Abstract
The current study aimed to examine the role that a history of abuse plays in the association with suicide attempts in children and adolescents who have experienced trauma. Children and adolescents were recruited from a local community mental health center specializing in the treatment of child trauma. Abuse history, history of suicide attempts, various demographics, and psychosocial measures were gathered from children and adolescents as well as their mothers. Hierarchical logistic regression analyses revealed the overall model, as well as individual predictors of age, child depression, physical and sexual abuse to be significant in the association with a history of suicide attempts. The current study revealed significant risk factors for suicide attempts in children and adolescents who have been maltreated, including age, depressive symptoms, history of sexual abuse, and history of physical abuse. Future research should further delineate the magnitude of these risk factors in order to inform and strengthen the process of risk assessment and subsequent treatment of these individuals for mental health clinicians.
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References
Abidin, R. R. (1995). Parenting stress index: Professional manual (3rd ed.). Odessa: Psychological Assessment Resources, Inc.
Asarnow, J. R., Porta, G., Spirito, A., Emslie, G., Clarke, G., Wagner, K. D., & Brent, D. A. (2011). Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. Journal of the American Academy of Child and Adolescent Psychiatry, 50(8), 772. doi:10.1016/j.jaac.2011.04.003.
Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the beck depression inventory: twenty-five years of evaluation. Clinical Psychology Review, 8(1), 77–100. doi:10.1016/0272-7358(88)90050-5.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio: Psychological Corporation.
Berry, J. O., & Jones, W. H. (1995). The parental stress scale: initial psychometric evidence. Journal of Social and Personal Relationships, 12(3), 463–472.
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry, 47, 372–394. doi:10.1111/j.1469-7610.2006.01615.x.
Bryant, S. L., & Range, L. M. (2001). Type and severity of child abuse and college students lifetime suicidality. In K. Franey, R. Geffner, & R. Falconer (Eds.), The cost of child maltreatment: Who pays? We all do (pp. 53–69). San Diego: Family Violence & Sexual Assault Institute.
Centers for Disease Control and Prevention (2009). National Suicide Statistics at a Glance: Percentage of U.S. High School Students Reporting Considering, Planning, or Attempting Suicide in the Past 12 Months, by Sex. Retrieved from http://www.cdc.gov/violenceprevention/suicide/statistics/youth_risk.html
Chartier, M. J., Walker, J. R., & Naimark, B. (2010). Separate and cumulative effects of adverse childhood experiences in predicting adult health and health care utilization. Child Abuse & Neglect, 34(6), 454–464. doi:10.1016/j.chiabu.2009.09.020.
Cole, D. A. (1989). Psychopathology of adolescent suicide: hopelessness, coping beliefs, and depression. Journal of Abnormal Psychology, 98(3), 248–255.
Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the lifespan: findings from the adverse childhood experiences study. Journal of the American Medical Association, 286(24), 3089–3096. doi:10.1001/jama.286.24.3089.
DuMont, K. A., Widom, C. S., & Czaja, S. J. (2007). Predictors of resilience in abused and neglected children grown-up: the role of individual and neighborhood characteristics. Child Abuse & Neglect, 31(3), 255–274. doi:10.1016/j.chiabu.2005.11.015.
Edwards, J. J., & Alexander, P. C. (1992). The contribution of family background to the long-term adjustment of women sexually abused as children. Journal of Interpersonal Violence, 7(3), 306–320. doi:10.1177/088626092007003002.
Ferguson, K. M. (2009). Exploring family environment characteristics and multiple abuse experiences among homeless youth. Journal of Interpersonal Violence, 24(11), 1875–1891. doi:10.1177/0886260508325490.
Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (Eds.). (2008). Effective treatments for PTSD: practice guidelines from the international society for traumatic stress studies. New York: Guilford Press.
Hallfors, D. D., Waller, M. W., Ford, C. A., Halpern, C. T., Brodish, P. H., & Iritani, B. (2006). Adolescent depression and suicide risk association with sex and drug behavior. American Journal of Preventive Medicine, 27(3), 224–231. doi:10.1016/j.amepre.2004.06.001.
Hetrick, S. E., Parker, A. G., Robinson, J., Hall, N., & Vance, A. (2012). Predicting suicidal risk in a cohort of depressed children and adolescents. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 33(1), 13–20. doi:10.1027/0227-5910/a000095.
Huey, S. J., Jr., Henggeler, S. W., Rowland, M. D., Halliday-Boykins, C. A., Cunningham, P. B., Pickrel, S. G., & Edwards, J. (2004). Multisystemic therapy effects on attempted suicide by youths presenting psychiatric emergencies. Journal of the American Academy of Child and Adolescent Psychiatry, 43(2), 183–190. doi:10.1097/00004583-200402000-00014.
Joiner, T. E., Sachs-Ericsson, N. J., Wingate, L. R., Brown, J. S., Anestis, M. D., & Selby, E. A. (2007). Childhood physical and sexual abuse and lifetime number of suicide attempts: a persistent and theoretically important relationship. Behaviour Research and Therapy, 45(3), 539–547. doi:10.1016/j.brat.2006.04.007.
Kaplan, S. J., Pelcovitz, D., & Labruna, V. (1999). Child and adolescent abuse and neglect research: a review of the past 10 years. Part I: physical and emotional abuse and neglect. Journal of the American Academy of Child and Adolescent Psychiatry, 38(10), 1214–1222. doi:10.1097/00004583-199910000-00009.
