The role of childhood maltreatment and mental health disorders on suicidal behaviour in adolescents

IF 3.4 2区心理学 Q1 FAMILY STUDIES

Child Abuse & Neglect Pub Date : 2025-01-01 DOI:10.1016/j.chiabu.2024.107151

S. Gómez-Vallejo , M. Díaz-Marsa , V. Fernández Rodrigues , J. Andreo-Jover , T. Bobes-Bascarán , A.I. Cebrià , B. Crespo Facorro , N. Garrido-Torres , A. González-Pinto , L. Jiménez-Teviño , E. Lara , M.P. Lopez-Peña , A. Palao-Tarrero , D.J. Palao , V. Pérez , M. Ruiz-Veguilla , P.A. Sáiz , Y. Sánchez-Carro , A. de la Torre-Luque , E. Vidal Bermejo , Nuria Tur

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引用次数: 0

Abstract

Background

Suicide stands as a grave and pressing public health concern, ranking among the foremost causes of death in the youth demographics. While childhood maltreatment (CM) and mental disorders have garnered substantial attention as risk factors for suicide, there remains an enigmatic aspect concerning how these two elements interact, influencing the nature of suicidal ideation and suicidal behaviour, and the transition between them.

Objective

This study endeavours to shed light on the intricate interplay between CM, mental disorders, and suicide.

Participants and setting

We gathered data from 289 adolescents aged 12–17 (87.2 % female) drawn from eight different hospitals across Spain, all of whom had attempted suicide within the past 10 days.

Methods

We assessed suicidal ideation severity and intensity, suicidal behaviour by attempts using the C-SSRS, and the presence of CM using CTQ and identified concurrent mental disorders according to the MINI. Regression analysis and moderation analysis were conducted by PROCESS macro.

Results

Moderation analysis revealed that higher scores of CM were associated with a higher number of suicide attempts with the presence of a mental disorder. Additionally, we found that those with higher scores of CM reported less severe characteristics of suicidal ideation, when presenting along with an anxiety disorder.

Conclusions

These findings revealed CM increased risk of suicidal behaviour among young individuals. Additionally, the results suggest that adolescents with CM and anxiety disorder might under-report suicidal ideation. Hence, these findings offer a potential key to identifying and preventing suicide risk among young individuals.

查看原文本刊更多论文

儿童虐待和精神健康障碍对青少年自杀行为的作用。

背景：自杀是一个严重而紧迫的公共卫生问题，是青年人口中最主要的死亡原因之一。虽然儿童虐待（CM）和精神障碍作为自杀的危险因素已经引起了大量关注，但这两个因素如何相互作用，影响自杀意念和自杀行为的性质，以及它们之间的过渡，仍然是一个谜。目的：本研究试图揭示CM、精神障碍和自杀之间复杂的相互作用。参与者和环境：我们收集了来自西班牙8家不同医院的289名12-17岁青少年（87.2%为女性）的数据，这些青少年在过去10天内都曾试图自杀。方法：我们用C-SSRS评估自杀意念的严重程度和强度，用自杀企图评估自杀行为，用CTQ评估CM的存在，并根据MINI确定并发精神障碍。采用PROCESS宏进行回归分析和调节分析。结果：适度分析显示，较高的CM分数与较高的自杀企图与精神障碍的存在有关。此外，我们发现那些CM得分较高的人在出现焦虑障碍时报告的自杀意念特征较轻。结论：这些发现表明CM增加了年轻人自杀行为的风险。此外，研究结果表明患有慢性焦虑症的青少年可能低估了自杀意念。因此，这些发现为识别和预防年轻人自杀风险提供了潜在的关键。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Abuse & Neglect Multiple-

CiteScore

7.40

自引率

10.40%

发文量

397

期刊介绍： Official Publication of the International Society for Prevention of Child Abuse and Neglect. Child Abuse & Neglect The International Journal, provides an international, multidisciplinary forum on all aspects of child abuse and neglect, with special emphasis on prevention and treatment; the scope extends further to all those aspects of life which either favor or hinder child development. While contributions will primarily be from the fields of psychology, psychiatry, social work, medicine, nursing, law enforcement, legislature, education, and anthropology, the Journal encourages the concerned lay individual and child-oriented advocate organizations to contribute.