Risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events.

Marques-Feixa, Laia; Moya-Higueras, Jorge; Romero, Soledad; Santamarina-Pérez, Pilar; Rapado-Castro, Marta; Zorrilla, Iñaki; Martín, María; Anglada, Eulalia; Lobato, María José; Ramírez, Maite; Moreno, Nerea; Mayoral, María; Marín-Vila, María; Arias Sampériz, Bárbara; Fañanás Saura, Lourdes; 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.

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 (...

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Detalhes bibliográficos
Autores:	Marques-Feixa, Laia, Moya-Higueras, Jorge, Romero, Soledad, Santamarina-Pérez, Pilar, Rapado-Castro, Marta, Zorrilla, Iñaki, Martín, María, Anglada, Eulalia, Lobato, María José, Ramírez, Maite, Moreno, Nerea, Mayoral, María, Marín-Vila, María, Arias Sampériz, Bárbara, Fañanás Saura, Lourdes, Epi-Young Stress Group.
Formato:	artículo
Estado:	Versión publicada
Fecha de publicación:	2021
País:	España
Recursos:	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:	Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:	oai:recercat.cat:2445/182646
Acesso em linha:	https://hdl.handle.net/2445/182646
Access Level:	acceso abierto
Palavra-chave:	Maltractament infantil Traumes psíquics Joventut Conducta suïcida Trastorns límits de la personalitat Child abuse Psychic trauma Youth Suicidal behavior Borderline personality disorder

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spelling	Risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events.Marques-Feixa, LaiaMoya-Higueras, JorgeRomero, SoledadSantamarina-Pérez, PilarRapado-Castro, MartaZorrilla, IñakiMartín, MaríaAnglada, EulaliaLobato, María JoséRamírez, MaiteMoreno, NereaMayoral, MaríaMarín-Vila, MaríaArias Sampériz, BárbaraFañanás Saura, LourdesEpi-Young Stress Group.Maltractament infantilTraumes psíquicsJoventutConducta suïcidaTrastorns límits de la personalitatChild abusePsychic traumaYouthSuicidal behaviorBorderline personality disorderChildhood 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. Keywords: borderline personality disorder traits; childhood maltreatment; complex trauma; emotion dysregulation; non-suicidal self-injury (NSSI); stressful life event (SLE); suicidal behavior (SB); youth.MDPI2022202220212022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion18 p.application/pdfhttps://hdl.handle.net/2445/182646Articles publicats en revistes (Biologia Evolutiva, Ecologia i Ciències Ambientals)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3390/jcm10225293Journal of Clinical Medicine, 2021, vol. 10, num. 22, p. 5293https://doi.org/10.3390/jcm10225293cc-by (c) Marques-Feixa, Laia et al., 2021https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1826462026-05-29T05:05:01Z
dc.title.none.fl_str_mv	Risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events.
title	Risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events.
spellingShingle	Risk of suicidal behavior in children and adolescents exposed to maltreatment: the mediating role of borderline personality traits and recent stressful life events. Marques-Feixa, Laia Maltractament infantil Traumes psíquics Joventut Conducta suïcida Trastorns límits de la personalitat Child abuse Psychic trauma Youth Suicidal behavior Borderline personality disorder
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.
dc.creator.none.fl_str_mv	Marques-Feixa, Laia Moya-Higueras, Jorge Romero, Soledad Santamarina-Pérez, Pilar Rapado-Castro, Marta Zorrilla, Iñaki Martín, María Anglada, Eulalia Lobato, María José Ramírez, Maite Moreno, Nerea Mayoral, María Marín-Vila, María Arias Sampériz, Bárbara Fañanás Saura, Lourdes Epi-Young Stress Group.
author	Marques-Feixa, Laia
author_facet	Marques-Feixa, Laia Moya-Higueras, Jorge Romero, Soledad Santamarina-Pérez, Pilar Rapado-Castro, Marta Zorrilla, Iñaki Martín, María Anglada, Eulalia Lobato, María José Ramírez, Maite Moreno, Nerea Mayoral, María Marín-Vila, María Arias Sampériz, Bárbara Fañanás Saura, Lourdes Epi-Young Stress Group.
author_role	author
author2	Moya-Higueras, Jorge Romero, Soledad Santamarina-Pérez, Pilar Rapado-Castro, Marta Zorrilla, Iñaki Martín, María Anglada, Eulalia Lobato, María José Ramírez, Maite Moreno, Nerea Mayoral, María Marín-Vila, María Arias Sampériz, Bárbara Fañanás Saura, Lourdes Epi-Young Stress Group.
author2_role	author author author author author author author author author author author author author author author
dc.subject.none.fl_str_mv	Maltractament infantil Traumes psíquics Joventut Conducta suïcida Trastorns límits de la personalitat Child abuse Psychic trauma Youth Suicidal behavior Borderline personality disorder
topic	Maltractament infantil Traumes psíquics Joventut Conducta suïcida Trastorns límits de la personalitat Child abuse Psychic trauma Youth Suicidal behavior Borderline personality disorder
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. Keywords: borderline personality disorder traits; childhood maltreatment; complex trauma; emotion dysregulation; non-suicidal self-injury (NSSI); stressful life event (SLE); suicidal behavior (SB); youth.
publishDate	2021
dc.date.none.fl_str_mv	2021 2022 2022 2022
dc.type.none.fl_str_mv	info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion
format	article
status_str	publishedVersion
dc.identifier.none.fl_str_mv	https://hdl.handle.net/2445/182646
url	https://hdl.handle.net/2445/182646
dc.language.none.fl_str_mv	Inglés
language_invalid_str_mv	Inglés
dc.relation.none.fl_str_mv	Reproducció del document publicat a: https://doi.org/10.3390/jcm10225293 Journal of Clinical Medicine, 2021, vol. 10, num. 22, p. 5293 https://doi.org/10.3390/jcm10225293
dc.rights.none.fl_str_mv	cc-by (c) Marques-Feixa, Laia et al., 2021 https://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess
rights_invalid_str_mv	cc-by (c) Marques-Feixa, Laia et al., 2021 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	18 p. application/pdf
dc.publisher.none.fl_str_mv	MDPI
publisher.none.fl_str_mv	MDPI
dc.source.none.fl_str_mv	Articles publicats en revistes (Biologia Evolutiva, Ecologia i Ciències Ambientals) reponame:Recercat. Dipósit de la Recerca de Catalunya instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str	Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str	Recercat. Dipósit de la Recerca de Catalunya
collection	Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score	15,811543

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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