The role of adverse childhood experiences in suicide among sexual minority undergraduate students.

This study explores the rates and odds of adverse childhood experiences (ACEs) and their relationship to suicide attempts in a sample of undergraduate students (n = 924, 71.6% women), comparing lesbian, gay and bisexual (LGB) youth to their heterosexual counterparts. Using propensity score matching, we matched 231 sexual minority and 603 heterosexual participants at a ratio of 1:3, based on gender, age, socioeconomic status, and religious beliefs. Sexual minority participants reported a significantly higher ACE score (M = 2.70 vs. 1.85; t = 4.93; p <.001; d = .391) and higher rates of all but one type of ACEs than their heterosexual counterparts. They also reported a higher prevalence and risk of suicide attempts (33.3% vs. 11.8% respectively, odds ratio = 3.73; p < .001). In logistic regression analysis, sexual minority status, emotional abuse and neglect, bias attack, having a household member with mental health problems, bullying and cyberbullying were significantly associated with suicide attempts.

Child Sexual Abuse within the Catholic Church in Spain: A Descriptive Analysis of its Characteristics and Long-Term Impact.

Sexual abuse within the Catholic Church is a serious social issue and a significant public health problem that has caused extensive harm worldwide. In 2022, an independent commission was established in Spain to investigate sexual abuse within the Church. The commission gathered data from 334 victims (82.3% men, 17.7% women), who were predominantly aged between 55 and 74 years old (62.5%). A majority of victims (71.0%) endured sexual abuse involving physical contact, while 21% reported instances of oral, anal, or vaginal penetration. Over half of the victims (57.5%) reported emotional and behavioral issues, as well as functional problems, problems in relationships, sexuality, and cognition, and attributed these difficulties to the abuse. The majority of participants (79.0%) had disclosed the abuse before the study, with the Church taking action in 45.8% of cases. Approximately 8.4% of victims reported the perpetrator was relocated, while 16.2% described institutional efforts to conceal the abuse. In conclusion, victims of sexual abuse within the Catholic Church in Spain faced consequences that had a significant impact on their lives, exacerbated by lack of societal recognition and a prevalent dynamic of cover-up and concealment by the Church.

Exploring the Meanings of Posttraumatic Growth in Spanish Survivors of Clergy-Perpetrated Child Sexual Abuse: A Phenomenological Approach.

A healing and recovery perspective related to child sexual abuse (CSA) has gained attention in the past two decades, a concept that accurately refers to the process is posttraumatic growth (PTG). Scarce empirical research on PTG in clergy-perpetrated CSA survivors shows evidence of the presence of growth after the abusive experience and a tendency to create accounts of trauma as a way to heal. The general aim of the study is to explore the experiences and meanings of PTG as lived by survivors of clergy-perpetrated CSA. Seven clergy-perpetrated CSA survivors were interviewed with semi-structured in-depth interviews conducted in person. Using reflexive thematic analysis, we identified three dominant themes in the participants' stories: (a) the hindering of PTG; (b) the meanings of PTG, and (c) the internal and contextual and facilitators of PTG. The present study brings new insights into the meanings of PTG, the close relationship between damage and growth, and the mechanisms (both internal and contextual) that are involved in healing from clergy-perpetrated CSA in Spanish culture.

Mental Health and Suicidal Behaviour in Chilean Youth during the Covid-19 Pandemic.

BACKGROUND: The pandemic caused by the SARS-CoV-2 virus led to a series of containment and mitigation measures through lockdowns, social distancing, and the closure of educational establishments, which have had a profound impact on the mental health of the adolescent population. OBJECTIVE: The main objective of the present study has been to identify the sociodemographic and mental health variables related to suicidal ideation, planning, and attempts in young people participating in outpatient intervention projects within the Chilean protection network since the onset of the pandemic and the strictest lockdowns. METHOD: The study's sample consists of 125 young people aged 14 to 18 years (M = 15.65; SD = 1.22), participating in outpatient intervention projects within the National Service for Minors (SENAME)/Better Childhood protection network. Through a self-report survey, the young participants provided responses on sociodemographic variables and suicidal behaviour (ideation, planning, and attempts). RESULTS: 29.9% of the participants reported suicidal ideation during the onset of the pandemic and the established lockdowns; 29.2% reported having devised a plan to do so, and 18.2% indicated having attempted suicide during the evaluated period. A higher occurrence of suicidal behaviour was observed in females, sexual minorities, respondents over 15 years old, and respondents presenting depressive symptoms. CONCLUSIONS: The Covid-19 pandemic has had a significant impact on suicidal behaviour among the adolescent population served by the protection network in Chile. The prior violation of their rights may have contributed to the issue, particularly affecting young females in late adolescence with indicators of depression, who require specialized intervention due to the high risk detected.

