Dr. McHolm et al. depicted their specific focus on physical abuse as a strength. However, children are rarely subject to one form of abuse. There is considerable value in examining the ways in which combinations of child maltreatment are associated with psychiatric outcomes in adulthood (5). Other criticisms of the report by Dr. McHolm et al. can be generalized to other studies of child maltreatment and suicidality. First, they ignored the relations between the duration, intensity, and frequency of abuse and the kinds and degrees of psychiatric outcomes. Second, the kinds and degrees of psychiatric outcomes may vary with the developmental stage (cognitive and socioemotional) at which child maltreatment occurs. Third, popular awareness of physical abuse emerged in 1962 with the reports by Kempe and colleagues of battered child syndrome (6). Variations in awareness and attitudes about child maltreatment over time (7) may be associated with age cohort effects in adult psychiatric outcomes. Dependency and vulnerability in later adulthood may arouse memories of similar feelings in childhood. Older adults who reached adolescence before reports of battered child syndrome became well known, when child maltreatment was not discussed openly or publicly, may be less inclined to report elder abuse than their younger peers. Fourth, recall bias is an intrinsic problem of retrospective, cross-sectional research.