Mediators of childhood trauma and suicidality in a cohort of socio-economically deprived Scottish men |
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| Institution: | 1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P R China;2. Department of Psychiatry, Jeonbuk National University Medical School, Jeonju, Republic of Korea;3. Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea;4. Department of Psychiatry, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea;5. Department of Psychiatry, The Catholic University of Korea, Seoul St. Mary''s Hospital, Seoul, Republic of Korea;6. Department of Psychiatry, Eulji University School of Medicine, Eulji University Hospital, Daejeon, Republic of Korea;7. Department of Psychiatry, Nowon Eulji Medical Center, Eulji University, Seoul, Republic of Korea;8. Department of Psychiatry, Kyungpook National University School of Medicine, Daegu, Republic of Korea;9. Department of Psychiatry, Inje University Ilsan Paik Hospital, Goyang, Republic of Korea;10. Department of Psychiatry, Korea University College of Medicine, Guro Hospital, Seoul, Republic of Korea;11. Department of Social Psychiatry and Rehabilitation, National Center for Mental Health, Seoul, Republic of Korea;12. Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea;13. Jeonnam Welfare Foundation, Gwangju, Republic of Korea;14. Research Institute of Clinical Medicine of Jeonbuk National University, Biomedical Research Institute of Jeonbuk National University Hospital, Jeonju 561-756, Korea |
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| Abstract: | Background: There is little research investigating the relationship between childhood abuse, including neglect, and suicidality in adult men, despite epidemiological data suggesting that they are most at risk for suicide.Objective: To investigate the relationship between childhood abuse and neglect and suicidality, and the possible mediating roles of affect dysregulation and social inhibition.Participants and setting: a cohort of eighty-six socio-economically deprived male Caucasian participants previously identified as suicidal, attending a non-clinical community group.Methods: Participants completed self-report measures on childhood trauma, emotion regulation, interpersonal difficulties and suicidal behavior.Results: Mediation analysis indicated that emotion dysregulation and interpersonal difficulties significantly mediated the relationship between childhood trauma and suicidality with a medium effect size (R2 = .41, p < .001).Conclusions: Study results suggest that early childhood abuse and neglect results in dysfunctional emotion regulation, which leads to suicidality in the context of impoverished social environments. The provision of psychological interventions aimed at improving social and emotional functioning may help to safeguard men who are most at risk of suicide. |
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| Keywords: | Risk factors Suicide Childhood abuse Childhood neglect Male psychology Interpersonal problems |
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