Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

PeerJ

article

Xue Chen¹  Linling Jiang³  Yi Liu³  Hailiang Ran¹  Runxu Yang³  Xiufeng Xu³  Jin Lu³  Yuanyuan Xiao¹ 

[1] School of Public Health, Kunming Medical University;The Second Affiliated Hospital, Kunming Medical University;The First Affiliated Hospital, Kunming Medical University

关键词: Childhood maltreatment;    Suicidal ideation;    Resilience;    Adolescents;   

DOI  :  10.7717/peerj.11758

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

BackgroundChildhood maltreatment could increase the risk of suicidal ideation (SI) in adolescents. However, the mediation of resilience in this association remains unclear.MethodsA population-based cross-sectional study has been done among 3,146 Chinese adolescents. We collected relevant information from the study participants by using self-administered questionnaire. Chinese version of the Childhood Trauma Questionnaire (CTQ), the Resilience Scale for Chinese Adolescents (RSCA), and the Beck Scale for Suicide Ideation (BSSI) were used to measure childhood maltreatment, resilience, and SI, respectively. Univariate and multivariate binary Logistic regression models were employed to estimate crude and adjusted associations between childhood maltreatment, resilience, and SI. Path analysis has subsequently been performed to measure the mediation of resilience in this association.ResultsMultivariate Logistic regression models revealed that compared to non-abused counterparts, adolescents who had ever experienced any type of childhood maltreatment was 1.74 times likely to report SI. Among the specific types of childhood maltreatment, emotional abuse showed the strongest association with SI (adjusted OR = 3.01, 95% CI [2.37–3.82]). Path model suggested that over one-third (39.8%) of the total association between childhood maltreatment and SI was mediated via resilience. Emotion regulation and interpersonal assistance were the most prominent mediators among all dimensions of resilience.ConclusionsResilience played as a significant mediator in the association between childhood maltreatment and SI. Resilience-oriented intervention measures could be considered for suicidal risk prevention among abused Chinese adolescents.

【 授权许可】

CC BY