Association between childhood maltreatment and suicide among rural adolescents
10.16835/j.cnki.1000-9817.2021.11.012
- VernacularTitle:农村青少年童年期虐待与自杀行为的关联
- Author:
ZHANG Yanmei, YU Yizhen, TANG Jie, KANG Chun, RONG Fajuan, YANG Haijun, YANG Min, WEI Sha
1
Author Information
1. Department of Preventive Medicine, College of Basic Medicine, Hubei University of Chinese Medicine, Wuhan(430065), China
- Publication Type:期刊文章
- Keywords:
Child abuse;
Suicide;
Mental heatlh;
Regression analysis;
Adolescent;
Rural population
- From:
Chinese Journal of School Health
2021;42(11):1650-1654
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study explored the relationship between childhood maltreatment and adolescent suicide provides a scientific basis for suicide prevention strategies.
Methods:A total of 16 271 middle and high school students from rural areas in Anhui, Guangdong, Yunnan, Heilongjiang and Hubei provinces were enrolled through multi stage stratified cluster random sampling. Structured questionnaires were used to collect information on participants general information, childhood neglect, abuse, suicide ideation, suicide plans and suicide attempts in the 12 months prior to the survey. Multivariate Logistic regression models were used to analyze the associations of childhood neglect and childhood maltreatment with suicide ideation, suicide plans and suicide attempts.
Results:The number of suicide ideations, suicide plans and suicide attempts among rural adolescents were 2 453( 15.1 %), 1 164(7.2%) and 572(3.5%), respectively. The number of cases of childhood neglect, moderate physical abuse and severe physical abuse were 10 756(66.1%), 4 311(26.5%) and 703(4.3%), respectively. Univariate analysis showed that childhood neglect and abuse were significantly associated with suicide ideation, suicide plans and suicide attempts( P <0.05). After controlling for age, gender, only children, parental education level, income, emotional management and social support, childhood neglect and abuse remained significantly correlated with suicide ideation, suicide plans and suicide attempts( OR =1.62-5.14, P <0.05); the OR(OR 95%CI) for severe physical abuse were 3.00(2.49-3.62), 3.52(2.81-4.40),5.14(3.87-6.83) respectively.
Conclusion:Childhood neglect and abuse may increase the risk of suicide among adolescents in rural China, and effective measures should be taken to reduce childhood neglect and abuse and prevent suicide.
