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Adverse childhood experiences, resilience and mental health among young people aged 16–29 years in Nepal: a population-based household survey (2025)
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DOI：10.1016/j.lansea.2026.100803.png)
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Abstract
En 中文
Mental health conditions are a major public health challenge for young people globally. Although adverse childhood experiences (ACEs) are established risk factors for poor mental health, population burden of ACEs and their association with modifiable psychosocial factors and mental health outcomes among young people remain limited in South Asian countries, including Nepal, thereby constraining the development of evidence-informed prevention strategies. To address this gap, this study examines the associations of ACEs and protective psychosocial factors with mental health outcomes, including depression, anxiety, psychological distress, and suicide attempts among young people in Nepal.
Keywords:
Adverse childhood experiences
Mental health
Nepal
Psychological distress
Resilience
Social support
Suicide attempts
Young people
ACEs
Adverse childhood experiences
BMI
Body mass index
BRS
Brief resilience scale
CI
Confidence interval
CSU-HREC
Charles Sturt University Human Research Ethics committee
FCHV
Female community health volunteers
GAD-7
Generalized anxiety disorder 7-item scale
K-6
Kessler psychological distress scale (6-item)
LMICs
Low- and middle-income countries
NDE
Natural Direct effect
NHRC-IERB
Nepal health research Council institutional ethics review Board
NIE
Natural indirect effect
ODK
Open data Kit
OR
Odds ratio
PCA
Principal component analysis
PHQ-9
Patient health questionnaire 9-item scale
TCE
Total causal effect
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