Background

Research suggests that individuals who have been adopted are at increased risk for suicidal behaviors, but this research does not account for the role of trauma.

Objectives

The study provided rates of trauma exposure among individuals who were adopted with child welfare involvement. The study also examined risk of suicidal ideation (SI) and behaviors (SB) based on adoption status, first as bivariate associations and then in context of trauma exposure and symptoms.

Participants and setting

Participants in the LONGSCAN study were recruited at multiple US sites based on various risk factors for maltreatment. The current study included only those individuals with adequate information at key timepoints (n = 894), 106 (11.9%) of whom were adopted.

Methods

Measures were collected at multiple timepoints, including caregiver-report, self-report, and review of child welfare records. Data were analyzed through logistic regression and descriptive statistics.

Results

High rates of potentially traumatic experiences were found among individuals who were adopted (over 93%). The bivariate logistic regression replicated previous findings that adolescents who were adopted had increased likelihood of endorsing SI (OR 2.14, 95% CI 1.27–3.60, p = .004) and SB (OR 2.40, 95% CI 1.24–4.63, p = .009) compared to non-adopted peers. However, when polytrauma and traumatic stress symptoms were added to the model, adoption was no longer a significant predictor for SI (OR 1.35, 95% CI 0.70–2.60, p = .369) or SB (OR 1.46, 95% CI 0.68–3.13, p = .332).

Conclusions

Although much remains to be explored about the association between adoption and risk for suicidal thoughts and behaviors, the current study indicates that traumatic stress plays a critical role.

中文翻译：

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外伤呢？在被收养的青少年中考虑到创伤暴露和自杀风险中的症状

背景

研究表明，被收养的人发生自杀行为的风险增加，但这项研究并未考虑创伤的作用。

目标

该研究提供了参与儿童福利的收养个体的创伤暴露率。该研究还根据收养状态检查了自杀意念 (SI) 和行为 (SB) 的风险，首先是双变量关联，然后是创伤暴露和症状的背景。

参与者和设置

LONGSCAN 研究的参与者是根据虐待的各种风险因素在美国多个地点招募的。目前的研究仅包括那些在关键时间点有足够信息的人（n  = 894），其中 106 人（11.9%）被采用。

方法

在多个时间点收集措施，包括照顾者报告、自我报告和儿童福利记录审查。通过逻辑回归和描述性统计分析数据。

结果

在被收养的人中发现了很高的潜在创伤经历率（超过 93%）。双变量逻辑回归复制了之前的发现，即被收养的青少年支持 SI（OR 2.14, 95% CI 1.27–3.60, p  = .004）和 SB（OR 2.40, 95% CI 1.24–4.63, p  = . 009）与未采用的同行相比。然而，当模型中加入多发伤和创伤性应激症状时，采用不再是 SI (OR 1.35, 95% CI 0.70–2.60, p  = .369) 或 SB (OR 1.46, 95% CI 0.68– 3.13，p  = .332）。

结论

尽管关于收养与自杀念头和行为风险之间的关系仍有许多待探索，但目前的研究表明，创伤性压力起着至关重要的作用。