Combined effect of adverse childhood experiences and young age on self-harm ideation among postpartum women in Japan

2019 ◽  
Vol 253 ◽  
pp. 410-418 ◽  
Author(s):  
Satomi Doi ◽  
Takeo Fujiwara
Keyword(s):  
Adverse Childhood Experiences ◽  
Young Age ◽  
Combined Effect ◽  
Postpartum Women ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Self Harm

scholarly journals Combined effect of adverse childhood experiences and young age on self-harm ideation after birth

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Doi ◽  
T Fujiwara
Keyword(s):  
Risk Factors ◽  
Adverse Childhood Experiences ◽  
Combined Effect ◽  
Postpartum Women ◽  
Prevention Strategies ◽  
Childhood Experiences ◽  
Multiple Risk Factors ◽  
Adverse Childhood ◽  
Younger Age ◽  
Self Harm

Abstract Background Suicide among postpartum women is a new and emerging issue in developed countries. However, little is known about the combined effect of risk factors on self-harm ideation, although various risk factors have been found. The aim of this study is to examine the combined effect of maternal adverse childhood experiences and maternal age on self-harm ideation among postpartum women. Methods The study comprised a cross-sectional study of 8,074 mothers participating in a 3-month health checkup between September 2013 and August 2014 in City A, Prefecture A, Japan. Main outcome was self-harm ideation assessed using the Edinburgh Postnatal Depression Scale (EPDS), item 10. Possible risk factors were maternal adverse childhood experiences (ACEs), maternal characteristics, relationship with husband/partner (e.g., feelings when pregnancy was confirmed), household characteristics, child characteristics (e.g., age, sex, birth weight), and postpartum characteristics, and postpartum depression status other than self-harm ideation. Results Postpartum women with 3 or more ACEs and younger age (<25 years old) were 10.3 times more likely than those with no ACEs and older age to have self-harm ideation (95%CI=5.3-20.2). This combined effect was also found in first-time mothers (OR = 7.6, 95%CI=3.2-17.9). Conclusions Postpartum women with 3 or more ACEs and who were younger than 25 years old were at a high risk for self-harm ideation. Providing prevention strategies aimed at mothers with multiple risk factors, especially younger age and ACEs, is warranted. Key messages Mothers with 3 or more ACEs and younger age had a high self-harm ideation risk. Providing prevention strategies for mothers with multiple risk factors is warranted.

scholarly journals Associations between Adverse Childhood Experiences and Sexual Risk among Postpartum Women

2021 ◽  
Vol 18 (7) ◽  
pp. 3848
Author(s):  
Jordan L. Thomas ◽  
Jessica B. Lewis ◽  
Jeannette R. Ickovics ◽  
Shayna D. Cunningham
Keyword(s):  
Sexual Risk ◽  
Postpartum Period ◽  
Adverse Childhood Experiences ◽  
Reproductive Age ◽  
Postpartum Women ◽  
Convenience Sample ◽  
Childhood Experiences ◽  
Repeat Pregnancy ◽  
Rapid Repeat Pregnancy ◽  
Adverse Childhood

Epidemiological evidence suggests that exposure to adverse childhood experiences (ACEs) is associated with sexual risk, especially during adolescence, and with maternal and child health outcomes for women of reproductive age. However, no work has examined how ACE exposure relates to sexual risk for women during the postpartum period. In a convenience sample of 460 postpartum women, we used linear and logistic regression to investigate associations between ACE exposure (measured using the Adverse Childhood Experiences Scale) and five sexual risk outcomes of importance to maternal health: contraceptive use, efficacy of contraceptive method elected, condom use, rapid repeat pregnancy, and incidence of sexually transmitted infections (STIs). On average, women in the sample were 25.55 years of age (standard deviation = 5.56); most identified as Black (60.4%), White (18%), or Latina (14.8%). Approximately 40% were exposed to adversity prior to age 18, with the modal number of experiences among those exposed as 1. Women exposed to ACEs were significantly less likely to use contraception; more likely to elect less-efficacious contraceptive methods; and used condoms less frequently (p = 0.041 to 0.008). ACE exposure was not associated with rapid repeat pregnancy or STI acquisition, p > 0.10. Screening for ACEs during pregnancy may be informative to target interventions to reduce risky sexual behavior during the postpartum period.

Childhood predictors and moderators of lifetime risk of self-harm in girls with and without attention-deficit/hyperactivity disorder

2020 ◽  
pp. 1-17
Author(s):  
Jocelyn I. Meza ◽  
Elizabeth B. Owens ◽  
Stephen P. Hinshaw
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Adverse Childhood Experiences ◽  
Externalizing Symptoms ◽  
Self Esteem ◽  
Lifetime Risk ◽  
Childhood Experiences ◽  
Hyperactivity Disorder ◽  
Adverse Childhood ◽  
Self Harm ◽  
Childhood Predictors

Abstract Attention-deficit/hyperactivity disorder (ADHD) is associated with self-harm during adolescence and young adulthood, especially among females. Yet little is known about the developmental trajectories or childhood predictors/moderators of self-harm in women with and without childhood histories of ADHD. We characterized lifetime risk for nonsuicidal self-injury (NSSI), suicidal ideation (SI), and suicide attempts (SA), comparing female participants with (n = 140) and without (n = 88) childhood ADHD. We examined theory-informed childhood predictors and moderators of lifetime risk via baseline measures from childhood. First, regarding developmental patterns, most females with positive histories of lifetime self-harm engaged in such behaviors in adolescence yet desisted by adulthood. Females with positive histories of self-harm by late adolescence emanated largely from the ADHD-C group. Second, we found that predictors of NSSI were early externalizing symptoms, overall executive functioning, and father's negative parenting; predictors of SI were adverse childhood experiences and low self-esteem; and predictors of SA were early externalizing symptoms, adverse childhood experiences, and low self-esteem. Third, receiver operating characteristics analyses helped to ascertain interactive sets of predictors. Findings indicate that pathways to self-harm are multifaceted for females with ADHD. Understanding early childhood predictors and moderators of self-harm can inform both risk assessment and intervention strategies.

