Department of Psychology, University of Houston, Houston, Texas, USA.
Department of Biological Sciences, Sam Houston State University, Huntsville, Texas, USA.
J Clin Psychol. 2022 Dec;78(12):2484-2496. doi: 10.1002/jclp.23347. Epub 2022 Mar 18.
In recent years, the prevalence of suicidal ideation among young adults has been on the rise, with childhood maltreatment thought to partially explain this disparity. Systemic inflammation-a product of over-activation of the body's stress response system-has been hypothesized to play a predictive role in the development of suicidal ideation. Enduring childhood maltreatment can lead to systemic inflammation, possibly accounting for suicidal ideation's increased prevalence among young adults who have a history of childhood maltreatment.
The current study sought to investigate the importance of childhood maltreatment as a static risk factor for downstream suicidal ideation in young adulthood with the immunological response (i.e., systemic inflammation) to childhood maltreatment serving as a mediating factor.
Systemic inflammation was found to be positively associated with suicidal ideation, supporting the unique role systemic inflammation may play in the pathogenesis of suicidal ideation, though hypotheses regarding childhood maltreatment were not supported.
This study provides novel insight into a potential immunobiological model for suicidal ideation development in young adult populations.
近年来,年轻人自杀意念的发生率呈上升趋势,而童年期虐待被认为部分解释了这种差异。全身性炎症——身体应激反应系统过度激活的产物——被假设在自杀意念的发展中起预测作用。持续的童年期虐待会导致全身性炎症,这可能解释了有童年期虐待史的年轻人自杀意念发生率增加的原因。
本研究旨在探讨童年期虐待作为年轻成人自杀意念的静态风险因素的重要性,将对童年期虐待的免疫反应(即全身性炎症)作为中介因素。
全身性炎症与自杀意念呈正相关,支持全身性炎症在自杀意念发病机制中可能发挥的独特作用,尽管对童年期虐待的假设没有得到支持。
本研究为年轻人群体自杀意念发展的潜在免疫生物学模型提供了新的见解。