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Population Attributable Fractions of psychopathology and suicidal behaviour associated with childhood adversities in Northern Ireland

McLafferty, Margaret, O'Neil, Siobhan, Murphy, Sam, Armour, Cherie and Bunting, Brendan (2018) Population Attributable Fractions of psychopathology and suicidal behaviour associated with childhood adversities in Northern Ireland. Child Abuse & Neglect, 77 . pp. 35-45. [Journal article]

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URL: https://www.sciencedirect.com/science/article/pii/S0145213417304635?via%3Dihub

DOI: 10.1016/j.chiabu.2017.12.015

Abstract

Childhood adversities are strong predictors of psychopathology and suicidality. However, specific adversities are associated with different outcomes, with cross-national variations reported. The current study examined rates of adversities reported in Northern Ireland (NI), and associations between adverse childhood experiences and psychopathology and suicidal behaviour were explored. Data was obtained from the Northern Ireland Study of Health and Stress (NISHS), conducted as part of the World Mental Health (WMH) survey initiative (2004–2008); response rate 68.4% (n=1,986). The on-line survey used, the WHO Composite International Diagnostic Interview (CIDI) to examine psychopathology and associated risk factors in the NI population. Prevalence rates of retrospectively reported childhood adversities were calculated, with gender and age variations explored. Females were more likely to experience sexual abuse. Individuals who grew up during the worst years of the civil conflict in NI experienced elevated levels of childhood adversities. Participants who endured childhood adversities were more likely to have mental health problems but variations in risk factors were found for different disorders. Parental mental illness was associated with all disorders however, with ORs ranging from 2.20 for mood disorders to 4.07 for anxiety disorders. Population attributable fractions (PAF) estimated the reduction in psychopathology and suicidal behaviour in the population if exposure to adverse childhood events had not occurred. The highest PAF values were revealed for parental mental illness and sexual abuse. The findings indicate that a substantial proportion of psychopathology and suicide risk in NI are attributable to childhood adversities, providing support for early intervention and prevention initiatives.

Item Type:Journal article
Keywords:mental health, Northern Ireland, Childhood Adversities
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Psychotraumatology, Mental Health & Suicidal Behaviour
Psychology Research Institute > Population Health Sciences and Mental Health Services
Psychology Research Institute
ID Code:39565
Deposited By: Professor Siobhan O'Neill
Deposited On:28 Feb 2018 15:44
Last Modified:22 May 2018 12:18

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