Insecure attachment and the personality dimensions of self-criticism and dependency have been proposed as risk factors for suicide in adolescents. The present study examines whether self-criticism and dependency mediate the relationship between insecure attachment styles and suicidality. A sample of 340 high-school students (73.2% females), ranging in age from 13 to 20 years (M = 16.47, SD = 1.52), completed the Depressive Experiences Questionnaire for Adolescents, the Depressive Experiences Questionnaire for Adolescents, the Attachment Style Questionnaire, and the Suicidal Behaviors Questionnaire-Revised. The results partially support the expected mediation effects. Self-criticism, but not dependency, mediates the link between insecure attachment (anxiety and avoidance) and suicide-related behaviors. Implications for suicide risk assessment and management are discussed.

Several studies have demonstrated that child maltreatment (psychological, physical, and sexual abuse, and neglect) may be a significant factor in the development of pathological personality traits that increase the risk for suicidal ideation and behavior from adolescence to adulthood. Currently, the challenge is to understand how different forms of early negative experiences render an individual prone to develop specific personality traits and, in turn, be more vulnerable to suicide risk. To understand the relationship between childhood maltreatment and personality dimensions in suicide risk, our study aims to explore the role of self-criticism and dependency, two different pathological personality traits, as potential mediators of the link between different types of childhood maltreatment and suicide risk in young adults. For this purpose, 306 students from three Italian public universities were recruited. We used the Italian version of the Childhood Experience of Care and Abuse Questionnaire (CECA.Q) to assess experiences of lack of care by parents (i.e., antipathy and neglect) as well as psychological and physical abuse before the age of 17 years. The Depressive Experiences Questionnaire (DEQ) was used to assess the personality dimensions of self-criticism and dependency, and the Suicide History Self-Rating Screening Scale was administered to assess suicide risk. Results revealed that lack of care and psychological abuse were significantly associated with suicide risk and this association was partially mediated by the maladaptive personality dimension of self-criticism. These findings suggest that the combined effect of specific forms of dysfunctional parental behavior during childhood and the development of rigid and dysfunctional negative personality traits may increase the risk for suicidal ideation and behavior during adulthood.

The relationship between attachment styles and internalizing/externalizing problems: the mediating role of self-criticism --Manuscript Draft--Manuscript Number: CUPS-D-18-00132R3 Full Title: The relationship between attachment styles and internalizing/externalizing problems: the mediating role of self-criticism Article Type: Original Article Funding Information:Abstract:Objectives. Many recent studies have explored the potential links between attachment style dimensions, personality vulnerability factors for psychopathology, and psychological and be-havioral problems, particularly those along the internalizing and externalizing spectrum. However, previous studies have not examined these links within a structural equation model that can examine multiple predictors and outcomes, and therefore have not fully investigated the specificity of links between these factors. This cross-sectional study examined the mediat-ing role of self-criticism in the relationship between attachment style dimensions and interna-lizing and externalizing problems.Method. The sample included 420 nonclinical adolescents aged 14-20 years who were re-cruited in school settings and completed self-reported measures of attachment style dimen-sions (Attachment Style Questionnaire), self-criticism (Depressive Experiences Question-naire), and internalizing and externalizing problems (Youth Self-Report). Structural equation modeling was used to test the proposed mediation model and to ascertain direct and indirect effects among study variables. Results. Results shown that self-criticism mediated the link between both attachment avoidance and anxiety, and internalizing problems. Results were not moderated by gender.Conclusions. Results suggest that self-criticism is associated with psychopathology during adolescence, and accounts for the associations of attachment style dimensions with internalizing and externalizing problems.

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Adverse childhood experiences are significant risk factors in the development of adolescent borderline personality disorder symptoms (BPDs). Theorists have posited that two personality vulnerabilities factors, self-criticism and dependency, may inform our understanding of this relationship. However, no research has examined the associations between early negative experiences, personality vulnerabilities, and adolescent BPDs. The current study aimed to identify profiles of dependency and self-criticism to examine the associations of these profiles with cumulative forms of childhood maltreatment (CM) and BPDs as well as to explore the mediating and moderating role of vulnerable personality profiles in the relationship between cumulative CM and BPDs. Two hundred and forty-one nonclinical and clinical adolescents participated in the study (Mage = 16.37, SD = 1.84). The findings indicated three different profiles: average dependent profile, dependent and self-critical profile, and self-critical profile. Individuals in the average dependent profile presented lower levels of CM and BPDs. Mediation analyses showed that relative to the average dependent profile, a higher cumulative CM history predicted a higher probability of belonging in the dependent and self-critical profile or the self-critical profile and, in turn, this was associated with higher levels of BPDs. No moderating effects of profiles of dependency and self-criticism were found.