Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China; Mental Health Institute of Central South University, China National Clinical Research Center on Mental Disorders (Xiangya), China National Technology Institute on Mental Disorders, Hunan Technology Institute of Psychiatry, Hunan Key Laboratory of Psychiatry and Mental Health, Changsha, Hunan 410011, China.
Children's Healthcare Institution, Hunan Children's Hospital, Changsha, Hunan 410011, China.
J Affect Disord. 2021 Feb 15;281:331-337. doi: 10.1016/j.jad.2020.12.031. Epub 2020 Dec 8.
Childhood adversity is related to poor mental health outcomes in adulthood. However, few studies have examined the epidemiology of major childhood adversities and their effects on depression and suicide attempts in Chinese college students.
2755 students completed a questionnaire of 10 items about major childhood adversities, one item about suicide attempts, and the Zung self-rating depression scale. Single-factor analysis and multivariate logistic regression analysis were used to explore the association between different types of adversity/different numbers of types of adversity and suicide attempts/depression.
1916 (69.55%) respondents reported they had experienced major childhood adversities. Multivariate logistic regression analysis showed that witnessing a crash or murder, abuse by family members, and abuse by other adults or children were positively related to suicide attempts (OR: 1.712-2.222, all p<0.05). Abuse by other adults or children (OR=1.648, p<0.05) and serious injury during childhood (OR=1.494, p<0.05) were risk factors for depression. Those who had experienced 3 or more types of adversity were more likely to have depression (OR=1.806, p=0.002)and to have committed suicide attempts (OR= 3.307,p<0.001)compared to those without any adversities.
The incidence of major childhood adversity is high among Chinese college students. Childhood adversity increases the risk of depression and suicide attempts. As the number of types of childhood adversity experienced by an individual increases, their risk ratio for suicide attempts and depression increases. To promote mental health, special attention should be given to those who have suffered childhood adversities.
童年逆境与成年后心理健康不良结局有关。然而，很少有研究调查中国大学生主要童年逆境的流行病学及其对抑郁和自杀企图的影响。
2755 名学生完成了一个包含 10 个关于主要童年逆境、1 个关于自杀企图的项目和 Zung 自评抑郁量表的问卷。采用单因素分析和多变量逻辑回归分析探讨不同类型的逆境/不同类型的逆境数量与自杀企图/抑郁之间的关系。
1916 名（69.55%）受访者报告称他们经历过主要的童年逆境。多变量逻辑回归分析表明，目睹车祸或谋杀、家庭成员虐待、以及其他成年人或儿童虐待与自杀企图呈正相关（OR：1.712-2.222，均 p<0.05）。其他成年人或儿童的虐待（OR=1.648，p<0.05）和童年时严重受伤（OR=1.494，p<0.05）是抑郁的危险因素。与没有任何逆境的人相比，经历 3 种或更多类型逆境的人更有可能抑郁（OR=1.806，p=0.002）和自杀企图（OR=3.307，p<0.001）。
中国大学生主要童年逆境发生率较高。童年逆境增加了抑郁和自杀企图的风险。随着个体经历的童年逆境类型数量的增加，他们自杀企图和抑郁的风险比也随之增加。为了促进心理健康，应特别关注那些遭受过童年逆境的人。
