Is the relationship between child abuse and suicide attempts mediated by nonsuicidal self-injury and pain tolerance?

Is the relationship between child abuse and suicide attempts mediated by nonsuicidal self-injury and pain tolerance? Clin Psychol Psychother. 2020 Aug 20;: Authors: Schönfelder A, Rath D, Forkmann T, Paashaus L, Stengler K, Teismann T, Juckel G, Glaesmer H Abstract While there is evidence for an association of child abuse with lifetime suicidal behavior, the underlying mechanisms remain unclear. In recent research we found this relationship to be indirect and mediated by capability for suicide (CS). Emotional and sexual abuse were directly associated with CS. Based on the Interpersonal Psychological Theory of Suicide the result for emotional abuse was surprising and raised the question for a missing link in this association. Consequently, this study examines NSSI as an additional mediator (M1 ) between child abuse (X), pain tolerance (M2 ), and suicide attempts (Y). We included 308 psychiatric inpatients (M = 36.9 years, 53% female) with either an acute suicidal crisis (n = 146) or a recent suicide attempt (n = 157). For the assessment we used the Childhood Trauma Screener (CTS), the German version of the self-injurious thoughts and behaviors interview (SITBI-G), the German Capability for Suicide Questionnaire (GCSQ), and a pressure algometer for measuring pain tolerance objectively. Serial mediator analyses were applied. All types of abuse showed relationships with NSSI, which itself was connected to suicidal behavior in almost all...
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research