Globally, abuse history and depression are consistently linked in studies of adult women. Ironically few studies have examined this relationship in adolescence--female or male--a critical time for prevention efforts. Objective: This study examined the relationship between abuse history, depression, and suicide risk behaviors, while controlling for related risky behaviors. Methods: 1517 adolescents, ages 14 to 18, identified as at-risk for school failure, were randomly selected and invited to participate in the study. The sample was 50% male and ethnically diverse. Results: A high proportion of these youth (23%) reported physical (20%) or sexual (10%) abuse. Abuse was consistently and significantly associated with suicide risk behaviors including suicide ideation, threats, preparation/intent and prior suicide attempts (all p <.001). Both physical and sexual abuse were positively associated with feelings of anger/aggression, depression, and anxiety. Gender effects examined using multiple regression, controlling for age, revealed that abuse history (physical or sexual), drug involvement, and deviant behaviors were significant and generally independent predictors of depression, suicide ideation, intent, and suicide attempts. Importantly, the effect coefficients were similar for males and females, suggesting that although females are disproportionately abused, the impact of abuse is indistinguishable. The effects of abuse history on suicide-risk intervention outcomes will be described. Conclusions: The findings mount support for implementing suicide-risk screening protocols and indicated prevention for at-risk adolescents. Moreover, multifaceted programs are needed to address the complexities of these youth's problems. Additionally, the findings highlight the importance of intervention programs for adolescent males as well as females. See www.son.washington.edu/departments/pch/ry/
Learning Objectives: Following participation in this session, participants will be able to: (1)Identify key associations between physical and sexual abuse history, depression, anger/ aggression, and suicide-risk behaviors among at-risk adolescents. (2)Articulate the relative contribution of gender, abuse history, drug involvement, and other health-risk behaviors in predicting suicidal behaviors. (3)Extrapolate mental health implications for indicated preventive interventions based on this knowledge.
Keywords: Adolescent Health, Suicide
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.