University of Notre Dame, United States.
University of Southern California, United States.
J Adolesc. 2018 Dec;69:103-112. doi: 10.1016/j.adolescence.2018.09.004. Epub 2018 Oct 1.
Suicide is a major public health concern. One consistently cited risk factor for suicide is childhood maltreatment, which also may play a role in the transition from suicidal ideation to suicidal behavior.
The current study aimed to examine the relationship between childhood maltreatment and suicide attempts during adolescence (N = 4834; 52.1% female; 67.5% Caucasian). Data from the U.S. National Longitudinal Study of Adolescent Health were utilized. Forty-six theoretically-relevant risk factors were explored as potential mediators of this relationship using an exploratory mediation data analytic method.
Results demonstrated a significant childhood maltreatment - suicide attempt relationship only among females. After considering demographics and suicidal ideation, having received counseling in the previous 12 months was the most influential mediator, followed by having a friend attempt suicide in the previous 12 months.
These findings highlight potential gender differences in the relationship between childhood maltreatment and later suicide attempts, and, moreover, the importance of assessing for recent exposure to peer suicidal behavior in suicide risk assessments.
自杀是一个严重的公共卫生问题。自杀的一个公认风险因素是儿童期虐待，它也可能在自杀意念向自杀行为的转变中起作用。
本研究旨在探讨儿童期虐待与青少年期自杀企图之间的关系（N=4834；52.1%为女性；67.5%为白种人）。本研究使用了来自美国青少年纵向研究的数据。采用探索性中介数据分析方法，探讨了 46 种理论上相关的风险因素作为这种关系的潜在中介。
结果表明，只有在女性中，儿童期虐待与自杀企图之间存在显著关系。在考虑了人口统计学因素和自杀意念后，在过去 12 个月内接受过咨询是最有影响力的中介因素，其次是在过去 12 个月内有朋友尝试过自杀。
这些发现突出了儿童期虐待与后来自杀企图之间关系的潜在性别差异，而且，在自杀风险评估中评估最近接触同伴自杀行为的重要性。