Early Childhood Predictors of Teen Dating Violence Involvement at Age 17.

The distal relationship between risk factors in childhood and subsequent dating violence in late adolescence has not often been explored using longitudinal data. This study aims to shed light on the problem of dating violence by examining children's backgrounds at age 7 and the link to the future involvement in dating violence at age 17 using the first and seventh waves of the Zurich Project on the Social Development from Childhood to Adulthood (z-proso, n = 644). The sample consists of 644 multiethnic adolescents (57.14% female, M = 17.47, SD = 0.37), mainly Swiss-born (90%), though more than half of their parents (60%) were born in another country. A latent class analysis was applied to identify three different profiles (a) zero (or minimal) involvement in teen dating violence, (b) perpetrators/victims of controlling behaviors, and (c) perpetrators/victims of controlling behaviors and of physical violence. Participants who were corporally punished and/or victims of bullying at age 7 were significantly more likely to belong to the controlling and physical violence profile than children in the non-violent class. These results suggest a certain chronicity of the effects of violent experiences in early childhood on the patterns of romantic relationships at 17 years old.

An Exploratory Study on Mental Health, Social Problems and Spiritual Damage in Victims of Child Sexual Abuse by Catholic Clergy and Other Perpetrators.

The Catholic Church has faced a large number of complaints against its representatives for sexual crimes that involved children and adolescents as victims. The objective of this study was to characterize the dynamics of this type of event, its characteristics, and its effects in terms of mental health and social consequences, as well as the spiritual damage generated. The sample comprised 182 victims from Spain and Chile, divided into three mutually exclusive groups (n = 40 committed by a representative of the Catholic Church; n = 85 by a family member; n = 57 by a perpetrator outside the family and the Church). The results show that victims of child sexual abuse (CSA) by a representative of the Catholic Church and other perpetrators are similar in many respects (e.g., religiosity, characteristics of the abuse, and mental health and social problems), but that the effects on religiosity are more serious for victims of the clergy, affecting their belief in God. Finally, the extreme decline in belief in God, due to CSA, is an important predictor for most mental health and social problems. Our results show the need to include the Catholic identity, faith and spirituality in the therapeutic context.

Suicidal ideation and behaviour in Spanish adolescents during the COVID-19 pandemic: an exploratory study.

The COVID-19 pandemic and its related containment measures, mainly physical distancing and isolation, are having detrimental consequences on the mental health of the juvenile infant population worldwide.

Self-Reported Sexual Victimization Among Chilean Children and Youth.

This study aimed to determine the prevalence of sexual victimization among a representative sample of children and youth from Chile and to analyze the sex and age differences. The First National Survey of Poly-victimization collected cross-sectional data via a self-report survey of 19,648 children and youth (aged 12-18 years). Lifetime victimization was reported by 31.9% of children and youth (23.9% of males and 39.7% of females) and 21.9% reported victimization in the past year (16.8% of males and 26.9% of females). Girls presented higher percentages of lifetime sexual victimization with and without physical contact in practically all of the items. However, boys had a higher prevalence in statutory rape. Younger participants reported a prevalence of sexual victimization of 23.1%, while older participants reported a prevalence of 40.0%. Youth between the ages of 15 and 18 years had a higher prevalence of lifetime sexual victimization in practically all its forms, except for verbal sexual harassment. The results show that Chilean children and youth are exposed to sexual victimization in an extensive way, which demands an immediate response by public policy.

The prevalence and severity of teen dating violence victimization in community and at-risk adolescents in Spain.

The aim of the present study was to determine the prevalence and severity of teen dating violence victimization in Spanish adolescents from both community and at-risk samples. The sample comprised 1,105 community adolescents from secondary schools, 149 adolescents from child, and adolescent mental health centers, 129 from residential care centers associated with the child welfare system, and 101 from centers in the juvenile justice system. The participants, aged between 14 and 17 years, were interviewed using the Juvenile Victimization Questionnaire. The lifetime prevalence of victimization in dating relationships ranged from 2.5% to 33.7%. The prevalence of physical victimization was slightly higher in boys, while sexual and electronic victimization and injuries were more prevalent in girls. In conclusion, teen dating violence is a prevalent problem in Spain that needs to be addressed to prevent adolescents from developing risk behaviors and to avoid adverse consequences on mental health, especially in at-risk adolescents.

