Adverse childhood experiences (ACEs) are robustly associated with physical and mental health problems over the life span. Relatively limited research has examined the breadth of ACEs among military veteran populations, for whom ACEs may be premilitary traumas associated with suicidal ideation and attempt. Using data from the Comparative Health Assessment Interview Research Study, a large national survey sponsored by the U.S. Department of Veterans Affairs, this investigation examined the prevalence of 22 self-reported potentially traumatic experiences before the age of 18 (i.e., ACEs) among veterans and nonveterans and estimated the association of ACEs with suicidal ideation and attempt at age 18 or older. All analyses were weighted to account for complex sampling design and stratified by gender. The study sample included 9,571 veteran men, 3,143 nonveteran men, 5,543 veteran women, and 1,364 nonveteran women. Veteran men reported greater average frequency of ACEs than nonveteran men (2.7 ACEs vs. 2.3 ACEs, respectively, p < .001); 11.1% of veteran men indicated >6 ACEs compared with 7.3% of nonveteran men (p < .001). Veteran women reported greater average frequency of ACEs than nonveteran women (3.1 ACEs vs. 2.4 ACEs, respectively, p < .001). Among women, more veterans than nonveterans reported >6 ACEs (14.9% vs. 8.6%, respectively, p < .001). The strongest correlate of suicide attempt at age 18 or older for veteran men was having >6 ACEs (adjusted odds ratio, aOR = 4.20, 95%CI = 2.72-6.49); for veteran women, the strongest correlate was suicidal ideation or attempt before age 18 (aOR = 5.37, 95%CI = 4.11-7.03). Suicide prevention research, policy, and practice should address ACEs among veterans as salient premilitary risk factors. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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退伍军人和非退伍军人在童年逆境、自杀意念和自杀企图方面的差异。

童年不良经历 (ACE) 与一生中的身心健康问题密切相关。相对有限的研究检查了退伍军人人群中 ACE 的广度，对他们来说，ACE 可能是与自杀意念和企图相关的前科创伤。本次调查使用来自美国退伍军人事务部赞助的大型全国性调查“比较健康评估访谈研究研究”的数据，调查了 22 种自我报告的 18 岁之前的潜在创伤经历（即 ACE）在退伍军人和非退伍军人并估计 ACE 与 18 岁或以上的自杀意念和企图的关联。所有分析都经过加权以考虑复杂的抽样设计并按性别分层。研究样本包括 9,571 名退伍军人、3、143 名非退伍军人，5,543 名退伍军人和 1,364 名非退伍军人。退伍军人报告的 ACE 平均频率高于非退伍军人（分别为 2.7 ACE 对 2.3 ACE，p < .001）；11.1% 的退伍军人表示 >6 ACE，而非退伍军人的这一比例为 7.3% (p < .001)。退伍军人报告的 ACE 平均频率高于非退伍军人女性（分别为 3.1 ACE 和 2.4 ACE，p < .001）。在女性中，比非退伍军人报告的 ACE 超过 6 的退伍军人更多（分别为 14.9% 和 8.6%，p < .001）。退伍军人在 18 岁或以上自杀未遂的最强相关性是 >6 次 ACE（调整后的比值比，aOR = 4.20，95%CI = 2.72-6.49）；对于退伍军人，最强的相关性是 18 岁之前的自杀意念或企图（aOR = 5.37，95% CI = 4.11-7.03）。自杀预防研究、政策、和实践应将退伍军人中的 ACE 作为显着的军事风险因素加以解决。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。