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Identification of adverse childhood experiences strongly predicting suicidal behaviour among emerging adults in Montenegro and Romania: A new way to targeted cost-effective prevention

Brajović, M, Bellis, M, Kukec, A, Terzić, N, Baban, A, Sethi, D and Zaletel-Kragelj, L (2018) Identification of adverse childhood experiences strongly predicting suicidal behaviour among emerging adults in Montenegro and Romania: A new way to targeted cost-effective prevention. Annali dell'Istituto Superiore di Sanita, 54 (4). pp. 348-357. ISSN 0021-2571

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Open Access URL: https://doi.org/10.4415/ANN_18_04_12 (Published version)

Abstract

Introduction. Aiming at generating evidence for cost-effective public health (PH) interventions for suicidal behaviour (SB) prevention in South Eastern Europe, the objective was to identify adverse childhood experiences (ACEs) most strongly predicting SB in emerging adults. Methods. Survey data of 3283 students aged 18-29 from Montenegro and Romania were analysed by logistic regression. Based on estimation of risk-for-SB, the profiles with the highest values were identified. Results. The SB odds were the highest in respondents, experienced a suicide attempt in the household (OR: 13.81; p < 0.001), and whose primary family was not complete, in particular in those with the foster family background (OR: 18.30; p = 0.001). Conclusions. Magnitude of impact on emerging adults' mental health vulnerability tends to vary considerably with individual ACEs. This should be considered carefully when developing cost-effective response to SB burden through PH interventions in particular at the times of financial crises and in scarce resources settings.

Item Type: Article
Uncontrolled Keywords: Humans; Risk Assessment; Suicide; Suicide, Attempted; Students; Adolescent; Adult; Child; Cost-Benefit Analysis; Romania; Female; Male; Montenegro; Young Adult; Suicidal Ideation; Surveys and Questionnaires; Adverse Childhood Experiences; Adolescent; Adult; Adverse Childhood Experiences; Child; Cost-Benefit Analysis; Female; Humans; Male; Montenegro; Risk Assessment; Romania; Students; Suicidal Ideation; Suicide; Suicide, Attempted; Surveys and Questionnaires; Young Adult; 0707 Veterinary Sciences; 1117 Public Health and Health Services; Toxicology
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Istituto Superiore di Sanità ISS
SWORD Depositor: A Symplectic
Date Deposited: 21 Dec 2022 14:34
Last Modified: 21 Dec 2022 14:34
DOI or ID number: 10.4415/ANN_18_04_12
URI: https://researchonline.ljmu.ac.uk/id/eprint/18484
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