Background
Although child maltreatment is a well documented risk factor for
suicidal behavior, little is known about whether the timing of child
maltreatment differentially associates with risk of suicidal ideation,
suicide plans, or suicide attempts. The goal of this study was to examine
whether a first exposure to physical or sexual abuse during specific
developmental periods significantly elevated risk for suicidal behavior in
adolescents.
Methods
Data came from the National Comorbidity Survey Adolescent Supplement,
a population-based sample of US adolescents aged 13–18 years old
(n = 9,272). Using discrete time survival
analysis, we assessed the association between timing of first abuse (early
childhood: ages 0–5; middle childhood: ages 6–10;
adolescence: ages 11–18) and suicidal ideation, plans, and
attempts.
Results
Exposure to either physical or sexual abuse increased the odds of
reporting suicidal ideation (odds ratio [OR] = 5.06
and OR = 3.56, respectively), plans (OR = 3.63 and OR
= 3.58, respectively), and attempts (OR = 5.80 and OR
= 4.21, respectively), even after controlling for sociodemographic
covariates and psychiatric disorders. However, the timing of physical and
sexual abuse exposure was unassociated with suicidal behavior (all
p values >.05).
Conclusions
Exposure to child maltreatment is strongly associated with risk for
adolescent suicidal behaviors, though this association did not vary based on
the developmental timing of first exposure. These findings suggest that
prevention efforts should be implemented throughout early development and
target all children, regardless of when they were first exposed.