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 child hood 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, J., Curto Ramos, J., Bobes, J., Bravo-Ortiz, M, Cebria, A. I, Crespo Facorro, Benedicto, De La Torre-Luque, Alejandro, Ruiz Veguilla, Miguel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/173853
Acceso en línea:https://hdl.handle.net/11441/173853
https://doi.org/10.1016/j.jpsychires.2024.01.005
Access Level:acceso abierto
Palabra clave:Childhood trauma
Suicide attempts
Reflective functioning
Mediation
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spelling The mediating role of reflective functioning in the association between childhood trauma and suicide attemptAndreo-Jover, J.Curto Ramos, J.Bobes, J.Bravo-Ortiz, MCebria, A. ICrespo Facorro, BenedictoDe La Torre-Luque, AlejandroRuiz Veguilla, MiguelChildhood traumaSuicide attemptsReflective functioningMediationBackground: Childhood trauma is intimately related with suicidal behaviour. Patients who have suffered child hood 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.ElsevierPsiquiatríaCTS1086: Psiquiatría Traslacional2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/173853https://doi.org/10.1016/j.jpsychires.2024.01.005reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésJournal of Psychiatric Research, 171, 30-37.https://pdf.sciencedirectassets.com/271251/1-s2.0-S0022395624X00023/1-s2.0-S0022395624000050/main.pdf?X-Amz-Secuinfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1738532026-06-17T12:51:07Z
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, J.
Childhood trauma
Suicide attempts
Reflective functioning
Mediation
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, J.
Curto Ramos, J.
Bobes, J.
Bravo-Ortiz, M
Cebria, A. I
Crespo Facorro, Benedicto
De La Torre-Luque, Alejandro
Ruiz Veguilla, Miguel
author Andreo-Jover, J.
author_facet Andreo-Jover, J.
Curto Ramos, J.
Bobes, J.
Bravo-Ortiz, M
Cebria, A. I
Crespo Facorro, Benedicto
De La Torre-Luque, Alejandro
Ruiz Veguilla, Miguel
author_role author
author2 Curto Ramos, J.
Bobes, J.
Bravo-Ortiz, M
Cebria, A. I
Crespo Facorro, Benedicto
De La Torre-Luque, Alejandro
Ruiz Veguilla, Miguel
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Psiquiatría
CTS1086: Psiquiatría Traslacional
dc.subject.none.fl_str_mv Childhood trauma
Suicide attempts
Reflective functioning
Mediation
topic Childhood trauma
Suicide attempts
Reflective functioning
Mediation
description Background: Childhood trauma is intimately related with suicidal behaviour. Patients who have suffered child hood 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.
publishDate 2024
dc.date.none.fl_str_mv 2024
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/11441/173853
https://doi.org/10.1016/j.jpsychires.2024.01.005
url https://hdl.handle.net/11441/173853
https://doi.org/10.1016/j.jpsychires.2024.01.005
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Journal of Psychiatric Research, 171, 30-37.
https://pdf.sciencedirectassets.com/271251/1-s2.0-S0022395624X00023/1-s2.0-S0022395624000050/main.pdf?X-Amz-Secu
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
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