Experiences Of Physical Abuse Research Articles

Couple relationship functioning and social adjustment during the transition to parenthood among fathers with a history of maltreatment.

Study of fathers has gained significant traction over recent decades. However, the experience for men over the transition to parenthood remains focused on high-socioeconomic and socially advantaged fathers. Researchers have yet to thoroughly investigate how fathers may uniquely experience this transition period with a history of childhood maltreatment, given that childhood abuse is known to impact several components of development and relationship functioning into adulthood. The current study endeavored to fill this gap by evaluating the associations between fathers' childhood experiences of physical and emotional abuse and their relationship functioning over the transition to parenthood in terms of both the couple relationship and social adjustment in relationships with others. Using data from 399 fathers who participated in a randomized control trial during pregnancy, the results from stepwise regressions indicate fathers with a history of emotional abuse experience particular declines in their external relationships (reductions in social support and increases in social stress) from prenatal (Wave 1) to postpartum (Wave 2) reports. However, no significant association emerged between fathers' history of maltreatment and their relationship functioning with their partners. These results underscore the importance of investigating the impact of different types of abuse on men in fatherhood. Moreover, we emphasize the need to study further fathers' social adjustment over the transition to parenthood beyond the couple relationship and broad social support to address the needs of men with a history of maltreatment in their new role as fathers.

The cycle of violence: effects of violence experience, behavior, and attitudes on adolescents’ peer rejection networks

Previous research on adolescent peer networks has mainly focused on friendship networks and their association with violence, but very limited research is available on peer rejection networks. This lack of knowledge hinders the effectiveness of preventing peer rejection and its negative effects. Based on the theory of the cycle of violence, the present study examines the extent to which parental physical abuse experiences, aggressive behavior toward peers and acceptance of violence are related to peer rejection networks at school. Social network analysis with a stochastic actor-oriented model of longitudinal data collected from high school students (Wave 1, n = 620; Wave 2, n = 590) confirms that adolescents who frequently use aggression toward their peers are more likely to be rejected, especially if those adolescents have experienced abuse. Similarly, peers are more likely to reject adolescents with high levels of accepting violence. The results also show that aggression toward peers generally tends to decrease over time but not for adolescents who reject a larger number of students. For students who reject many peers, aggression frequency increases. From the perspective of resilience theory, peer rejection, when combined with aggression toward peers and acceptance of violence, particularly in female adolescents, creates a significant risk factor for socio-emotional development. Therefore, tackling violence attitudes, experiences and behavior in the school environment and at home is crucial in overcoming the cycle of violence.

Sex Differences in Personality Disorder and Childhood Maltreatment of Patients with Schizophrenia.

Despite numerous studies investigating personality disorder (PD) and childhood maltreatment (CM) characteristics in individuals with schizophrenia (SZ), there remains a scarcity of research focusing on sex differences in PD and CM within large samples of SZ patients. A total of 592 participants (257 males, 335 females) were consecutively sampled from patients diagnosed with SZ at the psychiatric and psycho-counseling clinics at Shanghai Mental Health Center. PDs were assessed using a self-reported personality diagnostic questionnaire and a structured clinical interview, while CMs were evaluated using the Chinese version of the Child Trauma Questionnaire Short Form. Male patients exhibited a prominent self-reported trait of antisocial PD (t=1.972, p=0.049), while female patients demonstrated a notable emphasis on histrionic PD traits (t=-2.057, p=0.040). Structured interviews for PD diagnoses further indicated a higher comorbidity of schizotypal (χ2=4.805, p=0.028) and schizoid (χ2=6.957, p=0.008) PDs among male patients compared to female patients. Additionally, male patients reported a higher degree (t=2.957, p=0.003) and proportion (χ2=5.277, p=0.022) of experiences of physical abuse in their self-reported CM. Logistic regression analyses highlight distinct factors: higher antisocial PD traits and physical abuse are associated with male patients, while histrionic PD traits and emotional abuse are associated with female patients. These findings underscore the importance of recognizing and addressing sex-specific manifestations of personality pathology and the nuanced impact of CM in the clinical management of individuals with SZ. The study advocates for tailored interventions that consider the distinct needs associated with sex differences in both personality traits and CM experiences among SZ patients.

