Cumulative Exposure to Adverse Childhood Experience

Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China

Bibliographic Data

ID15488136
AuthorsZhihui Jia (0000-0002-8287-7572, Nanchang University), Xiaotong Wen (0000-0003-0350-6181, Nanchang University), Feiyu Chen (0000-0002-9408-4393, Xian Center for Disease Control and Prevention), Hui Zhu (0000-0002-3159-8549, Nanchang Center for Disease Control and Prevention), Can Li (0000-0001-8438-1549, Nanchang University), Yixiang Lin (Nanchang University), Xiaoxu Xie (0000-0002-3103-3724, Fujian Medical University, corresponding author), ZhaoKang Yuan (0000-0002-9507-8462, Nanchang University, corresponding author)
Year2020
Volume17
Issue13
Pages4718-4718
Publication date2020-06-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17134718
PMID32630073
OpenAlexW3040572897
LanguageEN
Citations received6
References cited53

This study tested relationships between different types of adverse childhood experiences (ACE) and depressive symptoms, suicide intensions, suicide plans and examines the cumulative effects of adverse childhood experience on depressive, suicide intentions and suicide plans among senior high school students. We conducted a survey among five senior high schools in Nanchang city, which were selected through stratified random cluster sampling. Among the 884 respondents, 409 were male (46.27%), and 475 were female (53.73%); the age ranged from 14 to 18. During the past 12 months, 199 (22.51%) students presented to depressive symptoms, 125 (14.14%) students had suicide intensions, 55 (6.22%) students had suicide plans. As ACE scores increased, there was an increase in the odds of (1) depressive symptoms-one ACE (adjusted odds ratio, AOR = 2.096, p p p p = 0.011), two ACEs (AOR = 2.632, p = 0.002) and three to five ACEs (AOR = 10.836, p p p p < 0.001). We should increase the awareness of adolescents who have had adverse childhood experience, especially those with multiple ACEs to prevent depression and suicide among senior high school students

Adverse Childhood Experiences · Cognition · Depression (economics · Depressive symptoms · Environmental health · Logistic regression · Mental health · Odds · Odds ratio · Poison control · Psychiatry · Suicide prevention · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Demography · Medicine · Psychology · Suicide and Self-Harm Studies · Internal Medicine