Skip to main content
Erschienen in: European Child & Adolescent Psychiatry 10/2019

19.02.2019 | Original Contribution

Psychopathological mechanisms of early neglect and abuse on suicidal ideation and self-harm in middle childhood

verfasst von: Elise Paul, Ana Ortin

Erschienen in: European Child & Adolescent Psychiatry | Ausgabe 10/2019

Einloggen, um Zugang zu erhalten

Abstract

Informed by diathesis-stress models of suicide risk, this longitudinal study examines the psychopathological mechanisms through which early maltreatment increases the risk for suicidal ideation and self-harm in middle childhood. The sample included 2958 families from the Fragile Families and Child Wellbeing Study, who participated in interviews at child’s ages of 3 and/or 5, and 9. Via the Child Behavior Checklist, primary caregivers reported on the child’s suicidal ideation and self-harm at age 9 and on clinically elevated depressive/anxious symptoms, aggressive behaviors, attention problems, and comorbid aggression and depressive/anxious symptoms at age 5. Past year neglect and physical/psychological abuse were measured via the Parent–Child Conflict Tactics Scale at age 3. Multivariate structural equation models indicated that early neglect had a significant indirect effect on suicidal ideation via clinically elevated depressive/anxious symptoms (OR = 1.57, 95% CI 1.09–2.25) and comorbid symptomatology (OR = 1.28, 95% CI 1.02–1.62), and on self-harm also via clinically elevated depressive/anxious symptoms (OR = 1.39, 95% CI 1.04–1.84) and comorbid symptomatology (OR = 1.20, 95% CI 1.01–1.43). Early physical/psychological abuse had a significant indirect effect on self-harm via clinically elevated attention problems (OR = 1.09, 95% CI 1.01–1.21). Unique developmental pathways for suicidal ideation and self-harm emerged among children exposed to abuse or neglect. For those exposed to early neglect, interventions should target depressive/anxious symptoms, especially when comorbid with aggression, to prevent suicidal ideation and self-harm. For children exposed to early physical/psychological abuse, problems with attention and impulsivity may be targets for reducing the risk for self-harm.
Literatur
2.
Zurück zum Zitat Adrian M, Miller AB, McCauley E, Vander Stoep A (2015) Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors. J Child Psychol Psychiatry 57:645–653CrossRef Adrian M, Miller AB, McCauley E, Vander Stoep A (2015) Suicidal ideation in early to middle adolescence: sex-specific trajectories and predictors. J Child Psychol Psychiatry 57:645–653CrossRef
3.
Zurück zum Zitat Anderson HD (2011) Suicide ideation, depressive symptoms, and out-of-home placement among youth in the US child welfare system. J Clin Child Adolesc Psychol 40:790–796CrossRef Anderson HD (2011) Suicide ideation, depressive symptoms, and out-of-home placement among youth in the US child welfare system. J Clin Child Adolesc Psychol 40:790–796CrossRef
4.
Zurück zum Zitat Herba CM, Ferdinand RF, van der Ende J, Verhulst F (2007) Long-term associations of childhood suicide ideation. J Am Acad Child Adolesc Psychiatry 46:1473–1481CrossRef Herba CM, Ferdinand RF, van der Ende J, Verhulst F (2007) Long-term associations of childhood suicide ideation. J Am Acad Child Adolesc Psychiatry 46:1473–1481CrossRef
5.
Zurück zum Zitat Musci RJ, Hart SR, Ballard ED et al (2016) Trajectories of suicidal ideation from sixth through tenth grades in predicting suicide attempts in young adulthood in an urban African American cohort. Suicide Life Threat Behav 46:255–265CrossRef Musci RJ, Hart SR, Ballard ED et al (2016) Trajectories of suicidal ideation from sixth through tenth grades in predicting suicide attempts in young adulthood in an urban African American cohort. Suicide Life Threat Behav 46:255–265CrossRef
6.
Zurück zum Zitat Lin F-G, Lin J-D, Hsieh Y-H, Chang C-Y (2014) Quarrelsome family environment as an enhanced factor on child suicidal ideation. Res Dev Disabil 35:3245–3253CrossRef Lin F-G, Lin J-D, Hsieh Y-H, Chang C-Y (2014) Quarrelsome family environment as an enhanced factor on child suicidal ideation. Res Dev Disabil 35:3245–3253CrossRef
