Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events

Childhood maltreatment (CM) is associated with increased non-suicidal self-injury (NSSI) and suicidal behavior (SB), independently of demographic and mental health conditions. Self-Trauma Theory and Linehan’s Biopsychosocial Model might explain the emergence of Borderline Personality Disorder (BPD)...

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Autores principales:	Laia Marques-Feixa, Jorge Moya-Higueras, Soledad Romero, Pilar Santamarina-Pérez, Marta Rapado-Castro, Iñaki Zorrilla, María Martín, Eulalia Anglada, María José Lobato, Maite Ramírez, Nerea Moreno, María Mayoral, María Marín-Vila, Bárbara Arias, Lourdes Fañanás, EPI-Young Stress GROUP
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	childhood maltreatment stressful life event (SLE) borderline personality disorder traits emotion dysregulation non-suicidal self-injury (NSSI) suicidal behavior (SB) Medicine R
Acceso en línea:	https://doaj.org/article/894e89a5197b4bccad92c67d608c8330
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spelling	oai:doaj.org-article:894e89a5197b4bccad92c67d608c83302021-11-25T18:01:30ZRisk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events10.3390/jcm102252932077-0383https://doaj.org/article/894e89a5197b4bccad92c67d608c83302021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5293https://doaj.org/toc/2077-0383Childhood maltreatment (CM) is associated with increased non-suicidal self-injury (NSSI) and suicidal behavior (SB), independently of demographic and mental health conditions. Self-Trauma Theory and Linehan’s Biopsychosocial Model might explain the emergence of Borderline Personality Disorder (BPD) symptoms as mediators of the association between CM and the risk of SB. However, little is known regarding such relationships when the exposure is recent for young persons. Here, we study 187 youths aged 7–17, with or without mental disorders. We explore CM experiences (considering the severity and frequency of different forms of neglect and abuse), recent stressful life events (SLEs), some BPD traits (emotion dysregulation, intense anger and impulsivity), and the risk of SB (including NSSI, suicide threat, suicide ideation, suicide plan and suicide attempt). We study the direct and mediating relationships between these variables via a structural equation analysis using the statistical software package EQS. Our findings suggest that youths exposed to more severe/frequent CM have more prominent BPD traits, and are more likely to have experienced recent SLEs. In turn, BPD traits increase the risk of SLEs. However, only emotion dysregulation and recent SLEs were found to be correlated with SB. Therefore, targeted interventions on emotion dysregulation are necessary to prevent NSSI or SB in children and adolescents exposed to CM, as is the minimization of further SLEs.Laia Marques-FeixaJorge Moya-HiguerasSoledad RomeroPilar Santamarina-PérezMarta Rapado-CastroIñaki ZorrillaMaría MartínEulalia AngladaMaría José LobatoMaite RamírezNerea MorenoMaría MayoralMaría Marín-VilaBárbara AriasLourdes FañanásEPI-Young Stress GROUPMDPI AGarticlechildhood maltreatmentstressful life event (SLE)borderline personality disorder traitsemotion dysregulationnon-suicidal self-injury (NSSI)suicidal behavior (SB)MedicineRENJournal of Clinical Medicine, Vol 10, Iss 5293, p 5293 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	childhood maltreatment stressful life event (SLE) borderline personality disorder traits emotion dysregulation non-suicidal self-injury (NSSI) suicidal behavior (SB) Medicine R
spellingShingle	childhood maltreatment stressful life event (SLE) borderline personality disorder traits emotion dysregulation non-suicidal self-injury (NSSI) suicidal behavior (SB) Medicine R Laia Marques-Feixa Jorge Moya-Higueras Soledad Romero Pilar Santamarina-Pérez Marta Rapado-Castro Iñaki Zorrilla María Martín Eulalia Anglada María José Lobato Maite Ramírez Nerea Moreno María Mayoral María Marín-Vila Bárbara Arias Lourdes Fañanás EPI-Young Stress GROUP Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
description	Childhood maltreatment (CM) is associated with increased non-suicidal self-injury (NSSI) and suicidal behavior (SB), independently of demographic and mental health conditions. Self-Trauma Theory and Linehan’s Biopsychosocial Model might explain the emergence of Borderline Personality Disorder (BPD) symptoms as mediators of the association between CM and the risk of SB. However, little is known regarding such relationships when the exposure is recent for young persons. Here, we study 187 youths aged 7–17, with or without mental disorders. We explore CM experiences (considering the severity and frequency of different forms of neglect and abuse), recent stressful life events (SLEs), some BPD traits (emotion dysregulation, intense anger and impulsivity), and the risk of SB (including NSSI, suicide threat, suicide ideation, suicide plan and suicide attempt). We study the direct and mediating relationships between these variables via a structural equation analysis using the statistical software package EQS. Our findings suggest that youths exposed to more severe/frequent CM have more prominent BPD traits, and are more likely to have experienced recent SLEs. In turn, BPD traits increase the risk of SLEs. However, only emotion dysregulation and recent SLEs were found to be correlated with SB. Therefore, targeted interventions on emotion dysregulation are necessary to prevent NSSI or SB in children and adolescents exposed to CM, as is the minimization of further SLEs.
format	article
author	Laia Marques-Feixa Jorge Moya-Higueras Soledad Romero Pilar Santamarina-Pérez Marta Rapado-Castro Iñaki Zorrilla María Martín Eulalia Anglada María José Lobato Maite Ramírez Nerea Moreno María Mayoral María Marín-Vila Bárbara Arias Lourdes Fañanás EPI-Young Stress GROUP
author_facet	Laia Marques-Feixa Jorge Moya-Higueras Soledad Romero Pilar Santamarina-Pérez Marta Rapado-Castro Iñaki Zorrilla María Martín Eulalia Anglada María José Lobato Maite Ramírez Nerea Moreno María Mayoral María Marín-Vila Bárbara Arias Lourdes Fañanás EPI-Young Stress GROUP
author_sort	Laia Marques-Feixa
title	Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
title_short	Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
title_full	Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
title_fullStr	Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
title_full_unstemmed	Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events
title_sort	risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/894e89a5197b4bccad92c67d608c8330
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Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events

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