subject>Childhood</subject><subject>Childhood experiences</subject><subject>Childhood factors</subject><subject>Death</subject><subject>Death & dying</subject><subject>Drinking behavior</subject><subject>Drug abuse</subject><subject>Drug Use</subject><subject>Emotional abuse</subject><subject>Families & family life</subject><subject>Family medical history</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Impulsivity</subject><subject>Juvenile delinquency</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical History Taking - statistics & numerical data</subject><subject>Parental death</subject><subject>Parents & parenting</subject><subject>Race</subject><subject>Risk factors</subject><subject>Self destructive behavior</subject><subject>Sexual abuse</subject><subject>Substance abuse</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicide, Attempted - psychology</subject><subject>Suicide, Attempted - statistics & numerical data</subject><subject>Suicides & suicide attempts</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0305-1862</issn><issn>1365-2214</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kU1rGzEQhkVoqF23h_yBIuilPawjabVfR2PyBYYckpwXrTTCCvJqq_G6NeTHV7bTHAKZixjxzAMzLyEXnM15qkut13MuSl6dkSnPyyITgstPZMpyVmS8LsWEfEF8ZqlKyT6TSc54VciimZKXBWLQTm1d6JEGS5XZQUSgeu28WYdgKPwdIDroNSBVvaE4Ou2M8rSDtdq5EJG6Ps2NfnvkDw19mj_MaX_UKu_3NMIQAaHfpq8dUFSbwcNXcm6VR_j2-s7I0_XV4_I2W93f3C0Xq0zndV1lXa1sxUBwbZkyFkRncpAWCgOlrWthpbG1tKVoeC5zZgQTFYeqsV3a13KZz8jPk3eI4fcIuG03DjV4r3oII7aCNQ2TPN0koT_eoc9hjGmHRPHDySQv60T9OlE6BsQIth2i26i4bzlrD5G0KZL2GEliv78ax24D5o38n0ECLk_AH-dh_7GpXS5vT8p_QK6Wlw</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Thompson, Martie P.</creator><creator>Kingree, J. B.</creator><creator>Lamis, Dorian</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5879-9615</orcidid></search><sort><creationdate>201901</creationdate><title>Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample</title><author>Thompson, Martie P. ; Kingree, J. B. ; Lamis, Dorian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-b8af70e21cf0adfe2bd3e4fe5de6f882f4df84f62913430d20271e79fb006f143</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Accumulation</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adult Survivors of Child Abuse - psychology</topic><topic>Adult Survivors of Child Abuse - statistics & numerical data</topic><topic>Adults</topic><topic>Adverse childhood experiences</topic><topic>Adverse Childhood Experiences - statistics & numerical data</topic><topic>Alcoholism</topic><topic>Antisocial Behavior</topic><topic>Behavior</topic><topic>child trauma</topic><topic>Childhood</topic><topic>Childhood experiences</topic><topic>Childhood factors</topic><topic>Death</topic><topic>Death & dying</topic><topic>Drinking behavior</topic><topic>Drug abuse</topic><topic>Drug Use</topic><topic>Emotional abuse</topic><topic>Families & family life</topic><topic>Family medical history</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Imprisonment</topic><topic>Impulsivity</topic><topic>Juvenile delinquency</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical History Taking - statistics & numerical data</topic><topic>Parental death</topic><topic>Parents & parenting</topic><topic>Race</topic><topic>Risk factors</topic><topic>Self destructive behavior</topic><topic>Sexual abuse</topic><topic>Substance abuse</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicide, Attempted - statistics & numerical data</topic><topic>Suicides & suicide attempts</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thompson, Martie P.</creatorcontrib><creatorcontrib>Kingree, J. B.</creatorcontrib><creatorcontrib>Lamis, Dorian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Child : care, health & development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thompson, Martie P.</au><au>Kingree, J. B.</au><au>Lamis, Dorian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample</atitle><jtitle>Child : care, health & development</jtitle><addtitle>Child Care Health Dev</addtitle><date>2019-01</date><risdate>2019</risdate><volume>45</volume><issue>1</issue><spage>121</spage><epage>128</epage><pages>121-128</pages><issn>0305-1862</issn><eissn>1365-2214</eissn><abstract>Background
Suicide is a leading cause of death among adolescents and young adults. The current study extends the research linking adverse childhood experiences (ACEs) to suicidal behaviors by testing these associations using a nationally representative sample, assessing for suicide ideation and attempts in adulthood, controlling for established risk factors for suicidality, and measuring a broad array of ACEs.
Methods
The sample included 9,421 participants from the National Longitudinal Study of Adolescent Health who participated in four waves of assessments spanning 13 years. We examined longitudinal associations between eight different ACEs (physical, sexual, and emotional abuse, neglect, parental death, incarceration, alcoholism, and family suicidality) with suicidal ideation and suicide attempts in adulthood, while controlling for depression, problem alcohol use, drug use, delinquency, impulsivity, gender, race, age, and urbanicity. We also tested for cumulative associations of ACEs with suicide ideation and attempts.
Results
Logistic regression analyses indicated that physical, sexual, and emotional abuse, parental incarceration, and family history of suicidality each increased the risk by 1.4 to 2.7 times for suicidal ideation and suicide attempts in adulthood. The accumulation of ACEs increased the odds of suicide ideation and attempts. Compared with those with no ACEs, the odds of seriously considering suicide or attempting suicide in adulthood increased more than threefold among those with three or more ACEs.
Conclusions
Intervention strategies need to prevent ACEs from occurring and, if they do occur, should take into account the impact of cumulative ACEs on suicide risk. Future research should focus on identifying mediating mechanisms for the ACEs‐suicidality association using longitudinal research designs and determine which ACEs are most important to include in a cumulative ACE measure.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>30175459</pmid><doi>10.1111/cch.12617</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5879-9615</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Sociological Abstracts; Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA); EBSCOhost Education Source |
| subjects | Accumulation Adolescent Adolescents Adult Survivors of Child Abuse - psychology Adult Survivors of Child Abuse - statistics & numerical data Adults Adverse childhood experiences Adverse Childhood Experiences - statistics & numerical data Alcoholism Antisocial Behavior Behavior child trauma Childhood Childhood experiences Childhood factors Death Death & dying Drinking behavior Drug abuse Drug Use Emotional abuse Families & family life Family medical history Female Health Surveys Humans Imprisonment Impulsivity Juvenile delinquency Longitudinal Studies Male Medical History Taking - statistics & numerical data Parental death Parents & parenting Race Risk factors Self destructive behavior Sexual abuse Substance abuse Suicidal behavior Suicidal Ideation Suicide Suicide, Attempted - psychology Suicide, Attempted - statistics & numerical data Suicides & suicide attempts United States - epidemiology Young Adult Young adults |
| title | Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample |
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