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Open AccessArticle

Cumulative Exposure to Adverse Childhood Experience: Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China

1
School of Public Health, Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang 330006, China
2
Center for Disease Control and Prevention, Dongxiang District, Fuzhou 331800, China
3
Jiangxi Province Center for Disease Control and Prevention, Nanchang 330006, China
4
Queen Mary School, Nanchang University, Nanchang 330006, China
5
School of Public Health, Fujian Medical University, Fuzhou 350000, China
*
Authors to whom correspondence should be addressed.
These authors contributed equally to this study.
Int. J. Environ. Res. Public Health 2020, 17(13), 4718; https://doi.org/10.3390/ijerph17134718
Received: 3 June 2020 / Revised: 23 June 2020 / Accepted: 24 June 2020 / Published: 30 June 2020
(This article belongs to the Special Issue Child Abuse, Mental Health and Resilience)
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 < 0.001), two ACEs (AOR = 3.155, p < 0.001) and three to five ACEs (AOR = 9.707, p < 0.001); suicide intensions-1 ACE (AOR = 1.831, p = 0.011), two ACEs (AOR = 2.632, p = 0.002) and three to five ACEs (AOR = 10.836, p < 0.001); and (2) suicide plans—one ACE (AOR = 2.599, p < 0.001), two ACEs (AOR = 4.748, p < 0.001) and three to five ACEs (AOR = 22.660, 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. View Full-Text
Keywords: adverse childhood experience; depressive symptoms; suicide intensions; suicide plans adverse childhood experience; depressive symptoms; suicide intensions; suicide plans
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Jia, Z.; Wen, X.; Chen, F.; Zhu, H.; Li, C.; Lin, Y.; Xie, X.; Yuan, Z. Cumulative Exposure to Adverse Childhood Experience: Depressive Symptoms, Suicide Intensions and Suicide Plans among Senior High School Students in Nanchang City of China. Int. J. Environ. Res. Public Health 2020, 17, 4718.

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