Childhood trauma increases vulnerability to attempt suicide in adulthood through avoidant attachment

Autor: H. Ihme, E. Olié, P. Courtet, W. El-Hage, X. Zendjidjian, P. Mazzola-Pomietto, J.-L. Consoloni, C. Deruelle, R. Belzeaux
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Comprehensive Psychiatry, Vol 117, Iss , Pp 152333- (2022)
Druh dokumentu: article
ISSN: 0010-440X
DOI: 10.1016/j.comppsych.2022.152333
Popis: Background: Childhood trauma and affective disorders are known risk factors for adult suicidal behavior. Studies have shown a mediating effect of insecure attachment on the effect of childhood trauma and suicidal behavior but so far it is not clear whether this effect is related to an attachment dimension (anxiety, avoidance). Aim: The present study sought to examine the mediating effect of attachment anxiety and avoidance on suicidal behavior. Methods: We analyzed data on childhood trauma, attachment style, depression severity, presence of prior suicide attempts and current suicide ideation from 96 patients diagnosed with an affective disorder. Two mediation analyses were conducted to assess the effect of childhood trauma on 1) prior suicide attempts and 2) current suicidal ideation through its effect on attachment. Results: We found that childhood trauma had a complete mediated effect on the presence of prior suicide attempts through its effect on avoidant attachment (a1b1 = 0.0120, 95%-CI [0.0031, 0.0276]). However, only emotional abuse had a direct influence on suicidal ideation (c’ = 0.0273, p
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