Thai Truc Thanh, Cao Phuong Le Tran, Kim Loan Xuan, Tran Doan Phuoc, Bui Minh Binh, Bui Han Hy Thi
University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. 217 Hong Bang, District 5, Ho Chi Minh City, Viet Nam; Training and Scientific Research, University Medical Center, Ho Chi Minh City. 215 Hong Bang, District 5, Ho Chi Minh City, Viet Nam.
University of Medicine and Pharmacy at Ho Chi Minh City, Vietnam. 217 Hong Bang, District 5, Ho Chi Minh City, Viet Nam.
Asian J Psychiatr. 2020 Oct;53:102134. doi: 10.1016/j.ajp.2020.102134. Epub 2020 May 13.
Exposing to adverse childhood experiences (ACEs) has been identified as one of the major contributing factors to poor mental health and suicide in adolescents. However, little is known about this relationship in Vietnamese adolescents. This study aimed to evaluate the effect of ACEs on depression, psychological distress and suicidal thought among Vietnamese adolescents across different areas in Vietnam. Cross-sectional surveys were conducted among 4957 secondary school and high school students aged 13-20 in urban area, rural area, border area and mountainous area. The students were asked to complete a self-report questionnaire which included the Center for Epidemiological studies - Depression, the Kessler-10 and ACE questionnaire from the WHO Adverse Childhood Experiences Study. Suicidal thought was evaluated by a single question from the U.S. Youth Risk Behavior Survey. Among 4720 students included in the analysis, 54.4% were female. The prevalence of depression, psychological distress and suicidal thought was 22.9%, 30.6% and 10.9% respectively. About 86% of participants experienced at least one type of ACEs and nearly 56% reported multiple types of ACEs. Students with four or more types of ACEs had 6.98 (95% CI 5.09 -9.56), 4.72 (95 % CI 3.58-6.23) and 6.43 (95 % CI 4.45-9.30) times higher in odds of having depression, psychological distress and suicidal thought respectively. In conclusion, ACEs are common in Vietnamese adolescents and are strongly associated with depression, psychological distress and suicidal thought. Our finding indicates urgent needs for interventions targeting both ACEs and depression, psychological distress in Vietnamese adolescents.
童年不良经历（ACEs）已被确定为青少年心理健康不佳和自杀的主要促成因素之一。然而，越南青少年中这种关系鲜为人知。本研究旨在评估ACEs对越南不同地区青少年抑郁、心理困扰和自杀念头的影响。对城市、农村、边境和山区的4957名13 - 20岁的中学生和高中生进行了横断面调查。学生们被要求完成一份自我报告问卷，其中包括流行病学研究中心抑郁量表、凯斯勒10项心理困扰量表以及世界卫生组织童年不良经历研究中的ACE问卷。自杀念头通过美国青少年风险行为调查中的一个单一问题进行评估。在纳入分析的4720名学生中，54.4%为女性。抑郁、心理困扰和自杀念头的患病率分别为22.9%、30.6%和10.9%。约86%的参与者经历过至少一种类型的ACEs，近56%报告有多种类型的ACEs。有四种或更多类型ACEs的学生患抑郁症、心理困扰和自杀念头的几率分别高出6.98倍（95%置信区间5.09 - 9.56）、4.72倍（95%置信区间3.58 - 6.23）和6.43倍（95%置信区间4.45 - 9.30）。总之，ACEs在越南青少年中很常见，并且与抑郁、心理困扰和自杀念头密切相关。我们的研究结果表明，迫切需要针对越南青少年的ACEs以及抑郁和心理困扰进行干预。
