Cognitive reappraisal mediated the relationship between childhood emotional neglect and suicidality in depressed adolescents and young adults with NSSI behavior - Summary - MDSpire
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Cognitive reappraisal mediated the relationship between childhood emotional neglect and suicidality in depressed adolescents and young adults with NSSI behavior
To explore the associations between childhood trauma subtypes, emotion regulation strategies, and suicidal ideation in depressed adolescents and young adults with non-suicidal self-injury (NSSI), particularly focusing on the underlying psychological mechanisms.
Key Findings:
Emotional neglect (68.3%), emotional abuse (55.8%), and physical neglect (52.5%) were the most prevalent trauma subtypes.
Emotional abuse, emotional neglect, and physical neglect were positively correlated with suicidal ideation.
Cognitive reappraisal was negatively correlated with both emotional neglect and suicidal ideation.
Cognitive reappraisal partially mediated the relationship between childhood emotional neglect and suicidal ideation, accounting for 16.9% of the total effect.
Interpretation:
Childhood emotional neglect contributes to increased suicidal ideation in depressed youth with NSSI, partially through impairments in cognitive reappraisal, highlighting the need for targeted interventions.
Limitations:
Cross-sectional design limits causal inferences; future studies should consider longitudinal designs to better establish causality. Self-reported measures may introduce bias, suggesting the need for multi-method assessments.
Conclusion:
The study underscores the importance of assessing emotional neglect and enhancing cognitive reappraisal skills in therapeutic interventions to reduce suicide risk in vulnerable populations, emphasizing the need for further research in this area.