Kashani, J. H., Goddard, P., & Reid, J. C. (1989). Correlates of suicidal ideation in a community sample of children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 28(6), 912–917. doi:10.1097/00004583-198911000-00016.
Kerr, D. C. R., Reinke, W. M., & Eddy, J. M. (2013). Trajectories of depressive symptoms and externalizing behaviors across adolescence: associations with histories of suicide attempt and ideation in early adulthood. Suicide & Life-Threatening Behavior, 43(1), 50–66. doi:10.1111/j.1943-278X.2012.00127.x.
Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the national comorbidity survey. Archives of General Psychiatry, 56(7), 617–626. doi:10.1001/archpsyc.56.7.617.
Kessler, R. C., Berglund, P., Borges, G., Nock, M., & Wang, P. S. (2005). Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. Journal of the American Medical Association, 293(20), 2487–2495. doi:10.1001/jama.293.20.2487.
King, R. A., Schwab-Stone, M., Flisher, A. J., Greenwald, S., Kramer, R. A., Goodman, S. H., & Gould, M. S. (2001). Psychosocial and risk behavior correlates of youth suicide attempts and suicidal ideation. Journal of the American Academy of Child and Adolescent Psychiatry, 40(7), 837–846. doi:10.1097/00004583-200107000-00019.
Kovacs, M. (1992). Children’s depression inventory. North Tonawanda: Multi-Health System.
Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Baldwin, C. L. (2001). Gender differences in suicide attempts from adolescence to young adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 40(4), 427–434. doi:10.1097/00004583-200104000-00011.
Masten, A. S., Best, K. M., & Garmezy, N. (1990). Resilience and development: contributions from the study of children who overcome adversity. Development and Psychopathology, 2(4), 425–444. doi:10.1017/S0954579400005812.
Moos, R. H., & Moos, B. S. (1994). Family environment scale manual. Washington, DC: Consulting Psychologists Press.
Paolucci, E. O., Genuis, M. L., & Violato, C. (2001). A meta-analysis of the published research on the effects of child sexual abuse. The Journal of Psychology, 135(1), 17–36. doi:10.1080/00223980109603677.
Pfeffer, C. R. (1988). Risk factors associated with youth suicide: a clinical perspective. Psychiatric Annals, 18(11), 652–656.
Salzinger, S., Rosario, M., Feldman, R. S., & Ng-Mak, D. S. (2007). Adolescent suicidal behavior: associations with preadolescent physical abuse and selected risk and protective factors. Journal of the American Academy of Child and Adolescent Psychiatry, 46(7), 859–866. doi:10.1097/chi.0b013e318054e702.
Szumilas, M. (2010). Explaining odds ratios. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19(3), 227–229.
Twomey, H. B., Kaslow, N. J., & Croft, S. (2000). Childhood maltreatment, object relations, and suicidal behavior in women. Psychoanalytic Psychology, 17, 313–335. doi:10.1037/0736-9735.17.2.313.
U.S. Census Bureau. (2010). Overview of Race and Hispanic Origin: 2010. Retrieved February 3, 2014, from http://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf.
U.S. Census Bureau. (2013). Educational Attainment in the United States: 2013 - Detailed Tables. Retrieved November 13, 2014, from https://www.census.gov/hhes/socdemo/education/data/cps/2013/tables.html
van der Kolk, B. A., Perry, J. C., & Herman, J. L. (1991). Childhood origins of self-destructive behavior. The American Journal of Psychiatry, 148(12), 1665–1671.
Wagner, B. M., Silverman, M. A. C., & Martin, C. E. (2003). Family factors in youth suicidal behaviors. The American Behavioral Scientist, 46(9), 1171–1191. doi:10.1177/0002764202250661.
Weaver, T. L., & Clum, G. A. (1993). Early family environments and traumatic experiences associated with borderline personality disorder. Journal of Consulting and Clinical Psychology, 61(6), 1068–1075. doi:10.1037/0022-006X.61.6.1068.
Westefeld, J. S., Bell, A., Bermingham, C., Button, C., Shaw, K., Skow, C., & Woods, T. (2010). Suicide among preadolescents: a call to action. Journal of Loss and Trauma, 15(5), 381–407. doi:10.1080/15325024.2010.507655.
Wilkinson, P., Kelvin, R., Roberts, C., Dubicka, B., & Goodyer, I. (2011). Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the adolescent depression antidepressants and psychotherapy trial (ADAPT). The American Journal of Psychiatry, 168(5), 495–501. doi:10.1176/appi.ajp.2010.10050718.
Williamson, J. M., Borduin, C. M., & Howe, B. A. (1991). The ecology of adolescent maltreatment: a multilevel examination of adolescent physical abuse, sexual abuse, and neglect. Journal of Consulting and Clinical Psychology, 59(3), 449–457. doi:10.1037/0022-006X.59.3.449.
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Nelson, S., Faust, J., Doyle, K. et al. Beyond Depression: Correlates of Suicidal Behavior in Abused Children. Journ Child Adol Trauma 8, 93–101 (2015). https://doi.org/10.1007/s40653-015-0043-2
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DOI: https://doi.org/10.1007/s40653-015-0043-2