7.
Zurück zum Zitat Pfeffer CR (1990) Preoccupations with death in “normal” children: the relationship to suicidal behavior. OMEGA-J Death Dying 20:205–212CrossRef Pfeffer CR (1990) Preoccupations with death in “normal” children: the relationship to suicidal behavior. OMEGA-J Death Dying 20:205–212CrossRef
9.
Zurück zum Zitat Hawton K, Bergen H, Waters K et al (2012) Epidemiology and nature of self-harm in children and adolescents: findings from the multicentre study of self-harm in England. Eur Child Adolesc Psychiatry 21:369–377CrossRef Hawton K, Bergen H, Waters K et al (2012) Epidemiology and nature of self-harm in children and adolescents: findings from the multicentre study of self-harm in England. Eur Child Adolesc Psychiatry 21:369–377CrossRef
10.
Zurück zum Zitat Winsper C, Lereya T, Zanarini M, Wolke D (2012) Involvement in bullying and suicide-related behavior at 11 years: a prospective birth cohort study. J Am Acad Child Adolesc Psychiatry 51:271–282CrossRef Winsper C, Lereya T, Zanarini M, Wolke D (2012) Involvement in bullying and suicide-related behavior at 11 years: a prospective birth cohort study. J Am Acad Child Adolesc Psychiatry 51:271–282CrossRef
11.
Zurück zum Zitat Simioni AR, Pan PM, Gadelha A et al (2018) Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study. Rev Bras Psiquiatr 40:48–55CrossRef Simioni AR, Pan PM, Gadelha A et al (2018) Prevalence, clinical correlates and maternal psychopathology of deliberate self-harm in children and early adolescents: results from a large community study. Rev Bras Psiquiatr 40:48–55CrossRef
13.
Zurück zum Zitat Cicchetti D, Rogosch FA, Sturge-Apple M, Toth SL (2010) Interaction of child maltreatment and 5-HTT polymorphisms: suicidal ideation among children from low-SES backgrounds. J Pediatr Psychol 35:536–546CrossRef Cicchetti D, Rogosch FA, Sturge-Apple M, Toth SL (2010) Interaction of child maltreatment and 5-HTT polymorphisms: suicidal ideation among children from low-SES backgrounds. J Pediatr Psychol 35:536–546CrossRef
14.
Zurück zum Zitat Thompson R, Briggs E, English D et al (2005) Suicidal ideation among 8-year-olds who are maltreated and at risk: findings from the LONGSCAN studies. Child Maltreat 10:26–36CrossRef Thompson R, Briggs E, English D et al (2005) Suicidal ideation among 8-year-olds who are maltreated and at risk: findings from the LONGSCAN studies. Child Maltreat 10:26–36CrossRef
16.
Zurück zum Zitat Dunn EC, McLaughlin KA, Slopen N et al (2013) Developmental timing of child maltreatment and symptoms of depression and suicidal ideation in young adulthood: results from the national longitudinal study of adolescent health. Depress Anxiety 30:955–964PubMed Dunn EC, McLaughlin KA, Slopen N et al (2013) Developmental timing of child maltreatment and symptoms of depression and suicidal ideation in young adulthood: results from the national longitudinal study of adolescent health. Depress Anxiety 30:955–964PubMed
17.
Zurück zum Zitat Bridge JA, Goldstein TR, Brent DA (2006) Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 47:372–394CrossRef Bridge JA, Goldstein TR, Brent DA (2006) Adolescent suicide and suicidal behavior. J Child Psychol Psychiatry 47:372–394CrossRef
18.
Zurück zum Zitat Brodsky BS (2016) Early childhood environment and genetic interactions: the diathesis for suicidal behavior. Curr Psychiatry Rep 18:86CrossRef Brodsky BS (2016) Early childhood environment and genetic interactions: the diathesis for suicidal behavior. Curr Psychiatry Rep 18:86CrossRef
19.
Zurück zum Zitat Brent DA, Mann JJ (2006) Familial pathways to suicidal behavior: understanding and preventing suicide among adolescents. N Engl J Med 355:2719–2721CrossRef Brent DA, Mann JJ (2006) Familial pathways to suicidal behavior: understanding and preventing suicide among adolescents. N Engl J Med 355:2719–2721CrossRef
20.
