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Suicide Attempts and Childhood Maltreatment Among Street Youth: A Prospective Cohort Study

Pediatrics (Evanston), 2015-09, Vol.136 (3), p.440-449 [Peer Reviewed Journal]

Copyright © 2015 by the American Academy of Pediatrics. ;Copyright American Academy of Pediatrics Sep 2015 ;Copyright © 2015 by the American Academy of Pediatrics 2015 ;ISSN: 0031-4005 ;EISSN: 1098-4275 ;DOI: 10.1542/peds.2015-1108 ;PMID: 26240210 ;CODEN: PEDIAU

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Title:
Suicide Attempts and Childhood Maltreatment Among Street Youth: A Prospective Cohort Study
Author: Hadland, Scott E ; Wood, Evan ; Dong, Huiru ; Marshall, Brandon D L ; Kerr, Thomas ; Montaner, Julio S ; DeBeck, Kora
Subjects: Adolescent ; Adult ; Analysis ; Canada - epidemiology ; Child abuse & neglect ; Child Abuse - psychology ; Child Abuse - statistics & numerical data ; Children & youth ; Female ; Health aspects ; Homeless Youth - psychology ; Homeless Youth - statistics & numerical data ; Humans ; Illegal drugs ; Incidence ; Male ; Pediatrics ; Prevalence ; Prevention ; Prospective Studies ; Psychological aspects ; Risk Factors ; Suicidal behavior ; Suicidal behaviour ; Suicidal Ideation ; Suicide, Attempted - psychology ; Suicide, Attempted - statistics & numerical data ; Suicides & suicide attempts ; Teenagers ; Trauma ; Young Adult ; Youth
Is Part Of: Pediatrics (Evanston), 2015-09, Vol.136 (3), p.440-449
Description: Although suicide is a known leading cause of death among street youth, few prospective studies have explored childhood experiences as risk factors for future suicide attempt in this population. We examined the risk of attempted suicide in relation to childhood maltreatment among street youth. From September 2005 to November 2013, data were collected from the At Risk Youth Study (ARYS), a prospective cohort of street youth in Vancouver, Canada. Inclusion criteria were age 14 to 26 years, past-month illicit drug use, and street involvement. Participants completed the Childhood Trauma Questionnaire, an instrument measuring self-reported sexual, physical, and emotional abuse and physical and emotional neglect. Suicide attempts were assessed semiannually. Using Cox regression, we examined the association between the 5 types of maltreatment and suicide attempts. Of 660 participants, 68.2% were male and 24.6% were Aboriginal. Median age was 21.5 years. The prevalence of moderate to extreme childhood maltreatment ranged from 16.8% (sexual abuse) to 45.2% (emotional abuse). Participants contributed 1841 person-years, with suicide attempts reported by 35 (5.3%) individuals (crude incidence density: 1.9 per 100 person-years; 95% confidence interval [CI]: 1.4-2.6 per 100 person-years). In adjusted analyses, types of maltreatment associated with suicide attempts included physical abuse (adjusted hazard ratio [HR]: 4.47; 95% CI: 2.12-9.42), emotional abuse (adjusted HR: 4.92; 95% CI: 2.11-11.5), and emotional neglect (adjusted HR: 3.08; 95% CI: 1.05-9.03). Childhood maltreatment is associated with subsequent risk of suicidal behavior among street youth. Suicide prevention efforts should be targeted toward this marginalized population and delivered from a trauma-informed perspective.
Publisher: United States: American Academy of Pediatrics
Language: English
Identifier: ISSN: 0031-4005
EISSN: 1098-4275
DOI: 10.1542/peds.2015-1108
PMID: 26240210
CODEN: PEDIAU
Source: MEDLINE
Alma/SFX Local Collection

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Suicide Attempts and Childhood Maltreatment Among Street Youth: A Prospective Cohort Study

Copyright © 2015 by the American Academy of Pediatrics. ;Copyright American Academy of Pediatrics Sep 2015 ;Copyright © 2015 by the American Academy of Pediatrics 2015 ;ISSN: 0031-4005 ;EISSN: 1098-4275 ;DOI: 10.1542/peds.2015-1108 ;PMID: 26240210 ;CODEN: PEDIAU

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