Self-reported suicide attempts and exposure to different types of violence and neglect during childhood: Findings from a young adult population survey in Latvia
Restricted accessResearch articleFirst published online June, 2016
Self-reported suicide attempts and exposure to different types of violence and neglect during childhood: Findings from a young adult population survey in Latvia
Aims: Suicide rates in Latvia are among the highest in the EU. Among 18–25 year-old young adults, it is the second leading cause of death. This study investigates the prevalence of self-reported suicide attempts in young adults and examines its association with neglect or violence of a physical, emotional or sexual nature. Methods: A questionnaire was administered to 1259 young adults 18–25 years of age, selected by targeted quota sampling from secondary and vocational schools. Results: The prevalence of self-reported suicide attempts was 6.1%. Physical and emotional adverse experiences showed clear associations with attempted suicide. Although prevalence of reported physical neglect was higher than for physical violence (27.0% versus 16.3%, respectively) the latter posed a higher risk for attempted suicide (OR = 4.0; 95% CI, 2.4–6.6). Conversely, emotional violence had a higher prevalence than emotional neglect (31.5% vs. 23.6%, respectively), but neglect showed a stronger association with attempted suicide (OR = 4.4; 95% CI, 2.6–7.3). Conclusions: The high OR for attempted suicide associated with emotional neglect, together with findings that emotional violence had the highest prevalence, and that emotional neglect and emotional violence showed the highest population attributable risk fraction (PopAR%) of 46.8 and 40.4, respectively, suggested that emotional factors merit special attention in further investigations of attempted suicide among young adults in Latvia. The targeted quota sampling method from five cities representing all regions of Latvia and 43.8% of its population, ensure national relevance of our findings for policy and program development by legislative, educational and public health institutions.
VärnikP. Suicide in the world. Int J Environ Res Public Health2012;9:760–71.
2.
World Health Organization (WHO). Preventing suicide: A global imperative. Luxembourg: WHO, 2014, p.7.
3.
World Health Organization (WHO). European detailed mortality database, http://data.euro.who.int/dmdb/ (2014, accessed 9 October 2015).
4.
LepiksoneJMisiņšJPildavaS. Statistical yearbook of health care in Latvia. Riga: Centre for Disease Prevention and Control of Latvia, 2014, p.54.
5.
Public health strategy for 2014–2020. Adopted by Cabinet of Ministers Order No.589, http://polsis.mk.gov.lv/view.do?id=4965 (2014, accessed 24 February 2015).
6.
DubeSRAndaRFFelittiVJ. Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: Findings from the adverse childhood experiences study. J Am Med Ass2001;286: 3089–96.
7.
AgerboENordentoftMMortensenPB. Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. Brit Med J2002;325:74.
8.
HardtJSidorANickelR. Childhood adversities and suicide attempts: A retrospective study. J Family Violence2008;23:713–8.
9.
NormanREByambaaMDeR. The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-analysis. PLoS Med2012;9:1–31.
10.
BrezoJParisJVitaroF. Predicting suicide attempts in young adults with histories of childhood abuse. Brit J Psychiatry2008;193:134–139.
11.
EnnsMWCoxBJAfifiTO. Childhood adversities and risk for suicidal ideation and attempts: A longitudinal population-based study. Psychol Med2006; 36: 1769–78.
AndaRFFelittiVJBremnerJD. The enduring effects of abuse and related adverse experiences in childhood. A convergence of evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci2006;256:174–186.
14.
FifeRSScharagerS. Family violence. What health care providers need to know. Sudbury: Jones and Bartlett Learning, 2012, pp. 159,187–188.
15.
VelikaBGrinbergaDSpringeL. Adverse childhood experiences of young adults in Latvia. Report from the 2011 survey, 2012. Riga: Centre for Disease Prevention and Control of Latvia.
16.
StrausMAHambySLFinkelhorD. Identification of child maltreatment with the Parent-Child Conflict Tactics Scales: Development and psychometric data for a national sample of American parents. Child Abuse Negl1998;22:249–270.
17.
WyattGE. The sexual abuse of Afro-American and white-American women in childhood. Child Abuse Negl1985;9:507–519.
18.
BernsteinDPFinkLHandelsmanL. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry1994;151:1132–1136.
19.
LevinMLBertellR. RE: “Simple estimation of population attributable risk from case-control studies.”Am J Epidemiol1978;108:78–79.
20.
AfifiTOEnnsMWCoxBJ. Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. Am J Public Health2008;98:946–952.
21.
NorlevJDavidsenMSundaramV. Indicators associated with suicidal ideation and suicide attempts among 16–35 year-old Danes: A national representative population study. Suicide Life Threat Behav2005;35:291–308.
22.
RockhillBNewmanBWeinbergC. Use and misuse of population attributable fractions. Am J Public Health1998;88:15–19.
23.
SebreSSprugevicaINovotniABonevskiD. Cross-cultural comparisons of child-reported emotional and physical abuse: Rates, risk factors and psychosocial symptoms. Child Abuse Negl2004;28:113–27.
24.
DubeSRMillerJWBrownDW. Adverse childhood experiences and the association with ever using alcohol and initiating alcohol use during adolescence. J Adolesc Health2006;38:444, e1–10.
25.
BellisMALoweyHLeckenbyN. Adverse childhood experiences: Retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population. J Public Health2014;36:81–91.
26.
AnnerbackEMWingrenGSvedinCG. Prevalence and characteristics of child physical abuse in Sweden: Findings from a population-based youth survey. Acta Paediatr2010;99:1229–36.
27.
StoltenborghMVan IjzendoornMHEuserEM. A global perspective on child sexual abuse: Meta-analysis of prevalence around the world. Child Maltreatment2011;16:79–101.
28.
NelsonECHeathACMaddenPF. Association between self-reported childhood sexual abuse and adverse psychosocial outcomes: Results from a twin study. Arch Gen Psychiatry2002;59:139–145.
29.
HardtJRutterM. Validity of adult retrospective reports of adverse childhood experiences: Review of the evidence. J Child Psychol Psychiatr2004;45:260–273.
