Center for the Study and Prevention of Suicide, Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd, Rochester, NY, United States; Mt. Hope Family Center, University of Rochester, 187 Edinburgh St, Rochester, NY, United States.
Mt. Hope Family Center, University of Rochester, 187 Edinburgh St, Rochester, NY, United States.
Child Abuse Negl. 2021 Mar;113:104926. doi: 10.1016/j.chiabu.2020.104926. Epub 2021 Jan 11.
Exposure to child maltreatment is a well-known risk factor for suicide ideation among adolescents. Recent stressful life events may also contribute to this risk. However, the association between these risk factors is unclear in the etiology of suicide ideation for adolescents from socio-economically disadvantaged backgrounds.
The present study tested the stress generation and stress sensitivity hypotheses in relation to child maltreatment, recent stressful life events (in the past year), and suicide ideation (in the past two weeks).
We utilized a sample of diverse, socioeconomically disadvantaged, depressed adolescent girls (N = 175) who were part of a depression treatment intervention.
Child maltreatment was significantly associated with adolescent suicide ideation, β = .40, p < .001. Results supported the stress sensitivity hypothesis, in that exposure to interpersonal stressors in the past year exacerbated the association between child maltreatment and adolescents' suicide ideation, β = .18, p < .05. We found evidence for a protective factor, cognitive reappraisal, in the association between stressful life events and suicide ideation, β = -.15, p < .05.
These findings have several implications for clinical practice and suicide prevention with adolescent girls, and contribute to the extant literature on the role of chronic and acute stress in the etiology of adolescent suicide ideation.
儿童虐待是青少年自杀意念的一个众所周知的风险因素。最近的生活压力事件也可能增加这种风险。然而，在社会经济处于不利地位的青少年中，这些风险因素与自杀意念的病因之间的关系尚不清楚。
本研究检验了与儿童虐待、最近的生活压力事件（过去一年）和自杀意念（过去两周）有关的应激产生和应激敏感假说。
我们利用了一个多样化的、社会经济处于不利地位的、抑郁的青春期女孩样本（N=175），他们是抑郁治疗干预的一部分。
儿童虐待与青少年自杀意念显著相关，β=0.40，p<.001。结果支持应激敏感假说，即过去一年中人际压力源的暴露加剧了儿童虐待与青少年自杀意念之间的关联，β=0.18，p<.05。我们发现了一个保护因素，认知重评，在生活压力事件与自杀意念之间的关联中，β=0.15，p<.05。
这些发现对青少年女孩的临床实践和自杀预防有几个影响，并为慢性和急性应激在青少年自杀意念病因中的作用的现有文献做出了贡献。
