Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms

Abstract Objective Suicidal ideation is a clinical exigency heightening the risk of suicide at different levels of suicidal behavior. This study sought to explore crucial correlates of this phenomenon with a structural equation modeling approach. Accordingly, the mediating role of depressive symptom...

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Main Authors: Marziyeh Laghaei, Mahnaz Mehrabizadeh Honarmand, Laura Jobson, Hamed Abdollahpour Ranjbar, Mojtaba Habibi Asgarabad
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-04699-8
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author Marziyeh Laghaei
Mahnaz Mehrabizadeh Honarmand
Laura Jobson
Hamed Abdollahpour Ranjbar
Mojtaba Habibi Asgarabad
author_facet Marziyeh Laghaei
Mahnaz Mehrabizadeh Honarmand
Laura Jobson
Hamed Abdollahpour Ranjbar
Mojtaba Habibi Asgarabad
author_sort Marziyeh Laghaei
collection DOAJ
description Abstract Objective Suicidal ideation is a clinical exigency heightening the risk of suicide at different levels of suicidal behavior. This study sought to explore crucial correlates of this phenomenon with a structural equation modeling approach. Accordingly, the mediating role of depressive symptoms and difficulties in emotion regulation between childhood trauma and suicidal ideation were explored. Method The sample consisted of 372 university students (57.3% females, M = 20.75, SD = 2.25) who completed self-report measures examining experiences of childhood trauma, depressive symptoms, difficulties in emotion regulation, and suicidal ideation. Structural equation modeling was employed, and mediation analysis was conducted. Confirmatory factor analysis was used to test the measurement model of each construct before evaluating the conceptual mediated model. Results Findings indicate that depressive symptoms with difficulties in emotion regulation had the strongest association (r = 0.60, P = 0.001), then depressive symptoms and suicidal ideation (r = 0.58, P = 0.001), suicidal ideation with difficulties in emotion regulation (r = 0.45, P = 0.001) then suicidal ideation with childhood trauma (r = 0.39, P = 0.001), difficulties in emotion regulation with childhood trauma (r = 0.36 P = 0.001) and finally depressive symptoms and childhood trauma (r = 0.35, P = 0.001). Regarding indirect paths, difficulties in emotion regulation and depression function together (in a sequential path) to mediate the association between childhood trauma and suicidal ideation ( χ 2 (68) = 216.86, P < 0.01, CFI = 0.95, TLI = 0.93, RMSE = 0.077, CI [0.066 to 0.089], SRMR = 0.049). Conclusion Results demonstrate that childhood trauma, depressive symptoms, and difficulties in emotion regulation are linked to suicidal ideation, highlighting the necessity of recognizing and addressing suicidal ideation as well as the factors that contribute to suicidal ideation. Emotion regulation interventions can be effective in reducing the negative effects of childhood trauma and lowering the risk of suicide. These interventions can help in reducing depressive symptoms and improve overall mental well-being, leading to a lower risk of suicide.
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spelling doaj.art-ad575f24b8574b6186518a742f83f4252023-04-30T11:23:36ZengBMCBMC Psychiatry1471-244X2023-04-0123111310.1186/s12888-023-04699-8Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptomsMarziyeh Laghaei0Mahnaz Mehrabizadeh Honarmand1Laura Jobson2Hamed Abdollahpour Ranjbar3Mojtaba Habibi Asgarabad4Department of Psychology, Shahid Chamran University of AhvazDepartment of Psychology, Shahid Chamran University of AhvazSchool of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash UniversityDepartment of Psychology, College of Social Sciences and Humanities, Koç UniversityHealth Promotion Research Center, Iran University of Medical SciencesAbstract Objective Suicidal ideation is a clinical exigency heightening the risk of suicide at different levels of suicidal behavior. This study sought to explore crucial correlates of this phenomenon with a structural equation modeling approach. Accordingly, the mediating role of depressive symptoms and difficulties in emotion regulation between childhood trauma and suicidal ideation were explored. Method The sample consisted of 372 university students (57.3% females, M = 20.75, SD = 2.25) who completed self-report measures examining experiences of childhood trauma, depressive symptoms, difficulties in emotion regulation, and suicidal ideation. Structural equation modeling was employed, and mediation analysis was conducted. Confirmatory factor analysis was used to test the measurement model of each construct before evaluating the conceptual mediated model. Results Findings indicate that depressive symptoms with difficulties in emotion regulation had the strongest association (r = 0.60, P = 0.001), then depressive symptoms and suicidal ideation (r = 0.58, P = 0.001), suicidal ideation with difficulties in emotion regulation (r = 0.45, P = 0.001) then suicidal ideation with childhood trauma (r = 0.39, P = 0.001), difficulties in emotion regulation with childhood trauma (r = 0.36 P = 0.001) and finally depressive symptoms and childhood trauma (r = 0.35, P = 0.001). Regarding indirect paths, difficulties in emotion regulation and depression function together (in a sequential path) to mediate the association between childhood trauma and suicidal ideation ( χ 2 (68) = 216.86, P < 0.01, CFI = 0.95, TLI = 0.93, RMSE = 0.077, CI [0.066 to 0.089], SRMR = 0.049). Conclusion Results demonstrate that childhood trauma, depressive symptoms, and difficulties in emotion regulation are linked to suicidal ideation, highlighting the necessity of recognizing and addressing suicidal ideation as well as the factors that contribute to suicidal ideation. Emotion regulation interventions can be effective in reducing the negative effects of childhood trauma and lowering the risk of suicide. These interventions can help in reducing depressive symptoms and improve overall mental well-being, leading to a lower risk of suicide.https://doi.org/10.1186/s12888-023-04699-8Suicidal ideationDepressive symptomsEmotion regulation difficultiesChildhood trauma
spellingShingle Marziyeh Laghaei
Mahnaz Mehrabizadeh Honarmand
Laura Jobson
Hamed Abdollahpour Ranjbar
Mojtaba Habibi Asgarabad
Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
BMC Psychiatry
Suicidal ideation
Depressive symptoms
Emotion regulation difficulties
Childhood trauma
title Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
title_full Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
title_fullStr Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
title_full_unstemmed Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
title_short Pathways from childhood trauma to suicidal ideation: mediating through difficulties in emotion regulation and depressive symptoms
title_sort pathways from childhood trauma to suicidal ideation mediating through difficulties in emotion regulation and depressive symptoms
topic Suicidal ideation
Depressive symptoms
Emotion regulation difficulties
Childhood trauma
url https://doi.org/10.1186/s12888-023-04699-8
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