Monday, February 4, 2013
Monday, February 4, 2013

Did childhood kill Kurt Cobain (or Jimi Hendrix)?

Rock stars' early, drug-related deaths may be about more than fame and fortune. Scientists are reconsidering their formative years.

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Did childhood kill Kurt Cobain (or Jimi Hendrix)?

Filed Under: Jonathan Purtle | Kids | Violence
POSTED: Tuesday, January 15, 2013, 6:30 AM
A series of posts examined research behind the ACE Pyramid - an illustration of how traumatic childhood experiences appear to build through a lifetime.

By Jonathan Purtle

In a box in my basement — amongst a broken TI-83 calculator, Discman, and other college-era artifacts — is a poster entitled “Forever 27.” Once ubiquitous in dorm rooms, the poster depicts Jimi Hendrix, Janice Joplin, Jim Morrison, and Kurt Cobain in a Daliesque purgatory at the age when all of them died after bouts with substance abuse: 27 years old. In addition to being a tribute to rock legends, the poster embodies the popular belief that fame and fortune lead to excess consumption, which occasionally leads to an early, but glamorous, demise.

While there is probably some truth to this logic, a study published last month in the open-access medical journal BMJ Open suggests that something far earlier in their lives — exposures to extreme stress during critical periods of childhood development — may be behind a substantial portion of rock stars’ premature mortality.

These kinds of stressors are known to trauma researchers as ACEs. The name comes from the Adverse Childhood Experiences study, a large research project started in the 1990s that discovered a strong, graded relationship between childhood trauma and stress  and the leading causes of adult death in the United States. The research spawned many other studies, and we have written about several on this blog.   The original research  designated each type of trauma or stressor — growing up with an alcoholic parent, for example, or being physically abused or neglected — as an ACE.  Among the ACE study’s findings, adults who'd experienced one ACE as children were twice as likely to have become addicted to illicit drugs at some point in their lives than people who'd experienced zero ACEs. Those with three ACEs were over three times as likely; a person with five or more ACEs was nearly eight times as likely to have become addicted. A similar relationship was identified between ACEs and alcohol abuse.  

The recently published research on early deaths among rock stars is part of a larger study of 1,489 pop stars who achieved fame between 1956 and 2006 (Elvis Presley to Amy Winehouse). The authors investigated 137 cases of musician mortality in that group. Using biographic information from a variety of sources, they determined each star’s ACE score — it's based on a standard set of 10 questions — and whether their death was “substance abuse or risk related.”

Musicians who died from substance abuse-related causes were nearly twice as likely to have ACEs than those who died from other causes. Forty-seven percent of stars who died substance abuse-related deaths had one or more ACEs compared to only 25% of those who died from other causes.  The likelihood of dying from substance abuse-related causes also increased with each additional ACE.  Fully 80% percent of the stars with two or more ACEs died from substance abuse-related causes compared to 41% of those with one ACE and 31% of those with zero ACEs.

Why might rock and pop stars’ childhood experiences be related to their cause of death? It’s possible that the association observed is the result an information bias in the study. More comprehensive biographical information, and thus more opportunity to identify ACEs, might be available about stars who died high-profile, substance abuse-related deaths — giving the impression that these stars had more ACEs, when they really only had more ACEs that the researchers knew about. What’s more likely, however, is that ACEs predisposed some stars to engage in risky behaviors — and fame and fortune then gave them the opportunity to pursue them.

Rock stars are a small but highly influential group.  Their lives, and deaths, shape the public’s thinking about cause and effect, risk and resilience. The popular narrative of rock star premature mortality —fame leads to fortune leads to excess leads to death — doesn’t account for other factors that may lead some of these rock stars to live life in the fast lane. When it comes to the lifelong consequences of childhood adversity, the latest study suggests that rock stars are pretty much like everybody else. 


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Jonathan Purtle @ 6:30 AM  Permalink | 35 comments
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Comments  (35)
  • 0 like this / 0 don't   •   Posted 8:07 AM, 01/15/2013
    I thought suicide and a gun killed Kurt Cobain? Lots of people have rough upbringings and don't kill themselves. Not sure why this is news in 2013.
    Dan in Holmesburg
  • 0 like this / 0 don't   •   Posted 9:32 AM, 01/15/2013
    Simplistic thinking will always keep you in Holmesburg
  • 0 like this / 0 don't   •   Posted 1:44 PM, 01/15/2013
    Dan in Holmesburg: Did it ever occur to you that the SAME experience will affect different people in totally different ways? Also, not killing yourself because of trauma in one's childhood does not mean that those same people do not engage in violence, criminal activity, or self-destructive behavior (i.e. drugs, overeating, depression, etc.) that simply doesn't include suicide.

    The idea that unless you commit suicide, you are therefore completely unaffected by childhood trauma is really flawed thinking. Like 900 SAT score type thinking.
    URANIUM235
  • 0 like this / 0 don't   •   Posted 8:10 AM, 01/15/2013
    Congrats--you've uncovered evidence that "the apple doesn't fall far from the tree." Wow. Those old wives knew that without an expensive study or a PhD.
    peikidmom
  • 0 like this / 0 don't   •   Posted 8:11 AM, 01/15/2013
    Phil Lynot was the biggest loss. He was a Rocker
    Earl J
  • 0 like this / 0 don't   •   Posted 8:14 AM, 01/15/2013
    Jim Morison grew up in a strict but well off household; his father was an Admiral in the Navy. So that one doesn't fit. I'd say being in your twenties and being handed piles of free blow/H/Acid/Southern Comfort was more likely the culprit.
    KINGOFZED
  • 0 like this / 0 don't   •   Posted 8:31 AM, 01/15/2013
    Excellent observation. Well done.
    emoshg
  • 0 like this / 0 don't   •   Posted 11:51 AM, 01/15/2013
    I'm not convinced that implies he grew up in an environment free of trauma and/or stress.

    that being said, I think it's high time we keep excusing the behavior of adults based on their childhoods.
    ekw555
  • 0 like this / 0 don't   •   Posted 5:22 PM, 01/15/2013
    It is the psychological nature VS nurture argument and it isn't going to be solved here
    Mortimer G Fingenfinderstein III
  • 0 like this / 0 don't   •   Posted 5:14 PM, 01/15/2013
    I'd say that witnessing deadly car accident as a child is pretty traumatizing
    boogeypretzels
  • 0 like this / 0 don't   •   Posted 8:30 AM, 01/15/2013
    heaping fame and excess on young people is probably more stressful than anything else.
    you live in a zone where no one says no to you until you are not famous anymore and then you are forgotten
    the lopez!
  • 0 like this / 0 don't   •   Posted 8:57 AM, 01/15/2013
    Cue the amateur psychologist prattle. If you don't think it's news, why read it?
    Jabey
  • 0 like this / 0 don't   •   Posted 9:21 AM, 01/15/2013
    Jabey, the point of the prattle is that too often common sense seems to be beyond the grasp of academics (there was a study that proves this). Millions of dollars are wasted on "revelations of the obvious".
    JohnnyL
  • 0 like this / 0 don't   •   Posted 9:41 AM, 01/15/2013
    I didn't read it. He was dirt bag. Now he's a dead dirt bag. Does anyone actually care?
    jgalt52
  • 0 like this / 0 don't   •   Posted 5:18 PM, 01/15/2013
    Yes
    Mortimer G Fingenfinderstein III


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