Detection and reporting potential child and youth victimization cases from school: The role of knowledge.

Knowledge of child victimization among school staff is believed to affect the detection and reporting of potential cases in the school environment, but the current evidence is scarce and contradictory. We assessed the link between knowledge of victimization and other relevant reporter characteristics in detecting and reporting children suspected to be victims of violence in a sample of 184 school staff members from Spain (84.02% females, M = 43.40, SD = 10.37). We compared participants who had never detected nor reported any cases (i.e., non-detectors) with participants who had detected but not reported outside school (i.e., inconsistent reporters) and participants who had detected and reported at least one potential case (i.e., consistent reporters). Knowledge about the reporting procedures varied significantly across groups. Years of experience was the only variable to significantly predict having detected at least one case across job experience. Knowing whether a report can be made anonymously or without the principal's consent was significant to predict the likelihood of being a consistent reporter, along with hours spent daily in contact with students. Trainings for school staff should be aware of what specific aspects of knowledge tend to increase detection and reporting. Interventions should include more specific guidelines and ways of recreating experience (e.g., role-playing, virtual scenarios) as an effective strategy to respond to cases of potential victimization encountered at school.

Attributions of Blame among Victims of Child Sexual Abuse: Findings from a Community Sample.

According to the attribution theory, negative outcomes of child sexual abuse (CSA) are thought to vary depending on whether CSA victims attribute the abuse to internal or external factors, respectively, self-blame and perpetrator-blame. Therefore, the purpose of this study was to identify abuse characteristics and attitudes that influence blame attributions among CSA victims from a community sample. Data from respondents with a history of CSA (N = 1,496) have been used in predicting blame attributions; perpetrator-blame, self-blame, or both. Results from a multinomial logistic regression analysis showed that attitudes toward gender roles had a significant effect on blame: victims were more likely to blame themselves when they endorsed more conservative gender attitudes than victims with more liberal attitudes. Implications for this finding are discussed.

Poly-victimization from different methodological approaches using the juvenile victimization questionnaire: Are we identifying the same victims?

OBJECTIVE: This study aims to determine whether three different methodological approaches used to assess poly-victimization that apply the Juvenile Victimization Questionnaire (JVQ; Finkelhor, Hamby, Ormrod, & Turner, 2005) identify the same group of adolescent poly-victims. METHOD: The sample consisted of 1,105 adolescents (590 males and 515 females), aged 12-17 years old (M = 14.52, SD = 1.76) and recruited from seven secondary schools in Spain. The JVQ was used to assess lifetime and past-year experiences of victimization. RESULTS: Poly-victims were more likely to experience all types of victimization than victims, regardless of the method used. The degree of agreement between the methods for identifying poly-victimization was moderate for both timeframes, with the highest agreements being recorded between the one-above-the-mean number of victimizations and Latent Class Analysis (LCA) for lifetime, and between the top 10% and LCA for past-year victimization. CONCLUSIONS: Researchers and clinicians should be aware that the use of different methods to define poly-victimization may mean that different victims are identified. The choice of one method or another may have important implications. In consequence, focusing on how we operationalize poly-victimization should be a priority in the near future.

Lifetime Prevalence and Characteristics of Child Sexual Victimization in a Community Sample of Spanish Adolescents.

The purpose of this study was to investigate the lifetime prevalence and characteristics of self-reported child sexual victimization and associations between sexual victimization and sociodemographic characteristics and victimological profiles in community adolescents in Spain. The Juvenile Victimization Questionnaire (Finkelhor, Hamby, Ormrod, & Turner, 2005) was applied to a sample of 1,105 community adolescents (M = 14.52 years, SD = 1.76). Experience of sexual victimization (with or without physical contact) was reported by 8.8% of the sample, at a mean age of 13 years old. Sexual victimization was more prevalent in girls (14.2%) and in older adolescents (10.6%). Offenders were mainly male (87.6%) and were mostly friends, neighbors, or schoolmates (52.6%). No injuries resulted from victimization (4.3%), although the percentage of penetration or attempted penetration was very high (30.6%). Only 9.3% of victims reported the incident to the police or the justice system. In regard to victimological profiles, sexual victims also experienced other forms of victimization (M = 7.16; SD = 3.39): boys reported more conventional crimes, peer and sibling victimization, and witnessing community violence than other victims, whereas sexually victimized girls reported more caregiver victimization and property crimes. Sexually victimized youth present a distinctive sociodemographic and victimological profile. Professionals need to be aware of these characteristics in order to conduct adequate prevention programs. We also need to assess a wide range of victimization experiences when treating sexual abuse victims in order to make adolescents less vulnerable to violence.

