Relationship and related factors between child abuse and suicidal ideation in patients with bipolar disorder
10.3969/j.issn.1000-6729.2024.07.002
- VernacularTitle:双相障碍患者儿童期虐待经历与自杀意念的关系及相关因素
- Author:
Ruoyun MA
1
;
Lixia ZHONG
;
Zhulin LI
;
Jiao XIE
;
Caihong ZHU
;
Xiaoling LIN
Author Information
1. 中山大学护理学院,广州 510089
- Keywords:
suicidal ideation;
child abuse;
self-esteem;
depression;
bipolar disorder
- From:
Chinese Mental Health Journal
2024;38(7):559-566
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the association between child abuse and suicidal ideation in patients with bi-polar disorder.The mediation of self-esteem and depression in this association was also investigated.Methods:A to-tal of 292 patients with bipolar disorder who met the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders,Fifth Edition(DSM-5)were enrolled.Their child abuse,suicidal ideation,self-esteem,depres-sion,and mania were assessed with the Childhood Trauma Questionnaire(CTQ),Beck Scale for Suicide Ideation-Chinese Version(BSICV),Self-Esteem Scale(SES),17-item Hamilton Depression Rating Scale(HAMD-17)and Young Mania Rating Scale(YMRS).The mediating effects were evaluated using PROCESS for SPSS.Results:The BSICV scores were positively associated with the scores of CTQ(r=0.37,P＜0.01)and HAMD-17(r=0.53,P＜0.01)and negatively associated with SES scores(r=-0.50,P＜0.01)in patients with bipolar disorder.Self-esteem and depression played mediating roles between child abuse and suicidal ideation,respectively(95％CI:0.01-0.09,0.01-0.10).Besides,self-esteem and depression sequentially mediated the relationship between child a-buse and suicidal ideation(95％CI:0.02-0.06).Conclusion:Child abuse,low self-esteem,and depression may be related factors of suicidal ideation in patients with bipolar disorder.
