{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:38:32Z","timestamp":1792658312849,"version":"4.5.0"},"reference-count":47,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"\n \n <\/jats:sec>\n \n OBJECTIVE<\/jats:title>\n Survivors of child sexual abuse often experience trauma-related sequelae, including increased risk for psychiatric disorders. The objectives of this study are to (1) epidemiologically describe youth evaluated at a child advocacy center for concerns of child sexual abuse and compare the characteristics of those who did and did not experience subsequent suicidality and (2) explore associations between the presentation of suicidality and the victim-alleged perpetrator relationship.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Electronic health records of children aged 10 to 17\u00a0years who were evaluated for child sexual abuse at a medically based child advocacy center in the Midwestern United States between January 1, 2018, and December 31, 2022, were retrospectively reviewed to identify suicidality within 90\u00a0days following assessment. Demographic, medical, mental health, and alleged perpetrator relationship data were descriptively analyzed.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Among 1391 youth medically assessed for child sexual abuse, 11.1% of youth reported suicidality within 90\u00a0days. Of those youth, 21.9% attempted suicide within that time period. When the relationship between the adolescent and alleged perpetrator was known, a significantly greater percentage of suicide attempts occurred among youth whose perpetrator was a nonrelative, rather than a relative (3.2% vs 1.4%, respectively; P\u2009=\u2009.03).<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n This study supports the need for suicidality screening for youth both at the time of child sexual abuse evaluation and in the weeks and months following disclosure. Prompt, trauma-informed mental health care is critical for preventing further harm, especially for high-risk youth, including individuals with current depressive symptoms, those with prior suicidal ideation, and those who identify as sexual and gender diverse.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/peds.2025-073356","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:03:00Z","timestamp":1781222580000},"source":"Crossref","is-referenced-by-count":0,"title":["Suicidality Following Sexual Abuse Among Children Aged 10 to 17\u00a0Years"],"prefix":"10.1542","volume":"158","author":[{"given":"Daisy","family":"Sornabala","sequence":"first","affiliation":[{"name":"1Meharry Medical College School of Medicine, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridget","family":"Duffy","sequence":"additional","affiliation":[{"name":"2Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saroj","family":"Bista","sequence":"additional","affiliation":[{"name":"2Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"O\u2019Malley","sequence":"additional","affiliation":[{"name":"2Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary A.","family":"Smith","sequence":"additional","affiliation":[{"name":"2Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio"},{"name":"3Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin G.","family":"Crichton","sequence":"additional","affiliation":[{"name":"3Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"},{"name":"4Center for Family Safety and Healing at Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nichole L.","family":"Michaels","sequence":"additional","affiliation":[{"name":"2Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, Ohio"},{"name":"3Department of Pediatrics, The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"2026102203464540800_r1","article-title":"About child sexual abuse","author":"Centers for Disease Control and Prevention","year":"2024"},{"issue":"6","key":"2026102203464540800_r2","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1001\/jamapsychiatry.2024.0039","article-title":"Adverse childhood experiences and adult mental health outcomes","volume":"81","author":"Dan\u00edelsd\u00f3ttir","year":"2024","journal-title":"JAMA Psychiatry."},{"issue":"3","key":"2026102203464540800_r3","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1007\/s00406-005-0624-4","article-title":"The enduring effects of abuse and related adverse experiences in childhood. 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