Yuhui Wan|Ruoling Chen|Shuangshuang Ma|Danielle McFeeters|Ying Sun|Jiahu Hao|Fangbiao Tao
Associations of adverse childhood experiences and social support with self-injurious behaviour and suicidality in adolescents
Anhui Medical University|University of Wolverhampton|University of Wolverhampton|Anhui Medical University|University of Wolverhampton|Anhui Medical University|Anhui Medical University|Anhui Medical University
background little investigation interaction effects adverse childhood experiences aces social support nonsuicidal selfinjury nssi suicidal ideation suicide attempt community adolescent populations gender differences effects aims examine individual interaction effects aces social support nssi suicidal ideation suicide attempt adolescents explore gender differences method schoolbased health survey conducted three provinces china 20132014 total 14 820 students aged 1020 years completed standard questionnaires record details aces social support nssi suicidal ideation suicide attempt results included participants 894 reported one category aces 12month prevalence nssi suicidal ideation suicide attempt 261 175 44 respectively significantly associated increased aces lower social support multiple adjusted odds ratio nssi low versus high social support 227 95 ci 185267 girls 181 95 ci 153214 boys ratio ratio two odds ratios ror 125 p 0037 girls high aces scores 56 moderate low social support also higher risk suicide attempt boys rors 234 184 202 respectively p lt 005 conclusions aces low social support associated increased risk nssi suicidality chinese adolescents strategies improve social support particularly among female adolescents high number aces integral component targeted mental health interventions declaration interest none