@article{ref1,
title="Pathways to suicidal behavior in children and adolescents: examination of child maltreatment and post-traumatic symptoms",
journal="Journal of child and adolescent trauma",
year="2022",
author="McRae, Elizabeth and Stoppelbein, Laura and O'Kelley, Sarah and Smith, Shana and Fite, Paula",
volume="15",
number="3",
pages="715-725",
abstract="Suicide in youth exacts significant personal and community costs. Thus, it is important to understand predisposing risk factors. Experiencing adverse childhood experiences (ACEs), such as child maltreatment (CM-ACE), and the presence of post-traumatic stress disorder has been identified as a risk factor of suicidal behaviors among adults. Theoretical models of suicide suggest that the presence of painful experiences such as CM-ACEs increase the risk of suicidal behaviors. The relation between child maltreatment, post-traumatic stress symptom clusters (PTSS) and suicidal behaviors has not been explicitly examined among youth. The present study examined the relations between CM-ACEs, PTSS clusters, and suicidal behaviors in a clinical population of children. Children, male, ages 6 to 14, enrolled in a residential treatment program completed self-report measures to evaluate variables of interest. Path analyses revealed statistically significant direct effects of CM-ACEs and PTSS clusters on suicidal behaviors. Significant total indirect effects and marginally significant individual indirect effects of intrusion and avoidance symptoms were observed for the relation between CM-ACEs and suicidal behavior. <br><br>FINDINGS suggest that symptoms associated with specific PTSS clusters might help explain the relation between CM-ACEs and suicidal behavior, and therefore, present important implications for clinical practice and future research.<p /> <p>Language: en</p>",
language="en",
issn="1936-1521",
doi="10.1007/s40653-022-00439-4",
url="http://dx.doi.org/10.1007/s40653-022-00439-4"
}