Correlates of Domestic Violence Victimization Among Immigrants During COVID-19 in the United States

ABSTRACT Domestic violence has been a cause of concern during the pandemic. Immigrants have been more vulnerable to the impacts of COVID-19, given systemic and cultural barriers. Utilizing a bio-psycho-social framework, the goal of this exploratory cross-sectional study was to examine the correlates of DV victimization among immigrants (N = 419, 41.5% male and 56.8% female) across the United States. Gender, age and race were included as biological and demographic factors (model 1); mental health and psychological stress were included as psychological factors (model 2); and generational position, household income, and family connections were included as social factors (model 3). A hierarchical logistic regression was performed. The sample comprised male and female participants. About 31.3% of participants were White, while the remaining were from diverse racial groups and 43.5% were 1st generation. We observed that 35.1% (60) men and 28.3% (66) women experienced at least one form of DV victimization. Women and those who were older were less likely to experience victimization. An increase in mental health distress and limited family connections were associated with a higher likelihood of DV victimization. This study examined the rates of physical, sexual, verbal, emotional, financial and immigration-related abuse experiences of immigrants in the United States. Our findings point to the need for services to be offered to all genders and the need for more social support for immigrants. The inclusion of male and female survivors of DV adds to the novelty of this study. Practitioners in particular can play an important role in providing culturally responsive support to immigrants experiencing victimization.

Witnessing Domestic Violence: A Case Study of Effects on the Child in the Short Film “Samskara”

Domestic violence is an ongoing experience of physical, psychological, or sexual abuse in the home that is used to establish power and control over another person. Most of the medical literature has focused on the effects of domestic violence on the primary victims. What effect does witnessing domestic violence have on secondary victims, such as children who live in homes where the partners abuse others? This paper will examine how domestic violence leads children to develop age-dependent adverse effects. It will focus on the cognitive, behavioural, and emotional impact of domestic violence. It will analyse through the lens of affect theory how the abused child Abhimanyu adopts the personality and traits of his abusive father in his adolescence, which turns him into the same culprit for his wife.

Childhood maltreatment and personality disorders in adolescents and adults with psychotic or non-psychotic disorders.

While the attention to personality disorders (PD) and childhood maltreatment (CM) has grown in recent years, there remains limited understanding of the prevalence and distinctions of PD and CM in clinical populations of Chinese adolescents in comparison to adults. A total of 1,417 participants were consecutively sampled from patients diagnosed with either psychotic or non-psychotic disorders in the psychiatric and psycho-counseling clinics at Shanghai Mental Health Center. The participants were categorized into two groups based on their age: adolescents (aged 15-21 years) and adults (aged 22-35 years). PDs were evaluated using a self-reported personality diagnostic questionnaire and a structured clinical interview, while CMs were assessed using the Chinese version of the Child Trauma Questionnaire Short Form. When comparing self-reported PD traits and CM between adolescents and adults, differences emerge. Adolescents, particularly in the psychotic disorder group, exhibit more pronounced schizotypal PD traits (p=0.029), and this pattern extends to non-psychotic disorders (p<0.001). Adolescents in the non-psychotic disorder group also report higher levels of emotional abuse (p=0.014), with a notable trend in physical abuse experiences compared to adults (p=0.057). Furthermore, the most prevalent PDs in the clinical sample are avoidant, borderline, and obsessive-compulsive PDs. Among patients with psychotic disorders, adolescents exhibit higher rates of schizoid, schizotypal, and obsessive-compulsive PDs compared to adults. Logistic regression analyses highlight distinct predictors for psychotic and non-psychotic disorders in adolescents and adults. The findings emphasize distinct differences in PDs and CMs between adolescent and adult groups, shedding light on their potential roles in psychotic and non-psychotic disorders.

An exploratory study of University Students’ Lived Experiences and Memories of Childhood Abuse.

