Childhood abuse experiences, depression and dissociation symptoms in relation to suicide attempts and suicidal ideation

Bertule, Marika; Sebre, Sandra; Kolesovs, Aleksandrs

doi:10.1080/15299732.2020.1869652

Cited by 32 publications

(20 citation statements)

References 32 publications

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“…Given that childhood adversity is itself a risk factor for BD ( 48 ) and was associated with DS in the reviewed studies, this factor may explain a significant proportion of the co-occurrence of DD/DS and BD. Moreover, dissociation is an important mediator of the links between childhood abuse and both psychotic symptoms ( 49 ) and suicide ( 50 ), which is consistent with the findings observed in patients with BD.…”

Section: Discussionsupporting

confidence: 87%

Dissociative Symptoms and Disorders in Patients With Bipolar Disorders: A Scoping Review

Rajkumar

2022

Front. Psychiatry

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Dissociative disorders are an important group of trauma-related disorders associated with significant disability. The co-occurrence of dissociative disorders (DD) and symptoms (DS) in bipolar disorder has been relatively understudied, but there is some evidence that this comorbidity may have significant mechanistic and clinical implications. This paper presents the results of a scoping review of the frequency and correlates of DS and DD in bipolar disorder. Based on the available evidence, DS/DD are more common in bipolar disorder than in healthy controls or in unipolar depression, are related to childhood trauma, and are associated with psychotic symptoms, suicide attempts, and a poorer response to treatment in patients with bipolar disorder. The implications of these findings, and possible mechanistic pathways underlying them, are discussed based on the current literature. Clinicians should be aware of the frequent occurrence of significant DS or DD when treating patients with bipolar disorder. A tentative future research agenda for this field, based on clinical, risk factor-related and neurobiological considerations, is outlined.

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Section: Discussionsupporting

confidence: 87%

Dissociative Symptoms and Disorders in Patients With Bipolar Disorders: A Scoping Review

Rajkumar

2022

Front. Psychiatry

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“…Moreover, dissociative symptomatology has been proposed as one possible mediator in the link between childhood maltreatment and suicide risk, including suicide ideation and attempt [22,[33][34][35][36][37][38]. Rodriguez-Srednicki [34] has analyzed the role of childhood sexual abuse on suicidal risk.…”

Section: Introductionmentioning

confidence: 99%

Association between Childhood Maltreatment and Suicidal Ideation: A Path Analysis Study

Berardelli

Sarubbi

Rogante

et al. 2022

JCM

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Epidemiological studies have suggested that childhood maltreatment increases suicidal ideation, and dissociative symptoms and hopelessness are involved in this relation. To better address this issue, we used a path analysis model to examine the role of different types of childhood maltreatment on suicidal ideation, investigating whether hopelessness and dissociative symptoms mediated this relation. A sample of 215 adult psychiatric inpatients was enrolled between January 2019 and January 2020, at the psychiatric unit of Sant’Andrea Medical Center in Rome, Italy. The Childhood Trauma Questionnaire (CTQ), Beck Hopelessness Scale (BHS), Dissociative Experiences Scale (DES-II), and Columbia-Suicide Severity Rating Scale (C-SSRS) were used to test the hypotheses. Results revealed that the presence of sexual abuse directly affected suicidal ideation (β = 0.18, SE = 0.8, p < 0.05), while emotional abuse and neglect indirectly increased suicidal ideation via dissociation (β = 0.05, SE = 0.02, 95% C.I. 0.01/0.09) and hopelessness (β = 0.10, SE = 0.03, 95% C.I. = 0.04/0.16). Professionals working with children should be aware of the long-term consequences of childhood maltreatment, particularly suicide risk. Furthermore, professionals working with adults should inquire about past childhood maltreatment.

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“…It has been found that melancholic individuals usually show a pessimistic tendency, and they are more likely to report depression (Stanghellini, 2008). As depression is one of the most prominent risk factors for SI (Roberts and Chen, 1995;Bertule et al, 2021), it is not a surprise for us to find this positive association. In contrast, sanguineous temperament was associated with decreased 1week SI.…”

Section: Discussionmentioning

confidence: 96%

Mediation of Resilience in the Association Between Personality Traits and Suicidal Ideation Among Chinese Adolescents

et al. 2022

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A positive connection has been established between personality traits and suicidal ideation (SI). However, the possible mediation of resilience within this association has never been thoroughly discussed. In this study, we aimed to investigate this topic by using population-based cross-sectional survey data of 4,489 Chinese children and adolescents. A self-administered questionnaire was used to collect information from the participants. Univariate and multivariate logistic regression models were adopted to measure the crude and adjusted associations between personality traits, SI, and resilience. Path analysis was performed to evaluate the mediation of resilience in the association between personality traits and SI. For 4,489 study subjects, the mean age was 13.4 years, ethnic minorities accounted for 71.8%, and over a half (54.6%) were middle school students. The reported prevalence rates for 1-week, 1-year, and lifetime SI were 27.6% (95% CI: 24.9%, 30.0%), 35.5% (95% CI: 30.8%, 41.0%), and 56.7% (95% CI: 52.3%, 61.0%), respectively. Girls reported a significantly higher prevalence of SI than boys. Path analysis results revealed a prominent mediation of resilience; moreover, for different dimensions of personality traits, the proportion of mediation by resilience varied. Our major findings suggest that resilience-based intervention measures could be considered in preventing personality traits related to suicidal risk among youngsters. For children and adolescents, the measuring of personality dimensions may also be helpful in targeting key subpopulations of intervention priority.

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Childhood abuse experiences, depression and dissociation symptoms in relation to suicide attempts and suicidal ideation

Cited by 32 publications

References 32 publications

Dissociative Symptoms and Disorders in Patients With Bipolar Disorders: A Scoping Review

Dissociative Symptoms and Disorders in Patients With Bipolar Disorders: A Scoping Review

Association between Childhood Maltreatment and Suicidal Ideation: A Path Analysis Study

Mediation of Resilience in the Association Between Personality Traits and Suicidal Ideation Among Chinese Adolescents

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