TY - JOUR
T1 - Brief Report: The Association of Adverse Childhood Experiences and Suicide-Related Behaviors Among 10th-Grade Secondary School Students
T2 - The Association of Adverse Childhood Experiences and Suicide-Related Behaviors Among 10th-Grade Secondary School Students
AU - Núñez, Daniel
AU - Gaete, Jorge
AU - Guajardo, Viviana
AU - Libuy, Nicolás
AU - Araneda, Ana María
AU - Contreras, Lorena
AU - Donoso, Paula
AU - Ibañez, Carlos
AU - Mundt, Adrian P.
N1 - Publisher Copyright:
© 2022 International Academy for Suicide Research.
PY - 2022/11/4
Y1 - 2022/11/4
N2 - The association between adverse childhood experiences and suicide-related behaviors (SRB) of adolescents has been widely studied in Western high-income countries, but not yet in Latin America. The aim of this study was to determine this association and to explore a dose-response relationship between adverse childhood experiences and SRB in Chile. We conducted a cross-sectional survey to assess adverse childhood experiences up to 1 year prior to the survey and SRB (suicide ideation and attempts) in a sample of secondary school students. Multilevel and multivariable logistic regressions were run with SRB as dependent and adverse childhood experiences as independent variables, adjusted by self-esteem, general mental health, friend and parental support, and the age at onset of cannabis and alcohol use. We included 7,458 adolescents (48.7% girls), mean age = 16.0 (SD = 0.7), and found a prevalence of 78.1% for at least one adverse childhood experience. The 6-month prevalence of suicidal ideation was 18.1% (95% confidence interval [CI]: 17.2%–19.0%), and the prevalence of suicide attempts was 5.0% (95% CI: 4.6–5.6). Among all adverse childhood experiences, only sexual abuse was a risk factor for both SRB. We also found an independent effect of the total number of adverse childhood experiences on suicidal ideation (p <.001) and on suicide attempts (p <.001). Additionally, ages at onset of alcohol and cannabis use were associated with suicidal ideation and suicidal attempts, respectively. This is the first study exploring the influence of adverse childhood experiences on suicide-related behaviors in adolescents from Latin America.HIGHLIGHTS Sexual abuse is associated with suicidal ideation and suicide attempts in 10th-grade secondary school students There is a dose-response effect between adverse childhood experiences and suicide-related behavior Ages at onset of alcohol and cannabis use were associated with suicidal ideation and suicidal attempts, respectively.
AB - The association between adverse childhood experiences and suicide-related behaviors (SRB) of adolescents has been widely studied in Western high-income countries, but not yet in Latin America. The aim of this study was to determine this association and to explore a dose-response relationship between adverse childhood experiences and SRB in Chile. We conducted a cross-sectional survey to assess adverse childhood experiences up to 1 year prior to the survey and SRB (suicide ideation and attempts) in a sample of secondary school students. Multilevel and multivariable logistic regressions were run with SRB as dependent and adverse childhood experiences as independent variables, adjusted by self-esteem, general mental health, friend and parental support, and the age at onset of cannabis and alcohol use. We included 7,458 adolescents (48.7% girls), mean age = 16.0 (SD = 0.7), and found a prevalence of 78.1% for at least one adverse childhood experience. The 6-month prevalence of suicidal ideation was 18.1% (95% confidence interval [CI]: 17.2%–19.0%), and the prevalence of suicide attempts was 5.0% (95% CI: 4.6–5.6). Among all adverse childhood experiences, only sexual abuse was a risk factor for both SRB. We also found an independent effect of the total number of adverse childhood experiences on suicidal ideation (p <.001) and on suicide attempts (p <.001). Additionally, ages at onset of alcohol and cannabis use were associated with suicidal ideation and suicidal attempts, respectively. This is the first study exploring the influence of adverse childhood experiences on suicide-related behaviors in adolescents from Latin America.HIGHLIGHTS Sexual abuse is associated with suicidal ideation and suicide attempts in 10th-grade secondary school students There is a dose-response effect between adverse childhood experiences and suicide-related behavior Ages at onset of alcohol and cannabis use were associated with suicidal ideation and suicidal attempts, respectively.
KW - Adolescents
KW - adverse childhood experiences
KW - suicide attempts
KW - suicide ideation
KW - Adolescents
KW - Adverse childhood experiences
KW - Suicide attempts
KW - Suicide ideation
UR - http://www.scopus.com/inward/record.url?scp=85141365512&partnerID=8YFLogxK
U2 - 10.1080/13811118.2022.2134067
DO - 10.1080/13811118.2022.2134067
M3 - Article
C2 - 36330838
AN - SCOPUS:85141365512
SN - 1381-1118
VL - 28
SP - 1
EP - 12
JO - Archives of Suicide Research
JF - Archives of Suicide Research
IS - 1
ER -
