The impact of child maltreatment on school performance in Saudi Arabia

Almuneef, Maha; Altamimi, Dana

doi:10.7707/hmj.576

Cited by 1 publication

(1 citation statement)

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“…Our findings underscore the importance of addressing violence exposure when adolescents make contact with the health care system to curtail mental illness trajectories and suicide risk . Unfortunately, violence exposure frequently goes undetected in health care settings, implying missing opportunities to provide needed services or therapeutic interventions . Currently, there is no consensus on when or how to conduct clinical screening for traumatic experiences, including violence encounters .…”

Section: Discussionmentioning

confidence: 90%

Association of Recent Violence Encounters With Suicidal Ideation Among Adolescents With Depression

Wang

Harrer²,

Zwald

et al. 2023

JAMA Netw Open

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ImportanceSuicide prevention is an important component of depression management. Knowledge about depressed adolescents with increased risk for suicide can inform suicide prevention efforts.ObjectiveTo describe the risk of documented suicidal ideation within a year following a diagnosis of depression and to examine how the risk of documented suicidal ideation differed by recent violence encounter status among adolescents with new depression diagnoses.Design, Setting, and ParticipantsRetrospective cohort study in clinical settings including outpatient facilities, emergency departments, and hospitals. Using IBM’s Explorys database containing electronic health records from 26 US health care networks, this study observed a cohort of adolescents with new depression diagnoses from 2017 to 2018 for up to 1 year. Data were analyzed from July 2020 to July 2021.ExposuresRecent violence encounter was defined by a diagnosis of child maltreatment (physical, sexual, or psychological abuse or neglect) or physical assault within 1 year before depression diagnosis.Main Outcomes and MeasuresThe main outcome was diagnosis of suicidal ideation within 1 year following depression diagnosis. Multivariable adjusted risk ratios of suicidal ideation were calculated for overall recent violence encounters and for individual forms of violence.ResultsAmong a total of 24 047 adolescents with depression, 16 106 (67.0%) were female and 13 437 (55.9%) were White. A total of 378 had experienceda violence (hereafter, encounter group) and 23 669 had not (hereafter, nonencounter group). Following the diagnosis of depression, 104 adolescents with any past-year violence encounter (27.5%) documented suicidal ideation within 1 year. In contrast, 3185 adolescents in the nonencounter group (13.5%) experienced thoughts of suicide following the diagnosis of depression. In multivariable analyses, those with any violence encounter had 1.7 times (95% CI 1.4–2.0) higher risk of documented suicidal ideation compared with those in the nonencounter group (P &lt; .001). Among different forms of violence, sexual abuse (risk ratio, 2.1; 95% CI, 1.6–2.8) and physical assault (risk ratio, 1.7; 95% CI, 1.3–2.2) were associated with significantly increased risk of suicidal ideation.Conclusions and RelevanceAmong adolescents with depression, persons who experienced past-year violence encounters showed a higher rate of suicidal ideation than those who had not. These findings highlight the importance of identifying and accounting for past violence encounters when treating adolescents with depression to reduce risk of suicide. Public health approaches to prevent violence may help to avert morbidity associated with depression and suicidal ideation.

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Section: Discussionmentioning

confidence: 90%