Assessing resilience in adolescence: the Spanish adaptation of the Adolescent Resilience Questionnaire.

BACKGROUND: The concept and assessment of resilience have attracted considerable attention in recent years, but none of the instruments developed to measure resilience in adolescents have been adapted to the Spanish context. The Adolescent Resilience Questionnaire (ARQ) provides a comprehensive and multidimensional assessment of the resources associated with resilience in adolescents. METHODS: This study analyzes the psychometric properties of the ARQ. Participants included a community sample of 1101 Spanish adolescents (53.5 % boys) aged 12-17 years (M = 14.51; SD = 1.755). RESULTS: Results confirm the factor structure based on 12 scales. Internal consistency was generally adequate (between .60 and .84), although the unacceptable coefficient for the Empathy/Tolerance scale (α = .38) means that this scale needs to be revised for the Spanish context. Relationships between ARQ scales and psychopathology were in the expected direction and magnitude. Some gender differences were observed, with higher scores for boys on Confidence and Negative cognition. CONCLUSIONS: The Spanish version of the ARQ can help to identify personal characteristics associated with resilience and signs of positive engagement with family, peers, school, and the community. It can identify those adolescents most likely to show resilience in response to adversity, as well as those who may be vulnerable under situations of stress.

Research With Adolescent Victims of Child Sexual Abuse: Evaluation of Emotional Impact on Participants.

The aim of this study was to evaluate the emotional impact on adolescent victims of sexual abuse from participating in a study addressing the consequences of their abuse. A total of 114 adolescents between 12 and 17 years old participated (54 sexually abused adolescents and 60 nonabused students). Both groups responded to a battery of scales to determine their coping strategies and some psychological consequences linked to stressful experiences and two questions about the emotional impact of participating in the study. Sexually abused adolescents reported fewer unpleasant emotions after participating than did nonvictim students (mean difference = .45, t[109] = -2.934; p < .01). Adolescents who had more symptoms reported more discomfort (rS scores between .35 and .49; p < .01). These results suggest that when ethical guidelines are followed, it is possible to survey adolescent victims of sexual abuse on aspects related to their experience without causing them significant distress.

Systematic review of the prevalence of suicidal ideation and behavior in minors who have been sexually abused.

UNLABELLED: The experience of sexual abuse in childhood is a serious public health problem that is associated with suicidal behavior in numerous cases. Awareness of the relation between the experience of sexual abuse in childhood with suicidal ideation and behavior in adolescence is relevant in academic and professional terms. METHOD: A systematic review was made of published studies on the prevalence of suicide among childhood victims of sexual abuse in the European Union. Studies cited in the PsycINFO, Scopus and MEDLINE Web of Science databases were retrieved using the terms: “sexual abuse” AND “child” AND “suicide” AND “prevalence” OR “incidence”. RESULTS: The results obtained from the 16 studies reviewed show a high frequency of suicidal ideation and behavior in these victims and highlight a serious consequence of sexual abuse that seems to affect a significant number of minors. The victims of childhood sexual abuse have a 2- to 3-fold higher risk of suicidal ideation and 3- to 4-fold higher risk of attempted suicide than nonvictims. CONCLUSIONS: In the health care field, it is important to understand the specific short-term and long-term effects of childhood sexual abuse, which could improve the effectiveness of intervention in victims and treatment for those at increased risk of suicide.

One hit makes the difference: the role of polyvictimization in childhood in lifetime revictimization on a southern European sample.

OBJECTIVE: To present statistics documenting the scope and the nature of child victimization, polyvictimization, and revictimization and to explore the relationship between victimization in childhood and later revictimization in adulthood. METHODS: The sample comprises 975 undergraduates in a cross-sectional, retrospective design. Childhood victimization and lifetime revictimization were assessed using the Traumatic Life Events Questionnaire. RESULTS: 26.59% of participants reported childhood interpersonal victimization and 16.80% reported an interpersonal victimization episode in adulthood. Polyvictimization was reported by 8.30%, whereas 7.50% of the sample suffered child victimization and adult revictimization. Multiple regression showed that child polyvictimization significantly predicted adult revictimization. CONCLUSIONS: The results support the idea that polyvictimization in childhood exerts a cumulative effect on interpersonal victimization in adulthood. More importantly, polyvictimization is a key concept to understanding the risk of revictimization, even at low rates.

Posttraumatic growth, spiritual damage, and psychosocial and mental health problems in survivors of clergy-perpetrated child sexual abuse: A mixed methods approach.

