Negative Schema and Rumination as Mediators of the Relationship Between Childhood Trauma and Recent Suicidal Ideation in Patients With Early Psychosis

Yin Cui, Sung Wan Kim, Bong Ju Lee, Jung Jin Kim, Je Chun Yu, Kyu Young Lee, Seunghee Won, Seung Hwan Lee, Seung Hyun Kim, Shi Hyun Kang, Euitae Kim, Yan Hong Piao, Nam In Kang, Young Chul Chung

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: High rates of childhood trauma and adult suicidality have been reported in patients who have schizophrenia. This study sought to explore mediators between childhood trauma and suicidality in adulthood to help determine therapeutic approaches. METHODS: This study included 314 adult patients with early psychosis who were participants in the Korean Early Psychosis Cohort Study, which was a prospective naturalistic observational cohort study started in December 2014. DSM-5 criteria were used to assign the diagnosis of schizophrenia spectrum and other psychotic disorders. Cross-sectional data obtained at baseline were used for analysis. The Early Trauma Inventory Self Report-Short Form and the Columbia Suicide Severity Rating Scale were employed to collect data on childhood trauma and suicidal ideation and attempts. Other measures were used to evaluate depression, empathy, psychopathology, and rumination. RESULTS: A total of 90.1% of the participants experienced at least 1 childhood traumatic event. The rates of significant` physical punishment, emotional abuse, and sexual events were 37.3%, 35.6%, and 6.4%, respectively. The rates of recent suicidal ideation and attempts were 32.0% and 10.0%, respectively. Independent predictors of recent suicidal ideation included depression, negative schema, and rumination. Furthermore, negative schema and rumination played partial or full mediating roles in the relationship between childhood trauma and recent suicidal ideation. CONCLUSIONS: These findings highlight the importance of performing careful evaluations of childhood trauma and suicidality and of developing effective strategies to reduce mediating factors that may be amenable to psychosocial approaches.

Original languageEnglish
JournalThe Journal of clinical psychiatry
Volume80
Issue number3
DOIs
Publication statusPublished - 2019 Apr 2

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Suicidal Ideation
Psychotic Disorders
Wounds and Injuries
Schizophrenia Spectrum and Other Psychotic Disorders
Cohort Studies
Depression
Punishment
Sex Offenses
Psychopathology
Self Report
Suicide
Observational Studies
Schizophrenia
Equipment and Supplies

ASJC Scopus subject areas

  • Psychiatry and Mental health

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Negative Schema and Rumination as Mediators of the Relationship Between Childhood Trauma and Recent Suicidal Ideation in Patients With Early Psychosis. / Cui, Yin; Kim, Sung Wan; Lee, Bong Ju; Kim, Jung Jin; Yu, Je Chun; Lee, Kyu Young; Won, Seunghee; Lee, Seung Hwan; Kim, Seung Hyun; Kang, Shi Hyun; Kim, Euitae; Piao, Yan Hong; Kang, Nam In; Chung, Young Chul.

In: The Journal of clinical psychiatry, Vol. 80, No. 3, 02.04.2019.

Research output: Contribution to journalArticle

Cui, Yin ; Kim, Sung Wan ; Lee, Bong Ju ; Kim, Jung Jin ; Yu, Je Chun ; Lee, Kyu Young ; Won, Seunghee ; Lee, Seung Hwan ; Kim, Seung Hyun ; Kang, Shi Hyun ; Kim, Euitae ; Piao, Yan Hong ; Kang, Nam In ; Chung, Young Chul. / Negative Schema and Rumination as Mediators of the Relationship Between Childhood Trauma and Recent Suicidal Ideation in Patients With Early Psychosis. In: The Journal of clinical psychiatry. 2019 ; Vol. 80, No. 3.
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abstract = "OBJECTIVE: High rates of childhood trauma and adult suicidality have been reported in patients who have schizophrenia. This study sought to explore mediators between childhood trauma and suicidality in adulthood to help determine therapeutic approaches. METHODS: This study included 314 adult patients with early psychosis who were participants in the Korean Early Psychosis Cohort Study, which was a prospective naturalistic observational cohort study started in December 2014. DSM-5 criteria were used to assign the diagnosis of schizophrenia spectrum and other psychotic disorders. Cross-sectional data obtained at baseline were used for analysis. The Early Trauma Inventory Self Report-Short Form and the Columbia Suicide Severity Rating Scale were employed to collect data on childhood trauma and suicidal ideation and attempts. Other measures were used to evaluate depression, empathy, psychopathology, and rumination. RESULTS: A total of 90.1{\%} of the participants experienced at least 1 childhood traumatic event. The rates of significant` physical punishment, emotional abuse, and sexual events were 37.3{\%}, 35.6{\%}, and 6.4{\%}, respectively. The rates of recent suicidal ideation and attempts were 32.0{\%} and 10.0{\%}, respectively. Independent predictors of recent suicidal ideation included depression, negative schema, and rumination. Furthermore, negative schema and rumination played partial or full mediating roles in the relationship between childhood trauma and recent suicidal ideation. CONCLUSIONS: These findings highlight the importance of performing careful evaluations of childhood trauma and suicidality and of developing effective strategies to reduce mediating factors that may be amenable to psychosocial approaches.",
author = "Yin Cui and Kim, {Sung Wan} and Lee, {Bong Ju} and Kim, {Jung Jin} and Yu, {Je Chun} and Lee, {Kyu Young} and Seunghee Won and Lee, {Seung Hwan} and Kim, {Seung Hyun} and Kang, {Shi Hyun} and Euitae Kim and Piao, {Yan Hong} and Kang, {Nam In} and Chung, {Young Chul}",
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T1 - Negative Schema and Rumination as Mediators of the Relationship Between Childhood Trauma and Recent Suicidal Ideation in Patients With Early Psychosis

