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Childhood maltreatment, psychiatric symptoms, and suicidal thoughts among adolescents receiving substance use treatment services
Journal of Adolescence ( IF 3.8 ) Pub Date : 2021-04-08 , DOI: 10.1016/j.adolescence.2021.03.002
Jonathan G Tubman 1 , Assaf Oshri 2 , Erinn B Duprey 3 , Tara E Sutton 4
Affiliation  

Introduction

Childhood maltreatment experiences are associated with future suicidal thoughts and suicide attempts, yet the roles of specific psychiatric symptoms mediating this relation remain to be clarified. To clarify these relations, we tested a model incorporating multiple forms of childhood maltreatment (sexual abuse, physical punishment, emotional neglect), past year psychiatric disorder symptoms during adolescence (anxiety, mood, and conduct disorders) and recent suicidal thoughts.

Methods

We administered structured interviews to 394 adolescents receiving outpatient substance use treatment services in the Southeastern United States (280 males; Mage = 16.33; SDage = 1.15). Structural equation models (SEMs) were used to evaluate the degree to which relations between childhood maltreatment and suicidal thoughts were mediated by specific past-year psychiatric symptoms.

Results

Mood disorder symptoms significantly mediated the relation between neglect/negative home environment and suicidal thoughts. This path of influence did not vary by gender.

Conclusions

Childhood maltreatment and subsequent psychopathology influence suicidal thoughts among adolescents receiving substance use treatment services. The findings of the present study have implications for the adaptation and delivery of substance use treatment services to adolescents to enhance treatment engagement and outcomes.



中文翻译:

接受药物滥用治疗服务的青少年的童年虐待、精神症状和自杀念头

介绍

童年的虐待经历与未来的自杀念头和自杀企图有关,但具体的精神症状在中介这种关系中的作用仍有待阐明。为了阐明这些关系,我们测试了一个模型,其中包含多种形式的童年虐待(性虐待、体罚、情感忽视)、过去一年青春期精神障碍症状(焦虑、情绪和行为障碍)和最近的自杀念头。

方法

我们对在美国东南部接受物质使用门诊治疗服务的 394 名青少年进行了结构化访谈(280 名男性;Mage = 16.33;SDage = 1.15)。结构方程模型 (SEMs) 被用来评估童年虐待和自杀念头之间的关系由特定的过去一年的精神症状介导的程度。

结果

情绪障碍症状显着介导了忽视/消极家庭环境与自杀念头之间的关系。这种影响路径不因性别而异。

结论

童年虐待和随后的精神病理学会影响接受药物滥用治疗服务的青少年的自杀念头。本研究的结果对适应和向青少年提供药物滥用治疗服务以提高治疗参与度和结果具有影响。

更新日期:2021-04-09
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