School of Nursing, Shandong University, No.44 Wenhua Xi Road, Jinan, 250012, China; School of Nursing, Ningxia Medical University, Yinchuan, 750004, China.
School of Nursing, Shandong University, No.44 Wenhua Xi Road, Jinan, 250012, China; Department of Psychology, University of Illinois at Urbana-Champaign, 603 E. Daniel St. Champaign, IL, 61820, United States.
Child Abuse Negl. 2019 Dec;98:104183. doi: 10.1016/j.chiabu.2019.104183. Epub 2019 Sep 12.
College students with suicidal ideation (SI) are at high risk of suicide. Adverse childhood experiences (ACEs) are important risk factors for suicidal behavior. Most research in this area has been restricted to 10 conventional ACEs and suggests negative long-term developmental effects from other common childhood adversities such as peer victimization, peer isolation/rejection, exposure to community violence, and low socioeconomic status.
To test the unique and cumulative associations of 14 different ACEs with SI among young adults.
Participants were 989 college students from two universities in China's provincial-leveled Hui Autonomous Region.
Associations between ACEs and SI were analyzed by logistic regression. A Chi-square trend test was used to examine the association between cumulative ACEs and SI.
The rates of suicidal ideation, plans, and attempts among the cohort were 11.9%, 3.7%, and 1.6%, respectively; 43.9% had experienced at least one ACE. The strongest predictor of SI in adulthood was peer isolation/rejection, followed by emotional neglect, then low socioeconomic status. There was a cumulative effect of ACEs and SI, whereby the greater the number of ACEs, the greater the likelihood of SI.
Peer isolation/rejection, emotional neglect, and low socioeconomic status were associated with increased risk of SI in adulthood. Two (peer isolation/rejection and low socioeconomic status) of the three factors that emerged from the analysis are not typically included in ACEs research. There was a cumulative effect of 14 kinds of ACEs on SI among young adults. Early recognition of risk factors is therefore important.
有自杀意念的大学生（SI）自杀风险很高。童年逆境经历（ACEs）是自杀行为的重要危险因素。该领域的大多数研究仅限于 10 种传统 ACEs，并表明其他常见的儿童逆境，如同伴受害、同伴孤立/拒绝、接触社区暴力和低社会经济地位，对长期发展有负面影响。
检验 14 种不同 ACEs 与青年成年人 SI 的独特和累积关联。
参与者是来自中国省级回族自治区的两所大学的 989 名大学生。
通过逻辑回归分析 ACEs 与 SI 之间的关联。采用卡方趋势检验分析累积 ACEs 与 SI 之间的关联。
队列中自杀意念、计划和尝试的发生率分别为 11.9%、3.7%和 1.6%；43.9%的人经历过至少一种 ACE。成年后 SI 的最强预测因子是同伴孤立/拒绝，其次是情感忽视，然后是低社会经济地位。ACEs 和 SI 存在累积效应，即 ACEs 越多，SI 的可能性越大。
同伴孤立/拒绝、情感忽视和低社会经济地位与成年后 SI 风险增加相关。分析中出现的三个因素中的两个（同伴孤立/拒绝和低社会经济地位）通常不包含在 ACEs 研究中。14 种 ACEs 对青年成年人 SI 存在累积效应。因此，早期识别风险因素很重要。