Zurück zum Zitat Dervic K, Brent DA, Oquendo MA (2008) Completed suicide in childhood. Psychiatr Clin N Am 31:271–291CrossRef Dervic K, Brent DA, Oquendo MA (2008) Completed suicide in childhood. Psychiatr Clin N Am 31:271–291CrossRef
21.
Zurück zum Zitat O’Leary CC, Frank DA, Grant-Knight W et al (2006) Suicidal ideation among urban nine and ten year olds. J Dev Behav Pediatr 27:33–39CrossRef O’Leary CC, Frank DA, Grant-Knight W et al (2006) Suicidal ideation among urban nine and ten year olds. J Dev Behav Pediatr 27:33–39CrossRef
22.
Zurück zum Zitat Vander Stoep A, Adrian M, Mc Cauley E et al (2011) Risk for suicidal ideation and suicide attempts associated with co-occurring depression and conduct problems in early adolescence. Suicide Life Threat Behav 41:316–329CrossRef Vander Stoep A, Adrian M, Mc Cauley E et al (2011) Risk for suicidal ideation and suicide attempts associated with co-occurring depression and conduct problems in early adolescence. Suicide Life Threat Behav 41:316–329CrossRef
23.
Zurück zum Zitat Wyman PA, Gaudieri PA, Schmeelk-Cone K et al (2009) Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior. J Abnorm Child Psychol 37:917–928CrossRef Wyman PA, Gaudieri PA, Schmeelk-Cone K et al (2009) Emotional triggers and psychopathology associated with suicidal ideation in urban children with elevated aggressive-disruptive behavior. J Abnorm Child Psychol 37:917–928CrossRef
24.
Zurück zum Zitat Pfeffer CR, Klerman GL, Hurt SW et al (1993) Suicidal children grow up: rates and psychosocial risk factors for suicide attempts during follow-up. J Am Acad Child Adolesc Psychiatry 32:106–113CrossRef Pfeffer CR, Klerman GL, Hurt SW et al (1993) Suicidal children grow up: rates and psychosocial risk factors for suicide attempts during follow-up. J Am Acad Child Adolesc Psychiatry 32:106–113CrossRef
25.
Zurück zum Zitat Angelkovska A, Houghton S, Hopkins S (2012) Differential profiles of risk of self-harm among clinically referred primary school aged children. Sch Psychol Int 33:646–660CrossRef Angelkovska A, Houghton S, Hopkins S (2012) Differential profiles of risk of self-harm among clinically referred primary school aged children. Sch Psychol Int 33:646–660CrossRef
26.
Zurück zum Zitat Kovess-Masfety V, Pilowsky DJ, Goelitz D et al (2015) Suicidal ideation and mental health disorders in young school children across Europe. J Affect Disord 177:28–35CrossRef Kovess-Masfety V, Pilowsky DJ, Goelitz D et al (2015) Suicidal ideation and mental health disorders in young school children across Europe. J Affect Disord 177:28–35CrossRef
27.
Zurück zum Zitat Banny AM, Cicchetti D, Rogosch FA et al (2013) Vulnerability to depression: a moderated mediation model of the roles of child maltreatment, peer victimization, and serotonin transporter linked polymorphic region genetic variation among children from low socioeconomic status backgrounds. Dev Psychopathol 25:599–614CrossRef Banny AM, Cicchetti D, Rogosch FA et al (2013) Vulnerability to depression: a moderated mediation model of the roles of child maltreatment, peer victimization, and serotonin transporter linked polymorphic region genetic variation among children from low socioeconomic status backgrounds. Dev Psychopathol 25:599–614CrossRef
28.
Zurück zum Zitat Cicchetti D (2016) Socioemotional, personality, and biological development: illustrations from a multilevel developmental psychopathology perspective on child maltreatment. Annu Rev Psychol 67:187–211CrossRef Cicchetti D (2016) Socioemotional, personality, and biological development: illustrations from a multilevel developmental psychopathology perspective on child maltreatment. Annu Rev Psychol 67:187–211CrossRef
29.
Zurück zum Zitat Finzi R, Har-Even D, Shnit D, Weizman A (2002) Psychosocial characterization of physically abused children from low socioeconomic households in comparison to neglected and nonmaltreated children. J Child Fam Stud 11:441–453CrossRef Finzi R, Har-Even D, Shnit D, Weizman A (2002) Psychosocial characterization of physically abused children from low socioeconomic households in comparison to neglected and nonmaltreated children. J Child Fam Stud 11:441–453CrossRef
