TRAUMA EXPOSURE AND RISK OF SUICIDAL IDEATION AMONG ETHNICALLY DIVERSE ADULTS: Research Article: Trauma Exposure and Risk of Suicidal Ideation
Open accessAbstract
BACKGROUND: Little is known about the association between trauma exposure and suicidal ideation across racial/ethnic groups. Our study aim was to determine the association between trauma exposure and suicidal ideation in a nationally representative ethnically diverse sample of adults. METHODS: This study included 14,866 White, Hispanic, Black, and Asian participants 18 years and older involved in the Collaborate Psychiatric Epidemiology Surveys (2001-2003), comprised of three nationally representative studies (NCS-R, NSAL, and NLAAS). Lifetime history of suicidal ideation as assessed in the World Health Organization's World Mental Health Survey Initiative version of the Composite International Diagnostic Interview (WMH-CIDI). RESULTS: Of the 81% respondents who reported being exposed to trauma as assessed in the WMH-CIDI, 12.1% endorsed lifetime suicidal ideation. Additionally, of the 19% who did not report trauma, 1.1% endorsed lifetime suicidal ideation. Fully adjusted, multivariable logistic regression models revealed two traumas consistently associated with significantly higher odds for suicidal ideation across all four racial groups examined: Assaultive/interpersonal violence and child maltreatment. Asians, in particular, had the highest likelihood for suicidal ideation in both trauma categories, with a near threefold increased odds for assaultive/interpersonal violence exposure (OR: 2.56; 95% CI: 1.71-3.83) and nearly ninefold increased odds for child maltreatment exposure (OR: 8.43; 95% CI: 4.91-14.49). DISCUSSION: Suicidal ideation in racially/ethnically diverse American adults is strongly associated with assaultive/interpersonal violence and child maltreatment, independent of PTSD, MDD, and substance use. These findings highlight the need for monitoring of suicidal behavior following assaultive/interpersonal trauma and child maltreatment, regardless of the presence of a psychiatric disorder.
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Exposure to child maltreatment is associated with 9-fold odds for suicidal ideation.
“Evidence indicates that exposure to child maltreatment was associated with 9-fold odds for suicidal ideation (Beristianos, Maguen, Neylan, & Byers, 2016)”
From Guest Editors' Introduction to the Special Section: Cultural Adaptation of Mental Health Interventions for Americans of East Asian Descent (2019) · cites this paper as Beristianos, Maguen, Neylan, & Byers, 2016
The Results (‘Risk of Suicidal Ideation’) report almost 9-fold odds after child maltreatment exposure, but only among Asian respondents in the fully adjusted model. The corresponding odds were nearly 4-fold for White and Black respondents and nearly 5-fold for Hispanic respondents, so the citing sentence omits a qualifier essential to its numerical claim. (LLM, conf=0.92)
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References 26 · Cited by 48
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- Authors
- Beristianos, M. H., Maguen, S., Neylan, T. C., & Byers, A. L.
- Affiliations
- Alliant University (US)
- San Francisco VA Medical Center (US)
- Corresponding author
- Beristianos, Matthew H.
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2016-03-17
- Volume
- 33
- Issue
- 6
- Pages
- 495-501
- ISSN
- 1091-4269 (ISSN-L)
- PMC
- PMC4889491
- OpenAlex
- W2299048761
- Cited by
- 48
- References
- 26
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 5 · 2023: 5 · 2022: 8 · 2021: 8 · 2020: 2 · 2019: 7 · 2018: 2 · 2017: 1
- FWCI
- 4.46
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health, National Institute on Minority Health and Health Disparities (R01 Award MD007019)
- National Institute of Mental Health (U01-MH60220, U01-MH57716, U01-MH062209 and U01-MH62207)
- National Institute of Drug Abuse (R01-DA12058-05)
- Substance Abuse and Mental Health Services Administration, the Robert Wood Johnson Foundation (044708)
- Office of Behavioral and Social Sciences Research at the National Institutes of Health, the Substance Abuse and Mental Health Services Agency, and the Latino Research Program Project (P01-MH059876)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- trauma exposure, suicidal ideation, assaultive violence, interpersonal violence, child abuse, racial and ethnic differences, Asian Americans, Hispanic adults, Black people, White adults, suicide risk
- MeSH terms
- Psychological Trauma, Adult Survivors of Child Adverse Events, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Suicide, Attempted, United States, Young Adult, Suicidal Ideation
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