Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients
ObjectivesChildhood trauma might be a modifiable risk factor among adults with serious mental illness. However, the correlation of child trauma and suicide is unclear, which were cited most frequently as the biggest challenge to schizophrenia (SCZ) patients in China. We aim to study relationships be...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.927540/full |
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| author | Peng Cheng Peng Cheng Peng Cheng Peijun Ju Peijun Ju Qingrong Xia Qingrong Xia Qingrong Xia Yuanyuan Chen Jingwei Li Jianliang Gao Jianliang Gao Jianliang Gao Loufeng Zhang Loufeng Zhang Loufeng Zhang Fanfan Yan Fanfan Yan Fanfan Yan Xialong Cheng Xialong Cheng Xialong Cheng Wenzhi Pei Wenzhi Pei Wenzhi Pei Long Chen Long Chen Long Chen Cuizhen Zhu Cuizhen Zhu Cuizhen Zhu Xulai Zhang Xulai Zhang Xulai Zhang |
| author_facet | Peng Cheng Peng Cheng Peng Cheng Peijun Ju Peijun Ju Qingrong Xia Qingrong Xia Qingrong Xia Yuanyuan Chen Jingwei Li Jianliang Gao Jianliang Gao Jianliang Gao Loufeng Zhang Loufeng Zhang Loufeng Zhang Fanfan Yan Fanfan Yan Fanfan Yan Xialong Cheng Xialong Cheng Xialong Cheng Wenzhi Pei Wenzhi Pei Wenzhi Pei Long Chen Long Chen Long Chen Cuizhen Zhu Cuizhen Zhu Cuizhen Zhu Xulai Zhang Xulai Zhang Xulai Zhang |
| author_sort | Peng Cheng |
| collection | DOAJ |
| description | ObjectivesChildhood trauma might be a modifiable risk factor among adults with serious mental illness. However, the correlation of child trauma and suicide is unclear, which were cited most frequently as the biggest challenge to schizophrenia (SCZ) patients in China. We aim to study relationships between child trauma and suicide in SCZ patients of different disease stages.MethodsNinety-one participants were included and divided into two groups, namely, first-episode group (n = 46), relapsed group (n = 45). The Positive and Negative Syndrome Scale was used to evaluate the severity of psychotic symptoms. The Beck's Suicide Intent Scale and The Nurses' Global Assessment of Suicide Risk were conducted by patient self-report to assess suicide symptom. The childhood trauma questionnaire was used to estimate severity of traumatic stress experienced during childhood.ResultsChildhood trauma and different dimensions of suicide were significantly higher in the relapsed group than first-episode group (P < 0.01, respectively). BMI has a significant positive relationship with recent psychosocial stress (β = 0.473, t = 3.521, P < 0.001) in first-episode group. As in relapsed group, BMI has a positive effect between severe mental illness and suicide ideation (β = 0.672, t = 5.949, P < 0.001; β = 0.909, t = 2.463, P < 0.001), Furthermore, emotional neglect presented positively related to the suicide risk and proneness to suicidal behavior (β = 0.618, t = 5.518, P < 0.001; β = 0.809, t = 5.356, P < 0.001).ConclusionRelapsed group of patients had significantly more severe childhood trauma, recent psychosocial stress, suicidal risk and proneness to suicidal behavior. BMI and emotional neglect are unique predictors for different dimensions of suicide. |
| first_indexed | 2024-04-12T20:40:35Z |
| format | Article |
| id | doaj.art-808041153b434a94a4584a45af6484fc |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T20:40:35Z |