30.
Zurück zum Zitat Manly JT, Kim JE, Rogosch FA, Cicchetti D (2001) Dimensions of child maltreatment and children’s adjustment: contributions of developmental timing and subtype. Dev Psychopathol 13:759–782CrossRef Manly JT, Kim JE, Rogosch FA, Cicchetti D (2001) Dimensions of child maltreatment and children’s adjustment: contributions of developmental timing and subtype. Dev Psychopathol 13:759–782CrossRef
31.
Zurück zum Zitat Miller AB, Esposito-Smythers C, Weismoore JT, Renshaw KD (2013) The relation between child maltreatment and adolescent suicidal behavior: a systematic review and critical examination of the literature. Clin Child Fam Psychol Rev 16:146–172CrossRef Miller AB, Esposito-Smythers C, Weismoore JT, Renshaw KD (2013) The relation between child maltreatment and adolescent suicidal behavior: a systematic review and critical examination of the literature. Clin Child Fam Psychol Rev 16:146–172CrossRef
32.
Zurück zum Zitat Reichman NE, Teitler JO, Garfinkel I, McLanahan SS (2001) Fragile families: sample and design. Child Youth Serv Rev 23:303–326CrossRef Reichman NE, Teitler JO, Garfinkel I, McLanahan SS (2001) Fragile families: sample and design. Child Youth Serv Rev 23:303–326CrossRef
33.
Zurück zum Zitat Achenbach T, Rescorla L (1991) Manual for the ASEBA school-age forms profiles. University of Vermont, Research Center for Children, Youth & Families, Burlington, VT Achenbach T, Rescorla L (1991) Manual for the ASEBA school-age forms profiles. University of Vermont, Research Center for Children, Youth & Families, Burlington, VT
34.
Zurück zum Zitat Achenbach TM (1991) Manual for the youth self-report and 1991 profile. Department of Psychiatry, University of Vermont, Burlington Achenbach TM (1991) Manual for the youth self-report and 1991 profile. Department of Psychiatry, University of Vermont, Burlington
35.
Zurück zum Zitat Sourander A, Helstelä L, Haavisto A, Bergroth L (2001) Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study. J Affect Disord 63:59–66CrossRef Sourander A, Helstelä L, Haavisto A, Bergroth L (2001) Suicidal thoughts and attempts among adolescents: a longitudinal 8-year follow-up study. J Affect Disord 63:59–66CrossRef
36.
Zurück zum Zitat Straus MA, Hamby SL, Finkelhor D et al (1998) Identification of child maltreatment with the Parent–Child Conflict Tactics Scales: development and psychometric data for a national sample of American parents. Child Abuse Negl 22:249–270CrossRef Straus MA, Hamby SL, Finkelhor D et al (1998) Identification of child maltreatment with the Parent–Child Conflict Tactics Scales: development and psychometric data for a national sample of American parents. Child Abuse Negl 22:249–270CrossRef
37.
Zurück zum Zitat Straus MA (2001) Scoring and norms for the CTS2 and CTSPC family research laboratory. University of New Hampshire, Durham Straus MA (2001) Scoring and norms for the CTS2 and CTSPC family research laboratory. University of New Hampshire, Durham
38.
Zurück zum Zitat Straus M, Hamby S (1997) Measuring physical and psychological maltreatment of children with the Conflict Tactics Scales. Out of the darkness: contemporary perspectives on family violence. SAGE Publications Inc, Thousand Oaks, pp 119–135CrossRef Straus M, Hamby S (1997) Measuring physical and psychological maltreatment of children with the Conflict Tactics Scales. Out of the darkness: contemporary perspectives on family violence. SAGE Publications Inc, Thousand Oaks, pp 119–135CrossRef
39.
Zurück zum Zitat Achenbach TM (1991) Child behavior checklist/4–18. Univ Vt, Burlington Achenbach TM (1991) Child behavior checklist/4–18. Univ Vt, Burlington
40.
Zurück zum Zitat Kessler RC, Andrews G, Mroczek D et al (1998) The World Health Organization composite international diagnostic interview short-form (CIDI-SF). Int J Methods Psychiatr Res 7:171–185CrossRef Kessler RC, Andrews G, Mroczek D et al (1998) The World Health Organization composite international diagnostic interview short-form (CIDI-SF). Int J Methods Psychiatr Res 7:171–185CrossRef
