@article{ref1,
title="The association of childhood trauma with suicidality in adult psychiatric patients: the mediating role of NSSI and the moderating role of self-esteem",
journal="Journal of clinical psychology (Hoboken)",
year="2024",
author="Zhou, Jing and Hu, Tao and Xue, Shuang and Dong, Zaiquan and Tang, Wanjie",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: The contribution of specific childhood trauma subtypes to suicidal thoughts and the associated mechanisms remains unclear, particularly in psychiatric patients. <br><br>METHODS: Face-to-face interviews were conducted with 449 psychiatric patients aged 18-73. Childhood trauma, self-esteem, nonsuicidal self-injury (NSSI), and suicidality were assessed retrospectively. Regression and moderated mediation model were employed to examine these relationships. <br><br>RESULTS: Emotional and sexual abuse were independently associated with suicidality. Female patients reported higher levels of emotional and sexual abuse, lower self-esteem, and a heightened risk of suicide. Self-esteem moderated the links between childhood trauma and NSSI, as well as between NSSI and suicidality. NSSI served as a mediator between childhood trauma and suicidality. <br><br>CONCLUSIONS: Suicide prevention in mentally ill patients should involve targeted programs addressing specific childhood trauma. Additionally, psychological interventions to enhance self-esteem and assist individuals engaging in NSSI behavior are crucial.<p /> <p>Language: en</p>",
language="en",
issn="0021-9762",
doi="10.1002/jclp.23646",
url="http://dx.doi.org/10.1002/jclp.23646"
}