Child abuse is a serious and devastating global problem. In Tanzania this problem exists in a variety of forms and is deeply rooted in cultural, educational and social practices, often mixed with, and difficult to distinguish from normal measures of correcting and disciplining children. This study is undertaken to describe the patterns of child abuse (physical, emotional and sexual) as experienced by university students in Tanzania in their childhood. The study also aims at obtaining deeper understanding of the different types of perpetrators who interacted with, and inflicted abuse to children in the family and community at large. Data comes from a representative sample drawn from university students (n=470) in one university in Tanzania in March 2019. Structured questionnaires were used to collect data. Descriptive statistics were used to analyze data. The results show multiple experiences of physical, emotional and sexual child abuse for both male and female students. The findings also indicate that family members, teachers, peers, and motor-cycle drivers were involved in the abuse of children consistent with similar studies which categorize such groups of people as perpetrators of child abuse (Moore et al, 2007; UNICEF Tanzania, 2011; Kisanga, 2012; McCrann, 2017) The study recommends that behaviors of child abuse be given due attention to ensure proper care, normal development and guarantee protection of children. The study also highlights the significance of engaging university students on intervention programs to counteract the negative effects of child abuse during adulthood.

Elder abuse, depression, anxiety, and stress in community-dwelling older adults.

Elder abuse as an important public health issue is associated in the literature with various physical and psychological symptoms. The aim of the study is to determine the relationship between elder abuse and depression, anxiety, and stress in the elderly living in the community. The cross-sectional study was completed with 729 older people. Data were collected through a face-to-face interview and a survey form. The Geriatric Mistreatment Scale (GMS) was used to evaluate elder abuse and the Depression Anxiety Stress Scale-21 (DASS-21) was used to evaluate depression, anxiety, and stress. Multivariate regression analysis was performed to determine the relationship between elder abuse and depression, anxiety, and stress. Of the participants, 20.9% were exposed to at least one type of abuse, 9.2% experienced physical abuse, 18.2% experienced psychological abuse, 4.4% experienced neglect, and 7.0% had financial abuse. The general prevalence of moderate to very severe depression, anxiety, and stress among the elderly was respectively 17.1%, 16%, and 10%. As a result of multivariate analysis it was determined that neglect (t = 6245; ß = 4952) and economic abuse (t = 3865; ß = 3350) had statistically significant effects on depression; psychological abuse (t = 2924; ß = 0,992), economic abuse (t = 3127; ß = 3517) and neglect (t = 5913; ß = 4810) had statistically significant effects on anxiety, while psychological (t = 5023; ß = 1756) and economic abuse (t = 5719; ß = 5238) had statistically significant effects on stress (P < 0.05). As a result of the study, it was seen that the prevalence of abuse and depression, anxiety, and stress was high in the elderly. There was also a strong relationship between types of elder abuse and depression, anxiety, and stress. It is recommended that health professionals working with older people to screen them for types of abuse and mental symptoms with the help of appropriate screening tools.

Postpartum depression among primigravida mothers in Kabul, Afghanistan

Introduction: Postpartum depression (PPD) is a prevalent mental health issue affecting women post-childbirth, particularly primigravida mothers. This study aims to explore the prevalence and risk factors of PPD among primigravida mothers in Kabul, Afghanistan, a low- and middle-income country with limited research on PPD among primigravida mothers. Materials and Methods: A descriptive cross-sectional study design was employed, and data were collected from 200 primigravida mothers who gave birth in Rabia Balkhi and Malalai Hospitals in Kabul. A structured questionnaire was utilized to gather data on socio-demographic characteristics, PPD symptoms, and risk factors, which were analyzed using descriptive statistics and SPSS. Results: The study findings revealed that 42.5% of the primigravida mothers in Kabul experienced symptoms of PPD according to EPDS scores. This prevalence rate was higher than global estimates and previous studies in high-income countries. Risk factors associated with PPD among primigravida mothers in Kabul included a history of depression or mental health problems (55.5%), job loss or financial difficulties (74.5%), trauma related to natural disasters or war (63%), experiences of physical or verbal abuse (34.5%), lack of social support or feelings of isolation (23%), and difficulties adjusting to motherhood (48.5%). Conclusion: The study highlights the prevalence and risk factors of Postpartum Depression among primigravida mothers in Kabul, Afghanistan, emphasizing the need for interventions to support new mothers' mental health, including prioritizing screening, providing targeted support, and addressing socioeconomic and environmental challenges, through investment in mental health services and public health campaigns.