INTRODUCTION: Although clergy-perpetrated child sexual abuse (CSA) implies severe traumatic repercussions for the victims, they may also experience posttraumatic growth (PTG) deriving from the need to deal with the trauma suffered. This PTG is associated with the processes of recovery, healing, and empowerment. OBJECTIVE: Applying a mixed methods approach to analyse PTG outcomes and to explore experiences of PTG in survivors of Spanish clergy-perpetrated CSA and its relation with psychosocial, mental and spiritual suffering. PARTICIPANTS: Thirty-one survivors (M = 51.6 years; SD = 12.4) in the quantitative stage of the research, and seven (M = 49.3; SD = 8.9) in the qualitative stage. METHODS: A sequential explanatory mixed methods study design was applied using standardized questionnaires and semi-structured interviews. Descriptive, correlation and thematic analyses were conducted. The quantitative and qualitative data were integrated. RESULTS: Positive associations were found between PTG and psychosocial and mental health problems (r = 0.53; p < .01), damage to faith in God (r = 0.43; p < .05) and damage to faith in the Church (r = 0.48; p < .01). Three themes emerged from the qualitative data that explained, expanded, and complemented the quantitative results, highlighting the relationship between damage and growth and the specific meanings of PTG from the perspectives of the survivors. CONCLUSIONS: This study shows that survivors may develop PTG in the course of the processes of psychological suffering, spiritual transformation, and meaning-making of traumatic experiences.

Identifying victimization clusters across people with intellectual disabilities: A latent class analysis.

BACKGROUND: Research has shown high rates of victimization among people with intellectual disabilities (ID), but victimization clusters have been barely explored. OBJECTIVE: We address the gap by examining how reported victimization experiences are grouped into different classes and identifying differences in the characteristics of the individuals in each class. METHODS: We conducted a cross-sectional self-report study with a sample of adults with an ID diagnosis (n = 260). We gathered data about the participants' victimization experiences and socio-demographics, and then subjected the data to latent class analysis (LCA). RESULTS: Three different classes were detected: High victimization (n = 27, 10.4 %); medium victimization, low sexual (n = 97, 37.3 %); and low victimization (n = 136, 52.3 %). The results highlight the experiences of sexual and physical victimization among the high-victimization class, in which women are overrepresented, and physical victimization among the medium-victimization class. The study also found that experiences of assault and bias attacks occur to a varying extent across all three classes. The LCA and poly-victimization methods showed substantial agreement but also differences when identifying the most victimized participants. In addition, we detected significant differences between classes in gender, type of school attended, place of residence, legal incapacity, type of support needed, secondary disability and poly-victimization status. CONCLUSION: We identified distinct underlying ingroup patterns of victimization and sociodemographic inter-class differences that contribute to a better understanding of victimization within the population in question. The results have prevention and intervention implications for caregivers and providers of services for people with ID.

Patterns of adverse childhood experiences and associations with lower mental well-being among university students.

BACKGROUND: University students report high levels of adverse childhood experiences (ACEs), which can lead to severe mental health problems. Understanding how ACEs impact well-being in this population is essential, yet research to date is limited. OBJECTIVE: To explore ACE patterns and their association with lower well-being in university students. PARTICIPANTS AND SETTING: 1023 Spanish students (71.6 % female) aged between 18 and 64 years old (M = 20.10, SD = 3.93) completed a self-report questionnaire. METHODS: This study used a cross-sectional design. The ACE International Questionnaire (ACE-IQ) and the Short Warwick-Edinburgh Mental Well-being Scale were used to assess, respectively, childhood adversities and mental well-being. Latent Class Analysis and regression modeling were conducted to analyze the link between ACEs and lower mental well-being, considering the covariates of age, country of origin, sexual orientation, and mental illness. RESULTS: Four ACE classes were identified: Low ACEs (49.5 %), Dysfunctional Household (12.3 %), Household and Peer Abuse (31.0 %), and High ACEs (7.2 %). The regression analysis (F(3, 1007) = 19.2, p < .001, R2adj = 0.054) successfully predicted well-being scores based on ACE classes. When compared with the Low ACE class, all other classes exhibited lower levels of well-being. Age, sexual orientation, and mental illness were also related to lower well-being, with mental illness having the strongest negative effect (ß = -0.635, t(1015) = -6.49, p < .001). CONCLUSIONS: These findings underscore the relationship between childhood adversity and mental health, offering insights for future prevention efforts and enriching our understanding of ACEs and their impact on well-being.