Mediators between adverse childhood experiences and suicidality

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http://hdl.handle.net/10138/301295

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Rytilä-Manninen , M , Haravuori , H , Fröjd , S , Marttunen , M & Lindberg , N 2018 , ' Mediators between adverse childhood experiences and suicidality ' , Child Abuse and Neglect , vol. 77 , pp. 99-109 . https://doi.org/10.1016/j.chiabu.2017.12.007

Title: Mediators between adverse childhood experiences and suicidality
Author: Rytilä-Manninen, Minna; Haravuori, Henna; Fröjd, Sari; Marttunen, Mauri; Lindberg, Nina
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Psychiatry
University of Helsinki, Clinicum
University of Helsinki, HUS Psychiatry
Date: 2018-03
Language: eng
Number of pages: 11
Belongs to series: Child Abuse and Neglect
ISSN: 0145-2134
URI: http://hdl.handle.net/10138/301295
Abstract: We investigated whether psychiatric symptomatology, impulsivity, family and social dysfunction, and alcohol use mediate the relationship between adverse childhood experiences (ACEs) and suicidality. The study population comprised 206 adolescent psychiatric inpatients and 203 age- and gender-matched adolescents from the community. ACEs and suicidality were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime version, the Life Events Checklist, and a structured background data collection sheet. Psychiatric symptomatology was measured using the Symptom Checklist -90. Impulsivity, social dysfunction, and family dysfunction were measured using the Offer Self-Image Questionnaire, and alcohol use was assessed with the Alcohol Use Disorders Identification Test. A simple mediation test and multiple mediation analyses were conducted. A positive direct effect of ACEs on suicidality was observed. Also seen was a positive indirect effect of ACEs on suicidality through psychiatric symptomatology, impulsivity, and family and social dysfunctions. Alcohol misuse did not, however, mediate the relationship between ACEs and suicidality. According to the multiple mediation analyses, psychiatric symptomatology was the most significant mediator, followed by impulsivity. Psychiatric symptoms, impulsivity, and family and social dysfunctions are factors that should be taken into consideration when assessing suicidality in adolescents.
Subject: Adverse childhood experiences
Adolescence
Suicidality
Multiple mediation analyses
ADOLESCENT PSYCHIATRIC-INPATIENTS
FINNISH 13-YEAR-OLD ADOLESCENTS
IDENTIFICATION TEST AUDIT
SELF-IMAGE QUESTIONNAIRE
HOUSEHOLD DYSFUNCTION
RISK-FACTORS
SEXUAL-ABUSE
BEHAVIOR
DISORDERS
ALCOHOL
515 Psychology
3124 Neurology and psychiatry
5145 Social work
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