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Overlap Between Exposure to Suicidal Behavior and Indirect Interpersonal Violence: Evidence for a More Integrated
Kimberly J Mitchell1, Victoria Banyard2, Michele Ybarra3
1University of New Hampshire, Durham, USA.
Journal of Interpersonal Violence
|April 18, 2023
Summary
Exposure to interpersonal violence and suicidal behavior significantly increases depressed mood and substance use in adolescents. Combined exposure is particularly impactful, highlighting the need for comprehensive trauma assessments.
Area of Science:
- Adolescent mental health
- Trauma and violence studies
- Public health
Background:
- Adolescents face significant risks from indirect exposure to interpersonal violence and suicidal behavior.
- Understanding the co-occurrence of these exposures is crucial for mental health interventions.
- Sexual and gender minority youth are an oversampled group in this study, indicating a focus on vulnerable populations.
Purpose of the Study:
- To examine the overlap between indirect exposure to interpersonal violence and suicidal behavior in adolescents.
- To assess the impact of co-occurring exposures on depressed mood and substance use.
- To inform more comprehensive trauma assessment strategies for youth.
Main Methods:
- A national sample of 3,917 adolescents aged 14-15 years was recruited online.
- Data collection occurred between June 2018 and March 2020.
- Statistical analyses, including adjusted odds ratios, were used to determine associations between exposures and outcomes.
Main Results:
- 81.3% of youth reported exposure to indirect interpersonal violence and/or suicidal behavior.
- Youth exposed to interpersonal violence were nearly three times more likely to report suicidal behavior exposure.
- Combined exposure to interpersonal violence and suicidal behavior significantly increased the likelihood of depressed mood (OR=5.63) and substance use (OR=4.87).
Conclusions:
- The co-occurrence of indirect interpersonal violence and suicidal behavior exposure has a particularly detrimental impact on adolescent mental health.
- Adolescent trauma assessments must be comprehensive, including indirect violence and awareness of others' suicidal behaviors.
- Findings underscore the need for targeted interventions for adolescents exposed to these adverse experiences.
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