Affordable Access

deepdyve-link
Publisher Website

The role of psychopathology in the relationship between history of maltreatment and suicide attempts among children and adolescent inpatients.

Authors
  • Barbot, Baptiste1, 2
  • Eff, Henry3
  • Weiss, Shira R4
  • McCarthy, James B3, 5
  • 1 Psychological Sciences Research Institute, Catholic University of Louvain, Louvain-la-Neuve, Belgium. , (Belgium)
  • 2 Child Study Center, Yale University, New Haven, CT, USA.
  • 3 Department of Psychology, Pace University, New York City, NY, USA.
  • 4 Sagamore Children's Psychiatric Center, Dix Hills, NY, USA.
  • 5 School of Psychology, Adelphi University, Garden City, NY, USA.
Type
Published Article
Journal
Child and adolescent mental health
Publication Date
May 01, 2021
Volume
26
Issue
2
Pages
114–121
Identifiers
DOI: 10.1111/camh.12393
PMID: 32424956
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

This retrospective chart review study investigates the relationship between the history of various forms of abuse and the presence of mood disorders and psychotic symptoms in predicting suicide attempts among psychiatrically hospitalized children and adolescents. A multi-mediation analysis was conducted with an archival dataset of 101 children and adolescents hospitalized predominantly for mood disorders and bipolar disorders with and without history of psychotic symptoms. Results showed that history of suicide attempts was directly associated with physical abuse and indirectly associated with sexual abuse (mediated by bipolar disorders). Emotional abuse was also indirectly related to history of suicide attempts, mediated by mood disorders for boys, and by psychotic symptoms for girls. This study is among the first to differentiate the unique effects of different types of early maltreatment on psychopathology, particularly mood disorders and psychotic symptoms, and histories of suicide attempts in psychiatrically hospitalized children and youth. Little is known about the relationships between histories of maltreatment, psychopathology, and suicide (considered simultaneously) among hospitalized children and adolescents. Different forms of abuse are associated with distinct psychopathology symptoms, and in turn, risk for suicide attempts. Only physical abuse is directly related to a history of suicide attempts, while sexual and emotional abuse are indirectly related (mediated by mood disorders and psychotic symptoms). These risk pathways are partly distinct for girls and boys. Identifying unique and cumulated risk factors can help prevent suicidality among hospitalized youth. © 2020 Association for Child and Adolescent Mental Health.

Report this publication

Statistics

Seen <100 times