Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study

Objectives: This study aimed to investigate the effect of childhood trauma, especially its specific dimensions, and clinical risk factors for suicidal ideation in patients with schizophrenia.Methods: A total of 83 inpatients with schizophrenia were enrolled and divided into two groups: with suicidal...

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Autores principales:	Yaoyao Zhang, Xinyu Fang, Bei Tang, Kaili Fan, Na Wen, Ke Zhao, Weiqian Xu, Wei Tang, Yi Chen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	suicide childhood maltreatment schizophrenia insomnia physical neglect Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/8dfc79b312f0438eb6464e9a4f90fba2
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spelling	oai:doaj.org-article:8dfc79b312f0438eb6464e9a4f90fba22021-11-11T05:42:47ZChildhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study1664-064010.3389/fpsyt.2021.769743https://doaj.org/article/8dfc79b312f0438eb6464e9a4f90fba22021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.769743/fullhttps://doaj.org/toc/1664-0640Objectives: This study aimed to investigate the effect of childhood trauma, especially its specific dimensions, and clinical risk factors for suicidal ideation in patients with schizophrenia.Methods: A total of 83 inpatients with schizophrenia were enrolled and divided into two groups: with suicidal ideation (n = 33) and without suicidal ideation (n = 50). All participants were administered the Childhood Trauma Questionnaire-Short Form, the Insomnia Severity Index, the Beck Scale for Suicide Ideation, the Modified Overt Aggression Scales, the auditory hallucination rating scale, the Hamilton Rating Scale of Depression and the Positive and Negative Syndrome Scale.Results: In our sample, 39.8% of the subjects had suicidal ideation, and 60.6% of them had suffered from childhood trauma. Patients with suicidal ideation had a higher Insomnia Severity Index score, Physical neglect score, the Childhood Trauma Questionnaire-Short Form total score (all P < 0.05) compared to those without. The logistic regression analysis revealed that physical neglect in Childhood Trauma Questionnaire was significantly associated with suicidal ideation (OR = 5.46, P < 0.05, 95% CI = 0.007–0.483). Further stepwise multiple linear regression identified that insomnia (β = 0.272, P = 0.011) and physical neglect (β = 0.257, P = 0.017) were strong risk factors for the severity of suicidal ideation in patients with schizophrenia. Mediation analysis showed that insomnia played a complete mediating role between physical neglect and suicidal ideation.Conclusion: Our results indicate that childhood maltreatment of physical neglect is a strong independent risk factor for suicidal ideation in schizophrenia. The risk is probably aggravated by the poor quality of sleep. Early screening and psychosocial treatment are recommended for psychotic individuals with a trauma history.Yaoyao ZhangXinyu FangBei TangKaili FanNa WenKe ZhaoWeiqian XuWei TangWei TangYi ChenFrontiers Media S.A.articlesuicidechildhood maltreatmentschizophreniainsomniaphysical neglectPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	suicide childhood maltreatment schizophrenia insomnia physical neglect Psychiatry RC435-571
spellingShingle	suicide childhood maltreatment schizophrenia insomnia physical neglect Psychiatry RC435-571 Yaoyao Zhang Xinyu Fang Bei Tang Kaili Fan Na Wen Ke Zhao Weiqian Xu Wei Tang Wei Tang Yi Chen Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
description	Objectives: This study aimed to investigate the effect of childhood trauma, especially its specific dimensions, and clinical risk factors for suicidal ideation in patients with schizophrenia.Methods: A total of 83 inpatients with schizophrenia were enrolled and divided into two groups: with suicidal ideation (n = 33) and without suicidal ideation (n = 50). All participants were administered the Childhood Trauma Questionnaire-Short Form, the Insomnia Severity Index, the Beck Scale for Suicide Ideation, the Modified Overt Aggression Scales, the auditory hallucination rating scale, the Hamilton Rating Scale of Depression and the Positive and Negative Syndrome Scale.Results: In our sample, 39.8% of the subjects had suicidal ideation, and 60.6% of them had suffered from childhood trauma. Patients with suicidal ideation had a higher Insomnia Severity Index score, Physical neglect score, the Childhood Trauma Questionnaire-Short Form total score (all P < 0.05) compared to those without. The logistic regression analysis revealed that physical neglect in Childhood Trauma Questionnaire was significantly associated with suicidal ideation (OR = 5.46, P < 0.05, 95% CI = 0.007–0.483). Further stepwise multiple linear regression identified that insomnia (β = 0.272, P = 0.011) and physical neglect (β = 0.257, P = 0.017) were strong risk factors for the severity of suicidal ideation in patients with schizophrenia. Mediation analysis showed that insomnia played a complete mediating role between physical neglect and suicidal ideation.Conclusion: Our results indicate that childhood maltreatment of physical neglect is a strong independent risk factor for suicidal ideation in schizophrenia. The risk is probably aggravated by the poor quality of sleep. Early screening and psychosocial treatment are recommended for psychotic individuals with a trauma history.
format	article
author	Yaoyao Zhang Xinyu Fang Bei Tang Kaili Fan Na Wen Ke Zhao Weiqian Xu Wei Tang Wei Tang Yi Chen
author_facet	Yaoyao Zhang Xinyu Fang Bei Tang Kaili Fan Na Wen Ke Zhao Weiqian Xu Wei Tang Wei Tang Yi Chen
author_sort	Yaoyao Zhang
title	Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
title_short	Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
title_full	Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
title_fullStr	Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
title_full_unstemmed	Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study
title_sort	childhood trauma and insomnia increase suicidal ideation in schizophrenia patients: a cross-sectional study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/8dfc79b312f0438eb6464e9a4f90fba2
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Childhood Trauma and Insomnia Increase Suicidal Ideation in Schizophrenia Patients: A Cross-Sectional Study

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