Comparative Analysis of Gender Based Violence Knowledge and Attitudes among HIV-Positive and HIV-Negative Youths in Zimbabwe

This study sought to investigate Knowledge and attitudes of gender based violence among HIV-positive and HIV-negative youths in Zimbabwe. A cross-sectional mixed method research design was employed in the study. This study used random sampling approach to select respondents. The general youth population was sampled from the general population, while Youths living with HIV (YLHIV) was sampled from clinic records. This study was conducted in three provinces in Zimbabwe that are Matabeleland South, Harare and Manicaland. The study administered 600 questionnaires, conducted four focus group discussions. Statistical Package for Social Sciences (SPSS version 25) was used to analyse quantitative information while, FGD data was analysed using content analysis and Nvivo Version 11 software. The study shows moderate levels of knowledge about GBV with approximately 65% of the youths reported ever hearing of gender-based violence. The study findings show that YLHIV were more likely to have ever heard of gender-based violence, 71%, compared to HIV negative youths, 53%. The study shows that the majority of youths, 80%, reported radio as the major source of information about gender-based violence. Results show that Youths are more knowledgeable about physical-type violence such as sexual and physical, than soft violence such as emotional and economic. It is however encouraging to note that experience of physical abuse, albeit with some grueling reports of it, is quite low. A handful of youths, 9%, reported ever been physically abused in the past year. The study concludes that knowledge about GBV is moderate among the youth with YLHIV more likely to have ever heard of gender-based violence than HIV negative youths. Qualitative findings show that reporting on GBV was not encouraged largely on cultural grounds. Furthermore, reporting on sexual abuse for both HIV positive and negative youths was extremely hard.

Posttraumatic stress disorder (PTSD) symptom profiles among people who have experienced abuse: Findings from the NESARC-III study.

We sought to identify unique PTSD symptom profiles associated with the experience of physical and sexual abuse and to determine whether exposure in childhood, type of abuse, frequency of abuse and familial support were associated with profiles indicating increased symptom complexity. We analyzed data from 6,769 American adults (M = 43.93 years, SD = 15.35, 70.9% female) from the National Epidemiologic Survey on Alcohol and Related Conditions-III who reported histories of physical or sexual abuse. Latent Class Analysis was used to identify distinct profiles of the twenty PTSD symptoms outlined in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5). Abuse in childhood, type of abuse, frequency of childhood abuse, emotional support in childhood and a range of demographic variables were compared across classes. Five classes were educed: High All (19.6%), Threat (14.4%), Dysphoric (13.7%), Moderate Threat (29.4%) and Low Symptom (22.9%). Contrary to our hypotheses, trauma exposure in childhood did not predict class membership while type of abuse did. The High All and Dysphoric classes had greater frequency of childhood abuse, lower support in childhood, and a history of sexual abuse when compared to their less complex, predominantly fear-based counterparts (Threat and Moderate Threat classes, respectively). These constellations of DSM-5 PTSD symptoms may be a proxy for increased "complexity" and may indicate a need for alternative or additional therapeutic interventions. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Social competence of single‐parent children with child abuse in China: Mediation model of resilience

AbstractChildren from single‐parent families typically face severe developmental risks, especially those with prior experience in child abuse. This study aimed to investigate the child abuse experience and social competence of children from single‐parent families and discuss the possible mediation effect of resilience in Mainland China. This study analysed 431 single‐parent children samples collected in China (50% females, Mage = 13.10). Group comparison analyses were conducted to illustrate group differences in social competence between single‐parent children with and without child abuse experience. In addition, path analyses were conducted to examine the mediation effect of resilience between child abuse and social competence. This study findings indicated that single‐parent children with physical and emotional abuse experience did not perform significantly worse in social competence, but those with emotional neglect were found to do worse. Resilience fully mediated the effect of physical abuse and partially mediated the effect of emotional neglect on single‐parent children's social competence, while it did not mediate the impact of emotional abuse. This study contributes to understanding the mechanisms between child abuse, social competence and resilience of children from single‐parent families in Mainland China. The findings have implications for social services for single‐parent children who are abused.

