JAMA Network Open,
Journal Year:
2024,
Volume and Issue:
7(12), P. e2452816 - e2452816
Published: Dec. 30, 2024
Importance
Studies
investigating
the
role
of
supportive
school
environments
in
associations
between
adverse
childhood
experiences
(ACEs)
and
nonsuicidal
self-injury
(NSSI)
suicidality
among
adolescents
are
lacking.
Objective
To
assess
ACEs
with
NSSI
examine
modifying
such
associations.
Design,
Setting,
Participants
Using
data
from
2021
School-Based
Chinese
Adolescents
Health
Survey,
this
cross-sectional
study
includes
grades
7
through
12
326
schools
across
8
provinces
China.
Statistical
analysis
was
performed
March
to
October
2024.
Exposure
ACEs,
including
individual
indicators
cumulative
numbers
by
total
categorized
as
threat-related
deprivation-related
were
assessed.
Main
Outcome
Measures
NSSI,
suicidal
ideation,
suicide
attempts
measured
using
validated
questionnaires.
Weighted
Poisson
regression
models
used.
The
interaction
assessed
multiplicative
interactions.
Results
Among
95
549
included
(mean
[SD]
age,
14.9
[1.8]
years;
47
617
males
[49.8%]),
45
236
individuals
(47.3%)
had
experienced
at
least
1
ACE.
Compared
no
those
who
4
or
more
an
increased
risk
(prevalence
ratio
[PR],
1.31;
95%
CI,
1.30-1.33)
(ideation:
PR,
1.41;
1.39-1.42;
attempts:
1.25;
1.24-1.27)
after
adjusting
for
covariates,
environments.
A
dose-response
association
observed
number
(eg,
NSSI:
1.06;
1.05-1.06
exposure
vs
0
ACEs;
1.10;
1.10-1.11
2
ACEs).
highest
PRs
found
physical
abuse,
emotional
bullying)
≥2
ACEs:
1.28;
1.27-1.29
NSSI;
1.33;
CI
1.32-1.34
ideation;
1.18;
1.17-1.19
attempts).
All
ACE
positively
associated
suicidality,
particularly
high
abuse
1.26;
1.24-1.27
NSSI).
Additionally,
significantly
modified
0.81;
0.76-0.88).
Conclusion
relevance
In
study,
increases
independent
environments,
but
could
modify
detrimental
outcomes.
These
findings
underscore
importance
enhancing
prevent
have
ACEs.
BMC Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Jan. 21, 2025
Adverse
life
experiences
have
been
associated
with
increased
susceptibilities
to
psychopathology
in
later
life.
However,
their
impact
on
psychological
responses
following
physical
trauma
remains
largely
unexplored.
Based
the
China
Severe
Trauma
Cohort,
we
conducted
a
cohort
study
of
2937
patients
who
were
admitted
Medical
Center
West
Hospital
between
June
2020
and
August
2023.
experiences,
including
childhood
maltreatment
(5
subtypes,
measured
by
Childhood
Questionnaire-Short
Form)
adverse
lifetime
(17
Life
Events
Checklist)
assessed.
Generalized
linear
mixed
models
used
examine
associations
symptoms
at
multiple
time-points
after
index
injury
(i.e.,
recruitment,
1-,
3-,
6-,
12-month
follow-ups),
adjusted
for
important
confounders.
We
further
stratified
analyses
level
genetic
predisposition
given
symptom
quantified
polygenic
risk
score
(PRS)
based
publicly
available
GWAS
summary
statistics.
Mediation
performed
assess
role
connecting
post-injury
psychopathology.
The
mean
age
participants
was
47.95
years
predominance
males
(61.39%).
During
whole
follow-up
period,
incidence
stress-related
disorders,
anxiety,
depression
13.86%,
29.89%,
36.57%,
respectively.
observed
cumulative
number
those
studied
adversities
psychopathology,
particularly
disorder
(odds
ratio
[OR]
=
2.78,
95%
confidence
interval
[CI]
1.87–4.12
≥
2
vs
no
maltreatment;
2.65
[1.67–4.20]
4
0–1
experiences).
By
subtype,
positive
most
adversities,
pronounced
estimates
emotional
abuse
(ORs
1.71–2.52)
life-threatening
illness/injury
1.87–2.89).
found
basically
comparable
among
traumatized
individuals
different
PRSs
Moreover,
may
partially
(mediation
proportion:
22.52–27.48%)
explain
various
Both
irrespective
susceptibility.
Such
findings
highlight
importance
close
surveillance
timely
interventions
experiences.
Translational Psychiatry,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Oct. 7, 2024
Exposure
to
adverse
life
events
is
linked
somatic
disorders.
The
study
aims
evaluate
the
association
between
at
varying
stages
and
risk
of
chronic
kidney
disease
(CKD),
a
condition
affecting
about
10%
population
worldwide.
This
prospective
cohort
included
140,997
participants
from
UK
Biobank.