41.
Zurück zum Zitat Dickman SJ (1990) Functional and dysfunctional impulsivity: personality and cognitive correlates. J Pers Soc Psychol 58:95CrossRef Dickman SJ (1990) Functional and dysfunctional impulsivity: personality and cognitive correlates. J Pers Soc Psychol 58:95CrossRef
42.
Zurück zum Zitat Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB (1996) The revised conflict tactics scales (CTS2) development and preliminary psychometric data. J Fam Issues 17:283–316CrossRef Straus MA, Hamby SL, Boney-McCoy S, Sugarman DB (1996) The revised conflict tactics scales (CTS2) development and preliminary psychometric data. J Fam Issues 17:283–316CrossRef
43.
Zurück zum Zitat StataCorp. (2015) Stata statistical software: release 14. StataCorp LP, College Station StataCorp. (2015) Stata statistical software: release 14. StataCorp LP, College Station
44.
Zurück zum Zitat Gul H, Gurkan CK (2016) Child maltreatment and associated parental factors among children with ADHD: a comparative study. J Atten Disord 13:1278–1288 Gul H, Gurkan CK (2016) Child maltreatment and associated parental factors among children with ADHD: a comparative study. J Atten Disord 13:1278–1288
45.
Zurück zum Zitat Pfeffer CR (1986) The suicidal child. Guilford Press, New York Pfeffer CR (1986) The suicidal child. Guilford Press, New York
46.
Zurück zum Zitat Adam KS (1994) In: Sperling MB, Berman WH (eds) Suicidal behavior and attachment: a developmental model. Guilford Press, New York, pp 275–298 Adam KS (1994) In: Sperling MB, Berman WH (eds) Suicidal behavior and attachment: a developmental model. Guilford Press, New York, pp 275–298
47.
Zurück zum Zitat Pfeffer CR, Trad PV (1988) Sadness and suicidal tendencies in preschool children. J Dev Behav Pediatr 9:86–88CrossRef Pfeffer CR, Trad PV (1988) Sadness and suicidal tendencies in preschool children. J Dev Behav Pediatr 9:86–88CrossRef
48.
Zurück zum Zitat Klaus NM, Mobilio A, King CA (2009) Parent–adolescent agreement concerning adolescents’ suicidal thoughts and behaviors. J Clin Child Adolesc Psychol 38:245–255CrossRef Klaus NM, Mobilio A, King CA (2009) Parent–adolescent agreement concerning adolescents’ suicidal thoughts and behaviors. J Clin Child Adolesc Psychol 38:245–255CrossRef
49.
Zurück zum Zitat Kashani JH, Goddard P, Reid JC (1989) Correlates of suicidal ideation in a community sample of children and adolescents. J Am Acad Child Adolesc Psychiatry 28:912–917CrossRef Kashani JH, Goddard P, Reid JC (1989) Correlates of suicidal ideation in a community sample of children and adolescents. J Am Acad Child Adolesc Psychiatry 28:912–917CrossRef
50.
Zurück zum Zitat Taylor CA, Guterman NB, Lee SJ, Rathouz PJ (2009) Intimate partner violence, maternal stress, nativity, and risk for maternal maltreatment of young children. Am J Public Health 99:175–183CrossRef Taylor CA, Guterman NB, Lee SJ, Rathouz PJ (2009) Intimate partner violence, maternal stress, nativity, and risk for maternal maltreatment of young children. Am J Public Health 99:175–183CrossRef
51.
Zurück zum Zitat Guterman NB, Lee SJ, Taylor CA, Rathouz PJ (2009) Parental perceptions of neighborhood processes, stress, personal control, and risk for physical child abuse and neglect. Child Abuse Negl 33:897–906CrossRef Guterman NB, Lee SJ, Taylor CA, Rathouz PJ (2009) Parental perceptions of neighborhood processes, stress, personal control, and risk for physical child abuse and neglect. Child Abuse Negl 33:897–906CrossRef
Metadaten
Titel
Psychopathological mechanisms of early neglect and abuse on suicidal ideation and self-harm in middle childhood
verfasst von
Elise Paul
Ana Ortin
Publikationsdatum
19.02.2019
Verlag
Springer Berlin Heidelberg
Erschienen in
European Child & Adolescent Psychiatry / Ausgabe 10/2019
Print ISSN: 1018-8827
Elektronische ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-019-01287-8

Weitere Artikel der Ausgabe 10/2019

European Child & Adolescent Psychiatry 10/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.