Social-ecological theory, substance misuse, adverse childhood experiences, and adolescent suicidal ideation: Applications for community-academic partnerships.

Academic Article


  • Suicide is the second leading cause of death among youth in the United States. Data from the 2015 Youth Risk Behavior Survey of 9th-12th grade students in New Hampshire (N = 14,837) were utilized. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) were estimated using logistic regression models to evaluate associations between suicidal ideation, adverse childhood experiences (ACEs), and other risk factors including using opioids/drugs without a prescription and food insecurity. We also examined whether potentially protective behaviors may attenuate the relationship between ACEs and suicidal ideation. The prevalence of suicidal ideation was 15.4% (girls 20.15; boys 10.67). In unadjusted models, the crude odds ratio reflecting the relationship between suicidal ideation and higher ACE scores was 1.85 (95% CI 1.76-1.94). In adjusted models, suicidal ideation remained positively associated with higher ACE scores (aOR 1.61, 95% CI 1.52-1.70). Risk and protective behavioral factors identified in relation to suicidal ideation and ACEs are discussed within the context of community-academic partnerships and policy.
  • Authors

  • Aytur, Semra
  • Carlino, Sydney
  • Bernard, Felicity
  • West, Kelsi
  • Dobrzycki, Victoria
  • Malik, Riana
  • Status

    Publication Date

  • January 2022
  • Published In


  • Adolescent
  • Adverse Childhood Experiences
  • Female
  • Humans
  • Male
  • Risk Factors
  • Students
  • Substance-Related Disorders
  • Suicidal Ideation
  • United States
  • adverse childhood experiences (ACEs)
  • food insecurity
  • mental health
  • nutrition
  • physical activity
  • policy
  • resilience
  • socioecological model
  • Digital Object Identifier (doi)

    Start Page

  • 265
  • End Page

  • 284
  • Volume

  • 50
  • Issue

  • 1