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The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators

OBJECTIVE: Childhood trauma is recognized as an important risk factor in suicidal ideation, however it is not fully understood how the different types of childhood maltreatment influence suicidal ideation nor what variables mediate the relationship between childhood trauma and suicidal ideation. Thi...

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Autores principales: Bahk, Yong-Chun, Jang, Seon-Kyeong, Choi, Kee-Hong, Lee, Seung-Hwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240465/
https://www.ncbi.nlm.nih.gov/pubmed/28096873
http://dx.doi.org/10.4306/pi.2017.14.1.37
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author Bahk, Yong-Chun
Jang, Seon-Kyeong
Choi, Kee-Hong
Lee, Seung-Hwan
author_facet Bahk, Yong-Chun
Jang, Seon-Kyeong
Choi, Kee-Hong
Lee, Seung-Hwan
author_sort Bahk, Yong-Chun
collection PubMed
description OBJECTIVE: Childhood trauma is recognized as an important risk factor in suicidal ideation, however it is not fully understood how the different types of childhood maltreatment influence suicidal ideation nor what variables mediate the relationship between childhood trauma and suicidal ideation. This study examined the path from childhood trauma to suicidal ideation, including potential mediators. METHODS: A sample of 211 healthy adults completed the Childhood Trauma Questionnaire (CTQ), Beck scale for Suicidal Ideation (BSI), Functional Social Support Questionnaire (FSSQ) and Hospital Anxiety and Depression Scale (HADS). Path analysis was used to investigate the relationship among study variables. RESULTS: Of the several types of childhood maltreatment we considered, only childhood sexual abuse directly predicted suicidal ideation (β=0.215, p=0.001). Childhood physical abuse (β=0.049, 95% confidence interval: 0.011–0.109) and childhood emotional abuse (β=0.042, 95% confidence interval: 0.001–0.107) indirectly predicted suicidal ideation through their association with anxiety. Childhood neglect indirectly predicted suicidal ideation through association with perceived social support (β=0.085, 95% confidence interval: 0.041–0.154). CONCLUSION: Our results confirmed that childhood sexual abuse is a strong predictor of suicidal ideation. Perceived social support mediated the relationship between suicidal ideation and neglect. Anxiety fully mediated the relationship between suicidal ideation and both physical abuse and emotional abuse. Interventions to reduce suicidal ideation among survivors of childhood trauma should focus on anxiety symptoms and attempt to increase their social support.
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spelling pubmed-52404652017-01-17 The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators Bahk, Yong-Chun Jang, Seon-Kyeong Choi, Kee-Hong Lee, Seung-Hwan Psychiatry Investig Original Article OBJECTIVE: Childhood trauma is recognized as an important risk factor in suicidal ideation, however it is not fully understood how the different types of childhood maltreatment influence suicidal ideation nor what variables mediate the relationship between childhood trauma and suicidal ideation. This study examined the path from childhood trauma to suicidal ideation, including potential mediators. METHODS: A sample of 211 healthy adults completed the Childhood Trauma Questionnaire (CTQ), Beck scale for Suicidal Ideation (BSI), Functional Social Support Questionnaire (FSSQ) and Hospital Anxiety and Depression Scale (HADS). Path analysis was used to investigate the relationship among study variables. RESULTS: Of the several types of childhood maltreatment we considered, only childhood sexual abuse directly predicted suicidal ideation (β=0.215, p=0.001). Childhood physical abuse (β=0.049, 95% confidence interval: 0.011–0.109) and childhood emotional abuse (β=0.042, 95% confidence interval: 0.001–0.107) indirectly predicted suicidal ideation through their association with anxiety. Childhood neglect indirectly predicted suicidal ideation through association with perceived social support (β=0.085, 95% confidence interval: 0.041–0.154). CONCLUSION: Our results confirmed that childhood sexual abuse is a strong predictor of suicidal ideation. Perceived social support mediated the relationship between suicidal ideation and neglect. Anxiety fully mediated the relationship between suicidal ideation and both physical abuse and emotional abuse. Interventions to reduce suicidal ideation among survivors of childhood trauma should focus on anxiety symptoms and attempt to increase their social support. Korean Neuropsychiatric Association 2017-01 2016-12-29 /pmc/articles/PMC5240465/ /pubmed/28096873 http://dx.doi.org/10.4306/pi.2017.14.1.37 Text en Copyright © 2017 Korean Neuropsychiatric Association http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Bahk, Yong-Chun
Jang, Seon-Kyeong
Choi, Kee-Hong
Lee, Seung-Hwan
The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title_full The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title_fullStr The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title_full_unstemmed The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title_short The Relationship between Childhood Trauma and Suicidal Ideation: Role of Maltreatment and Potential Mediators
title_sort relationship between childhood trauma and suicidal ideation: role of maltreatment and potential mediators
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5240465/
https://www.ncbi.nlm.nih.gov/pubmed/28096873
http://dx.doi.org/10.4306/pi.2017.14.1.37
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