The mediating role of reflective functioning in the association between childhood trauma and suicide attempt

[Background] Childhood trauma is intimately related with suicidal behaviour. Patients who have suffered childhood trauma develop impaired Reflective Functioning (RF), which refers to the capacity to understand ourselves and others in terms of intentional mental states. An improvement in RF has been...

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Autores: Andreo-Jover, Jorge, Curto Ramos, J, Bobes, Julio, Bravo-Ortiz, M., Cebriá, Anabel, Crespo-Facorro, Benedicto, Torre-Luque, Alejandro de la, Díaz-Marsá, Marina, Fernández-Rodrigues, Verónica, Garrido-Torres, Nathalia, Grande, Iria, López Peña, M. P., Pemau, Andres, Roberto, Natalia, Ruiz‐Veguilla, Miguel, Saiz, Pilar A., Rodríguez-Vega, Beatriz, Pérez-Sola, Víctor
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/370629
Acceso en línea:http://hdl.handle.net/10261/370629
https://api.elsevier.com/content/abstract/scopus_id/85183114494
Access Level:acceso abierto
Palabra clave:Suicide attempts
Childhood trauma
Mediation
Reflective functioning
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oai_identifier_str oai:digital.csic.es:10261/370629
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
title The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
spellingShingle The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
Andreo-Jover, Jorge
Suicide attempts
Childhood trauma
Mediation
Reflective functioning
title_short The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
title_full The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
title_fullStr The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
title_full_unstemmed The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
title_sort The mediating role of reflective functioning in the association between childhood trauma and suicide attempt
dc.creator.none.fl_str_mv Andreo-Jover, Jorge
Curto Ramos, J
Bobes, Julio
Bravo-Ortiz, M.
Cebriá, Anabel
Crespo-Facorro, Benedicto
Torre-Luque, Alejandro de la
Díaz-Marsá, Marina
Fernández-Rodrigues, Verónica
Garrido-Torres, Nathalia
Grande, Iria
López Peña, M. P.
Pemau, Andres
Roberto, Natalia
Ruiz‐Veguilla, Miguel
Saiz, Pilar A.
Rodríguez-Vega, Beatriz
Pérez-Sola, Víctor
author Andreo-Jover, Jorge
author_facet Andreo-Jover, Jorge
Curto Ramos, J
Bobes, Julio
Bravo-Ortiz, M.
Cebriá, Anabel
Crespo-Facorro, Benedicto
Torre-Luque, Alejandro de la
Díaz-Marsá, Marina
Fernández-Rodrigues, Verónica
Garrido-Torres, Nathalia
Grande, Iria
López Peña, M. P.
Pemau, Andres
Roberto, Natalia
Ruiz‐Veguilla, Miguel
Saiz, Pilar A.
Rodríguez-Vega, Beatriz
Pérez-Sola, Víctor
author_role author
author2 Curto Ramos, J
Bobes, Julio
Bravo-Ortiz, M.
Cebriá, Anabel
Crespo-Facorro, Benedicto
Torre-Luque, Alejandro de la
Díaz-Marsá, Marina
Fernández-Rodrigues, Verónica
Garrido-Torres, Nathalia
Grande, Iria
López Peña, M. P.
Pemau, Andres
Roberto, Natalia
Ruiz‐Veguilla, Miguel
Saiz, Pilar A.
Rodríguez-Vega, Beatriz
Pérez-Sola, Víctor
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
European Commission
Fundación Española de Psiquiatría y Salud Mental
Ministerio de Ciencia e Innovación (España)
Centro de Investigación Biomédica en Red Salud Mental (España)
Generalitat de Catalunya
Fundació Clínic per a la Recerca Biomèdica
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Suicide attempts
Childhood trauma
Mediation
Reflective functioning
topic Suicide attempts
Childhood trauma
Mediation
Reflective functioning
description [Background] Childhood trauma is intimately related with suicidal behaviour. Patients who have suffered childhood trauma develop impaired Reflective Functioning (RF), which refers to the capacity to understand ourselves and others in terms of intentional mental states. An improvement in RF has been associated with a reduction in suicidal attempts, but the mediating role of RF between childhood trauma and suicidal behaviour has not been addressed so far.
publishDate 2024
dc.date.none.fl_str_mv 2024
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/370629
https://api.elsevier.com/content/abstract/scopus_id/85183114494
url http://hdl.handle.net/10261/370629
https://api.elsevier.com/content/abstract/scopus_id/85183114494
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv #PLACEHOLDER_PARENT_METADATA_VALUE#
info:eu-repo/grantAgreement/EC/H2020/101016127
https://doi.org/10.1016/j.jpsychires.2024.01.005