AU - Cui, Yin

AU - Kim, Sung Wan

AU - Lee, Bong Ju

AU - Kim, Jung Jin

AU - Yu, Je Chun

AU - Lee, Kyu Young

AU - Won, Seunghee

AU - Lee, Seung Hwan

AU - Kim, Seung Hyun

AU - Kang, Shi Hyun

AU - Kim, Euitae

AU - Piao, Yan Hong

AU - Kang, Nam In

AU - Chung, Young Chul

PY - 2019/4/2

Y1 - 2019/4/2

N2 - OBJECTIVE: High rates of childhood trauma and adult suicidality have been reported in patients who have schizophrenia. This study sought to explore mediators between childhood trauma and suicidality in adulthood to help determine therapeutic approaches. METHODS: This study included 314 adult patients with early psychosis who were participants in the Korean Early Psychosis Cohort Study, which was a prospective naturalistic observational cohort study started in December 2014. DSM-5 criteria were used to assign the diagnosis of schizophrenia spectrum and other psychotic disorders. Cross-sectional data obtained at baseline were used for analysis. The Early Trauma Inventory Self Report-Short Form and the Columbia Suicide Severity Rating Scale were employed to collect data on childhood trauma and suicidal ideation and attempts. Other measures were used to evaluate depression, empathy, psychopathology, and rumination. RESULTS: A total of 90.1% of the participants experienced at least 1 childhood traumatic event. The rates of significant` physical punishment, emotional abuse, and sexual events were 37.3%, 35.6%, and 6.4%, respectively. The rates of recent suicidal ideation and attempts were 32.0% and 10.0%, respectively. Independent predictors of recent suicidal ideation included depression, negative schema, and rumination. Furthermore, negative schema and rumination played partial or full mediating roles in the relationship between childhood trauma and recent suicidal ideation. CONCLUSIONS: These findings highlight the importance of performing careful evaluations of childhood trauma and suicidality and of developing effective strategies to reduce mediating factors that may be amenable to psychosocial approaches.

AB - OBJECTIVE: High rates of childhood trauma and adult suicidality have been reported in patients who have schizophrenia. This study sought to explore mediators between childhood trauma and suicidality in adulthood to help determine therapeutic approaches. METHODS: This study included 314 adult patients with early psychosis who were participants in the Korean Early Psychosis Cohort Study, which was a prospective naturalistic observational cohort study started in December 2014. DSM-5 criteria were used to assign the diagnosis of schizophrenia spectrum and other psychotic disorders. Cross-sectional data obtained at baseline were used for analysis. The Early Trauma Inventory Self Report-Short Form and the Columbia Suicide Severity Rating Scale were employed to collect data on childhood trauma and suicidal ideation and attempts. Other measures were used to evaluate depression, empathy, psychopathology, and rumination. RESULTS: A total of 90.1% of the participants experienced at least 1 childhood traumatic event. The rates of significant` physical punishment, emotional abuse, and sexual events were 37.3%, 35.6%, and 6.4%, respectively. The rates of recent suicidal ideation and attempts were 32.0% and 10.0%, respectively. Independent predictors of recent suicidal ideation included depression, negative schema, and rumination. Furthermore, negative schema and rumination played partial or full mediating roles in the relationship between childhood trauma and recent suicidal ideation. CONCLUSIONS: These findings highlight the importance of performing careful evaluations of childhood trauma and suicidality and of developing effective strategies to reduce mediating factors that may be amenable to psychosocial approaches.

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DO - 10.4088/JCP.17m12088

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