Using
survey
items
related
childhood
maltreatment,
adulthood
adversity
catastrophic
trauma,
we
performed
latent
class
analysis
summarize
five
distinct
patterns
exposure
events,
namely
"low-level
exposure",
"childhood
"adulthood
"sexual
abuse"
"child-to-adulthood
exposure".
We
used
Cox
proportional
hazard
regression
with
CKD,
regression-based
mediation
decompose
total
effect,
gene-environment-wide
interaction
(GEWIS)
identify
interactions
genetic
loci
events.
During
median
follow-up
5.98
years,
2734
cases
incident
CKD
were
identified.
Compared
exposure"
pattern,
was
associated
increased
(hazard
ratio
1.37,
95%
CI
1.14
1.65).
BMI,
smoking
hypertension
mediated
11.45%,
9.79%,
4.50%
this
respectively.
Other
did
not
show
significant
results.
GEWIS
subsequent
analyses
indicated
that
magnitude
differed
according
polymorphisms,
identified
potential
underlying
pathways
(e.g.,
interleukin
1
receptor
activity).
These
findings
underscore
importance
incorporating
an
individual's
psychological
encounters
profiles
into
precision
prevention
CKD.
JAMA Network Open,
Journal Year:
2024,
Volume and Issue:
7(12), P. e2451806 - e2451806
Published: Dec. 20, 2024
Importance
Childhood
adverse
experiences
have
been
linked
with
long-term
risk
of
cardiovascular
disease
(CVD),
yet
the
transgenerational
associations
between
interparental
behaviors
and
CVD
remain
poorly
understood.
Objectives
To
explore
association
exposure
to
childhood
physical
violence
subsequent
examine
whether
is
modified
by
adult
depressive
symptoms.
Design,
Setting,
Participants
This
population-based
cohort
study
included
data
from
China
Health
Retirement
Longitudinal
Study
(CHARLS),
an
ongoing
recruiting
individuals
aged
45
years
or
older,
dated
June
1,
2011,
December
31,
2020,
a
follow-up
duration
9
years.
The
were
analyzed
October
2023,
May
10,
2024.
Exposures
An
early
life
questionnaire
information
on
frequency
witnessing
was
administered.
Depressive
symptoms
assessed
via
validated
10-item
Center
for
Epidemiologic
Studies
Depression
Scale.
Main
Outcomes
Measures
outcome
measures
self-reported
physician-diagnosed
heart
(defined
as
myocardial
infarction,
angina,
coronary
disease,
failure,
other
problems)
stroke.
Multivariate
Cox
proportional
hazards
regression
models
using
attained
age
time
scale
conducted.
Results
Of
10
424
participants,
mean
(SD)
58.1
(9.0)
years,
5332
(51.2%)
female,
872
(8.4%)
reported
violence.
Exposure
associated
increased
risks
adult-onset
(hazard
ratio
[HR],
1.36;
95%
CI,
1.20-1.55),
(HR,
1.17-1.57),
stroke
1.28;
1.03-1.61).
exposed
had
greater
prevalence
(2371
9335
participants
[25.4%]),
which
mediated
11.0%
1.26;
1.09-1.45).
Conclusions
Relevance
In
this
study,
higher
CVD,
partially
findings
emphasize
need
comprehensive
strategies
policy
efforts
that
address
social
determinants
provide
household
education
opportunities.
Heliyon,
Journal Year:
2024,
Volume and Issue:
10(20), P. e38908 - e38908
Published: Oct. 1, 2024
Highlights•Childhood
adversity
can
have
a
long-term
impact
on
mental
and
physical
health.•Inconsistency
of
identifying
childhood
by
professionals
across
sectors.•Professionals
could
benefit
from
training
related
to
its
impact.•Public
services
need
support
families
mitigate
the
adversity.AbstractAdversity
during
is
common
risk
factor
for
poorer
outcomes
physical,
mental,
social
health.
Despite
growing
evidence
policy
around
preventing
sequalae,
incidence
in
remains
high.
Child-facing
practitioners
(CfPs)
may
be
well
placed
identify
address
children.
This
study
investigated
understanding
current
practice
CfPs
working
Education
system,
Healthcare
Social
Care
England.
An
anonymous
online
survey
was
completed
113
between
April
June
2022.
Data
analysed
using
descriptive
statistics.
Participating
CfPs'
reported
range
assessment
tools
direct
observation,
but
there
lack
consistency
extent
which
different
types
were
explored
assessments.
system
only
liaising
with
when
worker
known
involved
family,
or
make
referral.
Indeed,
quarter
respondents
considered
early
life
experiences
capacity
allowed.
Over
half
this
did
not
know
agree
that
public
offer
interventions
experiencing
domestic
abuse,
parental
health
difficulties
addiction,
these
adversities
children's
wellbeing.
The
highlights
further
about
prevalence
inform
service
delivery.
A
review
routine
assessments
needed
ensure
exposure
routinely
identified;
will
facilitate
access
appropriate
such
experiences.