Relationship Between Adverse Childhood Experiences and the Risk of Lifetime Suicide Attempts

Kim, JoonBeom; Son, Sumin

doi:10.5723/kjcs.2020.41.2.27

Cited by 3 publications

(3 citation statements)

References 44 publications

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“…(pooled) (Table 3) , ACE (Chartier et al, 2010;Font & Maguire-Jack, 2016;Merrick et al, 2017) ACE (Danese et al, 2009;Downey et al, 2017;Font & Maguire-Jack, 2016;Gilbert et al, 2015;Y. H. Kim, 2017;J. Kim & Son, 2020;M.…”

Section: 연구대상자의 일반적 인구사회학적 특성 및 Ace 유무에 따른 차이mentioning

confidence: 99%

Associations Between Adverse Childhood Experiences and Adult Health Outcomes: Exploring Gender Differences

Lee¹,

Chung²

2021

Korean J Child Stud

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Objectives: This study aimed to (1) understand the associations between Adverse Childhood Experiences (ACEs) and poor adult health outcomes, specifically looking at both physical and mental health indicators, and (2) examine gender differences in ACEs’ impact on adult health outcomes.Methods: Data were obtained from the 2012 Korean General Social Survey. The study sample comprised 1,396 individuals aged ≥ 18 years who answered the ACE questionnaire. Controlling for sociodemographic factors, linear regression models were run to estimate the relationships between ACEs and adult physical (self-rated poor physical health status) and mental health indicators (depressive symptoms). Furthermore, the Chow test was carried out to ascertain whether there were any gender differences in ACEs’ impact on both adult physical and mental health outcomes.Results: Higher numbers of ACEs were significantly and positively associated with worse adult physical and mental health outcomes, such as poorer physical health status and higher levels of depressive symptoms compared with individuals who reported no adversities during childhood. In addition, gender differences were identified in ACEs’ impact on both health indicators, suggesting that females were at a higher risk of depression, while males were more likely to experience poor physical health.Conclusion: Adults reporting multiple adversities during childhood are more likely to experience poorer physical and mental health, demonstrating a strong, graded dose-response relationship between the number of ACEs and a range of negative adult health outcomes. Gender differences also exist in ACEs’ impact on adult physical and mental health, thus suggesting the need for gender-based intervention strategies to address ACEs in the adult population.

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Section: 연구대상자의 일반적 인구사회학적 특성 및 Ace 유무에 따른 차이mentioning

confidence: 99%

Associations Between Adverse Childhood Experiences and Adult Health Outcomes: Exploring Gender Differences

Lee¹,

Chung²

2021

Korean J Child Stud

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“…Compared with the group with a cumulative ACE score of zero, the group with a score of four or higher was four times more likely to have suicidal thoughts in adulthood (Park, 2021). In another study, those who experienced four or more ACEs were more than five times more likely to attempt suicide in adulthood than those who did not (Kim & Son, 2020). These results provide strong evidence that ACEs should be considered as one of the crucial factors in the study of suicide prevention in South Korea.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Adverse Childhood Experiences on Suicidal Behaviors in South Korea: The Mediating Effects of Depressive Symptoms and Latent Class Analysis

Lee

Park

2023

J Interpers Violence

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This study examines the relationship between patterns of adverse childhood experiences (ACEs) and suicidal behaviors. It investigates the role of depressive symptoms as an underlying mechanism between patterns of ACEs and suicidal behaviors in South Korea. Data came from the 2012 Korean General Social Survey (KGSS), a nationally representative sample in South Korea ( N = 1,048). The dependent variables included two suicidal behaviors: suicidal thoughts and a suicide plan or attempt. The independent variable was the patterns of ACEs identified using ten binary indicators of childhood adversity. The mediating variable of depressive symptoms was measured using the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Covariates were also included to control for socio-demographic characteristics: age, gender, education, and household income. This study conducted a latent class analysis (LCA) to classify different patterns of ACEs and then employed path analysis to examine mediating effects of depressive symptoms in the relationship between ACEs and suicidal behavior. Among the results, three latent classes of ACEs were identified— child maltreatment, child maltreatment and family dysfunction, and low ACEs. The child maltreatment and child maltreatment and family dysfunction classes were more likely to have suicidal thoughts and to plan or attempt suicide compared to the low ACEs class. Path analysis also showed significant indirect pathways from ACEs exposure to suicidal behaviors through depressive symptoms. This evidence corroborates previous research that shows family dysfunction and child maltreatment as detrimental factors leading to depressive symptoms and suicidal behaviors. Practitioners and policy-makers should therefore consider childhood life experiences when assessing suicidal behaviors in health prevention and intervention strategies.

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“…15,16 In addition to primary mental illness, psychological trauma such as bullying, sexual assault, intimate partner violence and childhood adverse events appear to have a significant association with suicidal ideation. 17,18,19,20 Previous studies have shown that a poor level of financial support, unemployment of parents and family instability are risk factors for suicidal ideation amongst students. 21,22 Because of the dearth of published studies on suicidal ideation amongst students at institutions of higher learning in South Africa, it is unclear what the prevalence and risk factors for suicidal ideation are amongst such students in the country.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa

Alabi

Oladimeji²,

Adeniyi

2021

South African Family Practice

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Background: Suicidal behaviour amongst college students constitutes a significant social and public health problem globally. This study determined the prevalence and associated factors of suicidal ideation amongst students of higher education in the Nelson Mandela Bay Municipality (NMBM), South Africa. Methods:In this institution-based cross-sectional study, a multistage cluster sampling of 826 participants, drawn from a college in NMBM, was conducted from January to March 2020. Data were collected with a standardised self-administered questionnaire. Multivariable logistic regression analysis was used to identify the factors associated with suicidal ideation.Results: Participants' ages ranged from 18 to 24 years, with a mean age of 20.49 years (standard deviation, 1.88 years). The lifetime prevalence of suicidal ideation and plans in the preceding 12 months were 24.5% and 9.6%, respectively. The odds of suicidal ideation were higher in students who experienced bullying (adjusted odds ratio [AOR], 1.89; 95% confidence interval [CI], 1.35-2.65), mental illness (AOR, 1.89; 95% CI, 1.35-2.65), a history of sexual assault (AOR, 2.50; 95% CI, 1.20-5.21) and experience of sexual assault by or to a close family member (AOR, 1.69; 95% CI, 1.01-2.82). Underlying chronic illness was associated with a twofold risk for suicidal ideation in both sexes. Conclusion:About a quarter of the students sampled at the college had experienced suicidal ideation and some had had suicidal plans in the preceding 12 months. Screening for the identified risk factors amongst the student population coupled with prompt interventions would mitigate the risk of suicide in the study population.

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Relationship Between Adverse Childhood Experiences and the Risk of Lifetime Suicide Attempts

Cited by 3 publications

References 44 publications

Associations Between Adverse Childhood Experiences and Adult Health Outcomes: Exploring Gender Differences

Associations Between Adverse Childhood Experiences and Adult Health Outcomes: Exploring Gender Differences

The Influence of Adverse Childhood Experiences on Suicidal Behaviors in South Korea: The Mediating Effects of Depressive Symptoms and Latent Class Analysis

Prevalence and factors associated with suicidal ideation amongst college students in the Nelson Mandela Bay Municipality, South Africa

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