Conference presentation: ACE and suicide behavior at NAOP

The below abstract was presented as part of the symposium at NAOP 2023 in Ahmedabad.

Abstract # 4: A pilot study to understand the presence of adverse childhood experiences (childhood trauma) in adults with a history of suicide attempts at a well-being center in India

Presenter: Neha Pandya

Other contributors: Gunjan Y Trivedi, Hemalatha Ramani, Riri G Trivedi

Abstract:

Background:

Suicide is India’s leading cause of death among adolescents and young adults. Evidence has highlighted the link between adverse childhood experiences (ACE) and suicidal behavior. The study attempts to understand the presence of ACEs among individuals with a history of suicide attempts at a well-being center in India.

Objective:

The study aimed to understand the prevalence of ACEs in subjects with a history of suicide attempts.

Methods:

The individuals who approached the center seeking help with various mental health issues were assessed based on presenting symptoms. A follow-up interview was conducted to review the ACEs and understand any history of suicide attempts. The descriptive statistics data (N=50) with a self-reported history of suicide attempts was summarised to study the presence of several ACEs. During the interview, suicide attempts were distinguished from suicidal ideation and self-harm. It should be highlighted here that 1 in 5 suicide ideations could become an actual suicide attempt.

Results:

The findings indicate several ACEs, specifically repeated exposure to abuse (emotional, physical, and sexual), emotional neglect, peer isolation, regular fights between parents, and caregivers’ mental health issues, are present in the individuals who reported having a history of suicide attempts. This confirms the role of ACEs in suicidal behaviour across the lifespan.

Conclusion:

Several interpersonal and home environment-related traumas were identified in individuals with self-reported suicide attempt. Based on the assessment at a wellness center, the findings suggest a strong influencing role for these ACEs in individuals with a history of suicide attempts.

Keywords: Suicidal behavior, Suicide attempt, Adverse Childhood Experiences (ACE), Childhood Trauma (or Inner Child)

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