Population Attributable Fractions of Psychiatric Disorders and Suicide Ideation and Attempts Associated With Adverse Childhood Experiences

Department of Community Health Sciences at the University of Manitoba, PZ-430771 Bannatyne Ave, Winnipeg, Manitoba, Canada R3E 3N4.
American Journal of Public Health (Impact Factor: 4.55). 06/2008; 98(5):946-52. DOI: 10.2105/AJPH.2007.120253
Source: PubMed


We sought to determine the fractions of psychiatric disorders and suicide ideation and attempts in a general population sample attributable to childhood physical abuse, sexual abuse, and witnessing domestic violence.
Data were obtained from the US National Comorbidity Survey Replication. Population attributable fractions were calculated to determine the proportion of psychiatric disorders and suicide ideation and attempts attributable to adverse childhood experiences. The analysis was stratified by gender.
The estimated attributable fractions for psychiatric disorders attributable to having experienced any adverse childhood event ranged from 22% to 32% among women and 20% to 24% among men. Having experienced any adverse event accounted for a substantial proportion of suicide ideation and attempts among women (16% and 50%, respectively) and men (21% and 33%, respectively). Substantial proportions of poor mental health outcomes were also attributable to increasing number of adverse events.
The estimated proportions of poor mental health outcomes attributed to childhood adversity were medium to large for men and women. Prevention efforts that reduce exposure to adverse childhood events could substantially reduce the prevalence of psychopathology and suicidal behavior in the general population.

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    • "s of child maltreatment with adverse mental and physical health outcomes ( Chen et al . , 2010 ; Norman et al . , 2012 ) . Experiencing at least one form of child maltreatment may double the risk of developing mental health problems such as depressive and anxiety disorders , and increase the risk of self - harm and suicidal ideation and attempts ( Afifi et al . , 2008 ; Chen et al . , 2010 ; Devries et al . , 2014 ; Norman et al . , 2012 ) . The four types of child maltreatment are highly interrelated ( Dong et al . , 2004 ; Finkelhor , 2008 ; Finkelhor , Ormrod , & Turner , 2007 ; Jirapramukpitak , Prince , & Harpham , 2005 ; Mullen , Martin , Anderson , Romans , & Herbison , 1996 ; Teicher , Samson"
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    • "Epidemiological studies support the idea that PG and PGD is comorbid with a range of disorders including, but not limited to, substance abuse, personality disorders, mood disorders, and anxiety disorders (Cunningham-Williams et al., 1998; Petry et al., 2005; Pietrzak, Morasco, Blanco, Grant, & Petry, 2007; Sacco, Cunningham-Williams, Ostmann, & Spitznagel, 2008). Likewise, a large body of research has implicated ACEs in adult psychopathology inclusive of mood disorders, anxiety disorders, substance use disorders, and personality disorders (Afifi et al., 2008; Chapman, Dube, & Anda, 2007; Norman et al., 2012). "
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