A self-reported study: Health and mental health status among MSM in a district of North-West province

From youth to adulthood, men who have sex with men (MSM) experience a variety of challenges, including anxiety and depression. Their challenges are aggravated by their mental health condition, as they frequently suffer from depression, and yet they need to make informed decisions regarding their health without any limitation on access to health services. This study adopted a descriptive cross-sectional design using a quantitative approach. A sample of N=221 MSM aged 18-44 years old was recruited using a respondent-driven sampling technique (RDST). A structured, anonymous questionnaire was used to assess the mental health of the MSM. The online questionnaire data was entered into Excel and imported into Stata version 13.0 for analysis. The response rate was 92%. The findings of our study indicate that 46.61% of the respondents had mild to severe depression, while 53.39% did not experience depression. Contributing factors that lead the MSM to experience depression include their loss of respect in the community because they are MSM (p = 0.069), their families feeling ashamed of them (p = 0.068), and their experience of physical abuse (p = 0.006). Not being treated like other people in the health facility and in the community contributes to their not feeling that they belong (p = 0.250). The findings suggest that young MSM are at risk of developing depression and of being infected with HIV. The need has arisen to get more MSM to access health services and psychological support, since they are the most vulnerable key population.

Child maltreatment associates with violent victimization in young adulthood: a Brazilian birth cohort study

BackgroundMaltreatment in childhood may leave people vulnerable to further experiences of violence and more severe effects of stress later in life. Longitudinal studies of risk for violent victimisation after maltreatment are lacking in low- and middle-income countries. The objective of this study was to quantify the risk for violent victimization in the family and community in young adulthood following experiences of childhood maltreatment (experiences of physical, emotional and sexual abuse and neglect) up to age 15 years in an urban Brazilian population.Methods3246 participants in a prospective, population-based birth cohort study in Pelotas, Rio Grande do Sul, Brazil, were assessed at birth, 15 and 22 years. Sociodemographic factors were reported by mothers at birth and adolescents at age 15 years. Maltreatment and violent victimisation were self-reported in confidential questionnaires at 15 and 22, respectively. Multinomial logistic regression analyses estimated the association between having experienced any maltreatment and later experiences of family and community violence in young adulthood (no adult violence, violence only in the family context, only in the community, or both violence in the family and community), adjusting for sociodemographic factors.Results39% of females and 27% of males reported any maltreatment up to age 15 years. At 22 years, rates of past year violence in the family or community were 17.6% for females and 20.2% for males. Maltreatment was strongly associated with community violence (Females: OR = 2.96, CI = 1.83–4.80; Males: OR = 2.01, 95%CI = 1.01-4.00) and its co-occurrence with family violence (Females: OR = 2.33, 95%CI = 1.34–4.04; Males: OR = 3.20, 95%CI = 1.82–5.65) in young adulthood, after adjustment for background sociodemographic factors.ConclusionChildhood maltreatment is an important risk factor for later violent victimisation in both the family and community context. The effects of repeated trauma through the life-course needs research and clinical attention.

Factors contributing to whether or not people with obesity undergo bariatric surgery

BackgroundBariatric surgery has been suggested as a safe and effective way to treat obesity by facilitating weight loss, but factors that predict the likelihood of bariatric surgery are unknown. The objective of this study was to describe factors associated with individuals with obesity that influence their decision to undergo bariatric surgery. Subjects and methodsThe study design was a cross-sectional study and participants were recruited via a survey link posted on the Obesity Action Coalition website. Demographic data, medical data, weight loss program data, and reports of personal experiences were gathered via an online survey. A multivariate logistic regression model was conducted to examine predictors associated with bariatric surgery (N = 4192). ResultsParticipants who took phentermine (OR=2.983), Phentermine-topiramate (Qsymia) (OR=2.863), Naltrexone-bupropion (Contrave) (OR=3.246), or Liraglutide (Saxenda) (OR=2.144) had a higher likelihood of undergoing bariatric surgery for weight loss. Participants with type 2 diabetes (OR=1.728), post-traumatic stress disorder (PTSD) (OR=1.489), or COVID-19 (OR=3.852) had a higher likelihood of undergoing bariatric surgery while sleep apnea (OR=0.760) was associated with a lower likelihood of receiving surgery. Those who used MyFitnessPal™ (OR=2.232), Noom™ (OR=1.400), Jenny Craig™ (OR=1.533), or Keto (OR=1.664) for weight loss had a higher likelihood of obtaining bariatric surgery. Personal trauma experiences of sexual abuse (OR=1.982) and physical abuse (OR=1.490) were more associated with participants who underwent surgery. ConclusionsA variety of characteristics were associated with decisions to undergo bariatric surgery. These findings may help to determine ways to support individuals who are considering bariatric surgery.

