An expanding body of research suggests that childhood trauma and adverse experiences can lead to a variety of negative health outcomes, including substance abuse, depressive disorders, and attempted suicide among adolescents and adults.12- 14 Childhood sexual and physical abuse have been strongly associated with suicide attempts.15- 21 A recent study of Norwegian drug addicts showed that a high proportion of them attempted suicide, and an even higher proportion of drug addicts who had experienced childhood adversity had attempted suicide.22 In another study, low-income women who had a history of alcohol problems and had experienced childhood abuse and neglect were at increased risk for suicide attempts.13