Unique and cumulative effects of adverse childhood experiences on suicidal ideation among nurses
Objective:To investigate the unique and cumulative effects of adverse childhood experiences on suicidal ideation in nurses.Methods:744 nurses of a tertiary general hospital in Quanzhou City,Fujian Province from May 2020 to June 2020 were selected as the study subjects,and their adverse childhood experiences and suicidal ideation were assessed with the Revised Adverse Childhood Experiences Questionnaire(ACEQ-R),Patient Health Questionnaire-9(PHQ-9),and General Information Questionnaires.Results:The prevalence of suicidal ideation in the nurses being studied was 14.1%,and 22.2%had experienced at least one ACE.Logistic regression analysis showed that childhood emotional abuse was significantly associated with suicidal ideation(OR=2.71,95%CI:1.21-6.05).Nurses who had experienced one ACE(OR=2.51,95%CI:1.39-4.53)and multiple ACEs(OR=4.04,95%CI:2.37-6.84)were more likely to report suicidal ideation than those who had not experienced any ACEs.Conclusion:Nurses'experience of ACEs was associated with reporting suicidal ideation.In clinical practice,the negative impact of ACEs on suicide may be reduced by early routine screening for ACEs in nurses and by public health education and intervention on suicide.
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