OBJECTIVE Adolescents with adverse childhood experiences (ACEs) and suicidality may engage in high levels of substance use to alleviate distress. Most studies of associations among ACEs, suicidality, and substance use rely on retrospective reports by adults. Comparatively less is known about concurrent relationships between ACEs, suicide risk, and substance use in adolescents, which is important for prevention. This study tested if the associations between ACEs and drinking and between ACEs and cannabis use would be even stronger among youth with suicidal ideation or attempt, relative to youth without suicidal ideation or attempt. METHOD High schoolers (N = 1,625; 50.8% male; 47.1% female; 2% nonbinary) from western New York completed the Youth Risk Behavior Survey. Ordinal regressions tested main effects and interactions of the number of ACEs and suicidal ideation/behavior (i.e., none, ideation/plan, attempt) on categories of past-month drinking and cannabis days of use, controlling for age, gender, and race/ethnicity. RESULTS Significant ACEs by suicide interactions on adolescent drinking indicate that the association between ACEs and drinking was stronger for adolescents with suicide attempt adjusted odds ratio (AOR = 2.63) compared to youth with no ideation or attempt (AOR = 1.56) and suicidal ideation/planning only (AOR = 1.58). Main effects of ACEs (AORs = 1.95-2.08) and suicide attempt (vs. no suicidal ideation/attempt [AOR = 2.11] and suicidal ideation/plan [AOR = 2.11]) were associated with greater cannabis use; interactions were not significant. CONCLUSIONS Associations between ACEs and drinking were particularly strong for adolescents with suicide attempt. Conversely, ACEs and suicide attempt were independently associated with cannabis use. Mitigating against ACEs may reduce both adolescent alcohol and cannabis use. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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不良儿童经历与自杀想法和行为对青少年酒精和大麻使用频率的交互影响。

目标 具有不良童年经历 (ACE) 和自杀倾向的青少年可能会大量使用药物来缓解痛苦。大多数关于 ACE、自杀和药物滥用之间关联的研究都依赖于成年人的回顾性报告。对于青少年中 ACE、自杀风险和物质使用之间的并发关系知之甚少，而这对于预防很重要。这项研究测试了与没有自杀意念或企图的青少年相比，有自杀意念或企图的青少年中 ACE 与饮酒以及 ACE 与大麻使用之间的关联是否会更强。方法 来自纽约西部的高中生（N = 1,625；50.8% 男性；47.1% 女性；2% 非二元性别）完成了青少年风险行为调查。序数回归测试了 ACE 数量和自杀意念/行为（即无、意念/计划、尝试）对过去一个月饮酒和使用大麻天数类别的主要影响和相互作用，控制了年龄、性别和种族/种族。结果 青少年饮酒与自杀相互作用的显着 ACE 表明，与没有自杀意念或企图 (AOR = 1.56) 和有自杀意念/计划的青少年相比，有自杀企图调整比值比 (AOR = 2.63) 的青少年的 ACE 与饮酒之间的关联更强仅（AOR = 1.58）。ACE（AOR = 1.95-2.08）和自杀企图（与无自杀意念/企图 [AOR = 2.11] 和自杀意念/计划 [AOR = 2.11]）的主要影响与更多的大麻使用有关；交互作用并不显着。结论 对于有自杀企图的青少年来说，ACE 与饮酒之间的关联尤其强烈。相反，ACE 和自杀企图与大麻使用独立相关。减少 ACE 可能会减少青少年饮酒和大麻的使用。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。