scholarly journals ADVERSE CHILDHOOD EXPERIENCE DAN DELIBERATE SELF HARM PADA REMAJA DI INDONESIA

2021 ◽  
Vol 9 (1) ◽  
pp. 16
Author(s):  
Anindya Dewi Paramita ◽  
Andi Tenri Faradiba ◽  
Khintan Sucitasari Mustofa
Keyword(s):  
Adverse Childhood Experiences ◽  
Measuring Instruments ◽  
Adverse Childhood Experience ◽  
Online Questionnaire ◽  
Childhood Experience ◽  
Childhood Experiences ◽  
Probability Sampling ◽  
Deliberate Self Harm ◽  
Adverse Childhood ◽  
Self Harm

Self-injurious behavior or acts of self-harm that are commonly found in adolescents are form of channeling negative emotions to deal with emotional pain. One reason for this pain was exposure to unpleasant experiences called adverse childhood experiences. This study aims to explore the detrimental effect of experience on self-harm in adolescents. This study used two measuring instruments, the Deliberate Self-Harm Inventory (DSHI) was used to measure DSH and Adverse Childhood Experience Quesionnaire (ACE.Q) was used to measure ACE. There were 168 respondents in the study who participated filling online questionnaire and they were gathered through non-probability sampling technique. The result showed that there was a positive correlation between adverse childhood experiences on self-harm with a sig value of 0.035 <0.05. This means that the higher the ACE, the higher the DSH. Perilaku melukai diri sendiri atau deliberate self-harm (DSH) banyak ditemukan pada remaja sebagai bentuk penyaluran emosi secara negatif untuk mengatasi rasa sakit secara emosional. Salah satu penyebab rasa sakit tersebut adalah adanya paparan pengalaman tidak menyenangkan yang disebut dengan adverse childhood experience (ACE). Penelitian ini bertujuan untuk mengetahui pengaruh adverse childhood experience terhadap deliberate self-harm pada remaja di Indonesia. Penelitian ini menggunakan dua alat ukur, yaitu Deliberate Self-Harm Inventory (DSHI) untuk mengukur DSH dan Adverse Childhood Experience Quesionnaire (ACE.Q) untuk mengukur ACE. Terdapat 168 responden dalam penelitian ini yang diperoleh secara online melalui teknik non-probability sampling. Hasil penelitian menunjukkan bahwa terdapat korelasi positif antara adverse childhood experience terhadap deliberate self-harm dengan nilai sig 0,035 < 0,05. Artinya, semakin tinggi adverse childhood experience maka semakin tinggi pula kecenderungan melakukan deliberate self-harm     

scholarly journals Adverse Childhood Experiences and Hospital-Treated Self-Harm

2018 ◽  
Vol 15 (6) ◽  
pp. 1235 ◽  
Author(s):  
Seonaid Cleare ◽  
Karen Wetherall ◽  
Andrea Clark ◽  
Caoimhe Ryan ◽  
Olivia Kirtley ◽  
...  
Keyword(s):  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Self Harm

scholarly journals Adverse childhood experiences and adult self-harm in a female forensic population

2021 ◽  
pp. 1-5
Author(s):  
Rachel Holden ◽  
Imogen Stables ◽  
Penelope Brown ◽  
Maria Fotiadou
Keyword(s):  
Adverse Childhood Experiences ◽  
Emotional Abuse ◽  
Forensic Population ◽  
Cross Sectional ◽  
Childhood Experiences ◽  
Trauma Informed Care ◽  
Adverse Childhood ◽  
Self Harm ◽  
Forensic Psychiatric ◽  
The Individual

Aims and method This study aimed to investigate the prevalence of adverse childhood experiences (ACEs) among patients in a female forensic psychiatric in-patient medium-secure unit, and to analyse the link between ACEs, adulthood self-harm and associated comorbidities and risk factors. The study used a cross-sectional design, with data gathered from the anonymised electronic health records of patients. Results It was found that there was a high prevalence of both ACEs and self-harm among this patient group, and that there was a relationship between the two; those with more ACEs were more likely to have self-harmed during adulthood. Of the individual ACE categories, it was also demonstrated that emotional abuse had a significant association with adulthood self-harm. Clinical implications In medium-secure settings for women, implementation of trauma-informed care will be beneficial because of the high number of those with mental disorders who have experienced adversity during their childhood.

scholarly journals Inflammation does not mediate an adverse childhood experience– self-harm risk association

2019 ◽  
Keyword(s):  
Adverse Childhood Experiences ◽  
Adverse Childhood Experience ◽  
Childhood Experience ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Inflammatory Processes ◽  
Self Harm ◽  
The Uk ◽  
Risk Association

Inflammation has been proposed to be a candidate mechanism contributing to the association between exposure to adverse childhood experiences (ACEs) and the risk of self-harm. In the first study of its kind, researchers in the UK have now directly studied whether inflammatory processes do indeed mediate this association.

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