Sí
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling The mediating role of reflective functioning in the association between childhood trauma and suicide attemptAndreo-Jover, JorgeCurto Ramos, JBobes, JulioBravo-Ortiz, M.Cebriá, AnabelCrespo-Facorro, BenedictoTorre-Luque, Alejandro de laDíaz-Marsá, MarinaFernández-Rodrigues, VerónicaGarrido-Torres, NathaliaGrande, IriaLópez Peña, M. P.Pemau, AndresRoberto, NataliaRuiz‐Veguilla, MiguelSaiz, Pilar A.Rodríguez-Vega, BeatrizPérez-Sola, VíctorSuicide attemptsChildhood traumaMediationReflective functioning[Background] Childhood trauma is intimately related with suicidal behaviour. Patients who have suffered childhood trauma develop impaired Reflective Functioning (RF), which refers to the capacity to understand ourselves and others in terms of intentional mental states. An improvement in RF has been associated with a reduction in suicidal attempts, but the mediating role of RF between childhood trauma and suicidal behaviour has not been addressed so far.[Objective] We aim to examine the potential mediating effect of RF among childhood trauma and suicide attempts.[Method] We included 748 patients who had attempted suicide at least once. They were asked to complete the Reflective Functioning Questionnaire (RFQ-8), the Columbia-Suicide Severity Rating scale (CSSRS), and the Childhood Trauma Questionnaire-Short Form (CTQ-SF). We conducted linear regressions by simple mediating model to examine the role of RF in the indirect association between childhood trauma and the number of suicide attempts.[Results] Our results show significant indirect effects through hypo and hypermentalizing between Emotional Abuse (EA) and Sexual Abuse (SA) in childhood and the number of suicide attempts in lifetime. These results indicate that ineffective RF significantly mediates the association between childhood trauma and suicidality.[Conclusion] This is the first study supporting the mediational role of RF in the relationship between EA and SA, and the number of suicide attempt in lifetime. These findings have important implications for reducing suicide rates and preventing future re-attempts. Further studies analysing this mediating role and focusing efforts on increasing RF-based interventions are required.This work was supported by the Instituto de Salud Carlos III (grant number: PI19/00941 SURVIVE) and co-funded by the European Union (grant numbers: COV20/00988, PI17/00768, PI20/01113), the European Union's Horizon 2020 research and innovation programme Societal Challenges (grant number: 101016127), and the Fundación Española de Psiquiatría y Salud Mental. IG thanks the support of the Spanish Ministry of Science and Innovation (MCIN) (PI19/00954) integrated into the Plan Nacional de I + D + I and cofinanced by the ISCIII-Subdirección General de Evaluación and the European Union (FEDER, FSE, Next Generation EU/Plan de Recuperación Transformación y Resiliencia_PRTR); the Instituto de Salud Carlos III; the CIBER of Mental Health (CIBERSAM); and the Secretaria d’Universitats i Recerca del Departament d’Economia i Coneixement (2017 SGR 1365), CERCA Programme/Generalitat de Catalunya as well as the Fundació Clínic per la Recerca Biomèdica (Pons Bartran, 2022-FRCB_PB1_2022). JB and PS have received partial support from the Government of the Principality of Asturias PCTI-2021-2023 IDI/2021/111, the Fundación para la Investigación e Innovación Biosanitaria del Principado de Asturias (FINBA), and Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Instituto de Salud Carlos III, and Ministerio de Ciencia e Innovación.Peer reviewedElsevierInstituto de Salud Carlos IIIEuropean CommissionFundación Española de Psiquiatría y Salud MentalMinisterio de Ciencia e Innovación (España)Centro de Investigación Biomédica en Red Salud Mental (España)Generalitat de CatalunyaFundació Clínic per a la Recerca BiomèdicaConsejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202420242024info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/370629https://api.elsevier.com/content/abstract/scopus_id/85183114494reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Inglés#PLACEHOLDER_PARENT_METADATA_VALUE#info:eu-repo/grantAgreement/EC/H2020/101016127https://doi.org/10.1016/j.jpsychires.2024.01.005Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/3706292026-05-22T06:33:51Z
score 15,81155

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