The findings confirmed our hypothesis that both individual and collective ETV independently affect the mental health of adolescents. Contrary to expectations, individual exposures did not consistently have a greater negative effect on health outcomes than collective exposures, although the sub-scale of direct personal exposures to violence consistently showed the strongest effect among sub-scales. The results emphasize the importance of going beyond individual experiences and including the health outcomes of collective violation when analyzing violent and traumatic contexts.

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This cohort study uses data from linked health and administrative databases in Ontario, Canada, to investigate health care use and costs among children, adolescents, and young adults diagnosed with somatic symptom and related disorders.