Evidence map›Paper›PMID 38613494›Full record

ArticleJournal of child psychology and psychiatry, and allied disciplines2024

The relationship between type, timing and duration of exposure to adverse childhood experiences and adolescent self-harm and depression: findings from three UK prospective population-based cohorts.

Bushra Farooq, Abigail E Russell, Laura D Howe, Annie Herbert, Andrew D A C Smith, Helen L Fisher, Jessie R Baldwin, Louise Arseneault, Andrea Danese, Becky Mars

Abstract read
In one paragraph

Article in Journal of child psychology and psychiatry, and allied disciplines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. The effect of the "exposome" on developmental brain health and cognitive outcomes.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Bushra FarooqCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, Bristol, UK.ORCID 0000-0002-6435-0881
Abigail E RussellChildren and Young People's Mental Health Research Collaboration, University of Exeter Medical School, Exeter, UK.
Laura D HoweMRC Integrative Epidemiology Unit, Population Health Sciences, University of Bristol Medical School, Bristol, UK.
Annie HerbertMRC Integrative Epidemiology Unit, Population Health Sciences, University of Bristol Medical School, Bristol, UK.
Andrew D A C SmithMathematics and Statistics Research Group, University of the West of England, Bristol, UK.
Helen L FisherSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0003-4174-2126
Jessie R BaldwinSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0002-5703-5058
Louise ArseneaultMathematics and Statistics Research Group, University of the West of England, Bristol, UK.ORCID 0000-0002-2938-2191
Andrea DaneseSocial, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0001-8718-5412
Becky MarsCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, Bristol, UK.ORCID 0000-0002-8132-6920

Funding

Neuropsychological and genomic signatures of violence exposure in childhoodR01HD077482 · NICHD · DUKE UNIVERSITY · PI CASPI, AVSHALOM · 2013 to 2018
$2.8M
Department of Health NIHR300591Economic and Social Research Council (ESRC) ES/S012567/1Jacobs FoundationMedical Research Council G0701594Medical Research Council G1002190Medical Research Council MC_UU_12013/2Medical Research Council MR/N0137941/1Medical Research Council MR/X010791/1MRF MRF-058-0017-F-MARS-C0869National Institute for Health and Care Research NIHR300591National Institute for Health and Care Research PD301198-SC101645National Institute of Child Health and Human Development HD077482NICHD NIH HHS R01 HD077482Wellcome Trust 092731Wellcome Trust 092731/Z/10/ZWellcome Trust 215917Wellcome Trust 215917/Z/19/ZWellcome Trust 217065Wellcome Trust 217065/Z/19/ZWellcome Trust 224114Wellcome Trust 224114/Z/21/ZWellcome Trust G0701594Wellcome Trust GR067797MA
6 · The paper itself

Abstract

backgroundAdverse childhood experiences (ACEs) are well-established risk factors for self-harm and depression. However, despite their high comorbidity, there has been little focus on the impact of developmental timing and the duration of exposure to ACEs on co-occurring self-harm and depression.

methodsData were utilised from over 22,000 children and adolescents participating in three UK cohorts, followed up longitudinally for 14-18 years: the Avon Longitudinal Study of Parents and Children (ALSPAC), the Millennium Cohort Study (MCS) and the Environmental Risk (E-Risk) Longitudinal Twin Study. Multinomial logistic regression models estimated associations between each ACE type and a four-category outcome: no self-harm or depression, self-harm alone, depression alone and self-harm with co-occurring depression. A structured life course modelling approach was used to examine whether the accumulation (duration) of exposure to each ACE, or a critical period (timing of ACEs) had the strongest effects on self-harm and depression in adolescence.

resultsThe majority of ACEs were associated with co-occurring self-harm and depression, with consistent findings across cohorts. The importance of timing and duration of ACEs differed across ACEs and across cohorts. For parental mental health problems, longer duration of exposure was strongly associated with co-occurring self-harm and depression in both ALSPAC (adjusted OR: 1.18, 95% CI: 1.10-1.25) and MCS (1.18, 1.11-1.26) cohorts. For other ACEs in ALSPAC, exposure in middle childhood was most strongly associated with co-occurring self-harm and depression, and ACE occurrence in early childhood and adolescence was more important in the MCS.

conclusionsEfforts to mitigate the impact of ACEs should start in early life with continued support throughout childhood, to prevent long-term exposure to ACEs contributing to risk of self-harm and depression in adolescence.

Indexed as

Adverse Childhood ExperiencesSelf-Injurious BehaviorAdolescentChildComorbidityDepressionFemaleHumansLongitudinal StudiesMaleProspective StudiesTime FactorsUnited Kingdomaccumulation of riskAdverse childhood experiencesALSPACcohortdepressiondevelopmental timingE‐RiskMCSself‐harm

Identifiers

PMID38613494
PMCPMC7616850

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.