| publishDate | 2022-09-01 |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-808041153b434a94a4584a45af6484fc2022-12-22T03:17:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-09-011310.3389/fpsyt.2022.927540927540Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patientsPeng Cheng0Peng Cheng1Peng Cheng2Peijun Ju3Peijun Ju4Qingrong Xia5Qingrong Xia6Qingrong Xia7Yuanyuan Chen8Jingwei Li9Jianliang Gao10Jianliang Gao11Jianliang Gao12Loufeng Zhang13Loufeng Zhang14Loufeng Zhang15Fanfan Yan16Fanfan Yan17Fanfan Yan18Xialong Cheng19Xialong Cheng20Xialong Cheng21Wenzhi Pei22Wenzhi Pei23Wenzhi Pei24Long Chen25Long Chen26Long Chen27Cuizhen Zhu28Cuizhen Zhu29Cuizhen Zhu30Xulai Zhang31Xulai Zhang32Xulai Zhang33Department of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaShanghai Key Laboratory of Psychotic Disorders, Shanghai, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaDepartment of Science and Education, Affiliated Psychological Hospital of Anhui Medical University, Hefei, ChinaAnhui Clinical Center for Mental and Psychological Diseases, Hefei Fourth People's Hospital, Hefei, ChinaAnhui Clinical Research Center for Mental Disorders, Anhui Mental Health Center, Hefei, ChinaObjectivesChildhood trauma might be a modifiable risk factor among adults with serious mental illness. However, the correlation of child trauma and suicide is unclear, which were cited most frequently as the biggest challenge to schizophrenia (SCZ) patients in China. We aim to study relationships between child trauma and suicide in SCZ patients of different disease stages.MethodsNinety-one participants were included and divided into two groups, namely, first-episode group (n = 46), relapsed group (n = 45). The Positive and Negative Syndrome Scale was used to evaluate the severity of psychotic symptoms. The Beck's Suicide Intent Scale and The Nurses' Global Assessment of Suicide Risk were conducted by patient self-report to assess suicide symptom. The childhood trauma questionnaire was used to estimate severity of traumatic stress experienced during childhood.ResultsChildhood trauma and different dimensions of suicide were significantly higher in the relapsed group than first-episode group (P < 0.01, respectively). BMI has a significant positive relationship with recent psychosocial stress (β = 0.473, t = 3.521, P < 0.001) in first-episode group. As in relapsed group, BMI has a positive effect between severe mental illness and suicide ideation (β = 0.672, t = 5.949, P < 0.001; β = 0.909, t = 2.463, P < 0.001), Furthermore, emotional neglect presented positively related to the suicide risk and proneness to suicidal behavior (β = 0.618, t = 5.518, P < 0.001; β = 0.809, t = 5.356, P < 0.001).ConclusionRelapsed group of patients had significantly more severe childhood trauma, recent psychosocial stress, suicidal risk and proneness to suicidal behavior. BMI and emotional neglect are unique predictors for different dimensions of suicide.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.927540/fullsuicide risksuicide ideationsuicide behaviorschizophreniachild trauma |
| spellingShingle | Peng Cheng Peng Cheng Peng Cheng Peijun Ju Peijun Ju Qingrong Xia Qingrong Xia Qingrong Xia Yuanyuan Chen Jingwei Li Jianliang Gao Jianliang Gao Jianliang Gao Loufeng Zhang Loufeng Zhang Loufeng Zhang Fanfan Yan Fanfan Yan Fanfan Yan Xialong Cheng Xialong Cheng Xialong Cheng Wenzhi Pei Wenzhi Pei Wenzhi Pei Long Chen Long Chen Long Chen Cuizhen Zhu Cuizhen Zhu Cuizhen Zhu Xulai Zhang Xulai Zhang Xulai Zhang Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients Frontiers in Psychiatry suicide risk suicide ideation suicide behavior schizophrenia child trauma |
| title | Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients |
| title_full | Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients |
| title_fullStr | Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients |
| title_full_unstemmed | Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients |
| title_short | Childhood maltreatment increases the suicidal risk in Chinese schizophrenia patients |
| title_sort | childhood maltreatment increases the suicidal risk in chinese schizophrenia patients |
| topic | suicide risk suicide ideation suicide behavior schizophrenia child trauma |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.927540/full |
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