Adolescents’ experience of mistreatment and abuse during childbirth: a cross-sectional community survey in a low-income informal settlement in Nairobi, Kenya

BackgroundAdolescent girls in Africa have poorer maternal health outcomes than older women partly because they are less likely to access antenatal and facility-based delivery care. Mistreatment and abuse of adolescents...

Suicidal behaviors and adverse childhood experiences: A cross-diagnostic study in persistent depressive disorder and borderline personality disorder

Adverse childhood experiences (ACE) constitute a known risk factor for suicidality. There is a research gap regarding differential patterns of associations between variants of suicidal ideations and behaviors (SIB) and characteristics of ACE in severe mental disorders. This cross-diagnostic study investigates whether SIB are related to ACE subtypes in two high-risk conditions, i.e., persistent depressive disorder (PDD) and borderline personality disorder (BPD). Inpatients with PDD (n = 117; age 40.2 years ± 12.3) and BPD (n = 74; age 26.2 ± 7.9) were assessed with the Columbia-Suicide Severity Rating Scale for suicidal ideations (SI), suicidal behaviors (SB) and actual suicide attempts (SA); ACE were recorded with the Childhood Trauma Questionnaire. In PDD, SI and SA were associated with childhood physical abuse (ORs 7.2 and 2.3, respectively). In BPD, SA were associated with severe experiences of physical abuse (OR 6.5). Weaker yet significant associations were found for childhood emotional abuse in PDD with SB (including SA), and in BPD with SA. Recall of childhood physical abuse may be clinically relevant information for identifying particular risks of SIB. Future studies should investigate these differential patterns in more depth and in terms of causality.

Water Insecurity Associated with Gender-Based Sexual and Physical Abuse Experiences, in Tshumbe District, Sankuru Province, in the Democratic Republic of the Congo: a Cross-sectional Study

Water Insecurity Associated with Gender-Based Sexual and Physical Abuse Experiences, in Tshumbe District, Sankuru Province, in the Democratic Republic of the Congo: a Cross-sectional Study

How are experiences and acceptability of child maltreatment related to resilience and posttraumatic growth: a cross cultural study

ABSTRACT Background: Post-traumatic growth (PTG) and resilience, regarded as positive psychological change following a traumatic experience, are under-researched across cultures in people exposed to child maltreatment (CM). Objective: We investigated how experiences and the perceived acceptability of CM are related to resilience and PTG in countries with different cultures, living standards, and gross national income. Method: A total of 478 adults from Cameroon (n = 111), Canada (n = 137), Japan (n = 108), and Germany (n = 122) completed an online survey with self-reported questionnaires, including the Brief Resilience Scale and the Post Traumatic Growth Inventory-Short Form. Results: Across countries, self-reported male gender and age were positively associated with resilience, while experiences of physical abuse and emotional maltreatment were negatively associated with resilience. Experiences of emotional maltreatment were positively associated with PTG. Higher levels of PTG and resilience were found amongst Cameroonian participants as compared to other countries. Conclusion: Our results suggest that positive changes following CM can vary significantly across cultures and that experiences of specific CM subtypes, but not the perceived acceptability of CM, may be important for a deeper understanding of how individuals overcome trauma and develop salutogenic outcomes. Our findings may inform CM intervention programmes for an enhanced cultural sensitivity.

Associations Between Verbal and Physical Abuse in the Home and Mental Health Indicators Among Heterosexual and Lesbian, Gay, Bisexual, and Questioning High School Students in the US—Adolescent Behaviors and Experiences Survey, 2021

PurposeA number of factors may contribute to disparities in mental health and suicidality for lesbian, gay, bisexual, and questioning (LGBQ) students, including parental abuse. MethodsThe Centers for Disease Control and Prevention's (CDC) Adolescent Behaviors and Experiences Survey included a nationally representative sample of US high school students during the COVID-19 pandemic. The current analyses examined experiences of verbal and physical abuse in the home with mental health and suicidality among LGBQ students compared to heterosexual students. ResultsThe relationship between abuse and mental health and suicidality was significant for all students; however, LGBQ students experienced substantially more abuse and had significantly poorer mental health and greater suicidality than heterosexual students. DiscussionExperiencing verbal or physical abuse in the home is strongly associated with poor mental health and suicidality among youth, regardless of sexual identity; however, among LGBQ students who experienced abuse, the prevalence of poor mental health and suicidality reached crisis levels.