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Childhood Trauma and Suicide: The Mediating Effect of Stress and Sleep

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  • Ran Wu

    (Counseling and Psychological Services Center, East China Normal University, Shanghai 200062, China
    Department of Stress Medicine, Faculty of Psychology, Second Military Medical University, Shanghai 200433, China)

  • Hong Zhu

    (Counseling and Psychological Services Center, East China Normal University, Shanghai 200062, China)

  • Meng-Yang Wu

    (Counseling and Psychological Services Center, East China Normal University, Shanghai 200062, China)

  • Guang-Hai Wang

    (Pediatric Translational Medicine Institution, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200127, China)

  • Chun-Lei Jiang

    (Department of Stress Medicine, Faculty of Psychology, Second Military Medical University, Shanghai 200433, China)

Abstract

This study aimed to investigate the relationship between suicide risk, perceived stress, and sleep quality through a structural equation modeling approach. This study used convenience sampling to survey 780 undergraduate and graduate students aged 18–30 years. Students were invited to participate in the online questionnaires, which included the Beck Scale for Suicide Ideation, the Suicidal Behaviors Questionnaire-Revised, the Perceived Stress Scale, the Childhood Trauma Questionnaire-Short Form, and the Pittsburgh Sleep Quality Index. The results showed that suicide ideation and suicidal behavior were positively correlated with childhood trauma, stress, and sleep. A well-fitted structural equation model (χ 2 = 1.52, df = 1, χ 2 / df = 1.52, RMSEA = 0.03, CFI = 1.00, NFI = 1.00) was constructed in this study. The hierarchical regression test showed significance in all the path coefficients of the model. The total effect of emotional abuse on suicide behaviors was 49.5%. The mediating effects accounted for 73.7% of the total effects of emotional abuse on suicidal behaviors. The results demonstrate efforts targeting stress and poor sleep might mitigate the risk of suicidal behaviors among individuals with early emotional abuse experiences.

Suggested Citation

  • Ran Wu & Hong Zhu & Meng-Yang Wu & Guang-Hai Wang & Chun-Lei Jiang, 2022. "Childhood Trauma and Suicide: The Mediating Effect of Stress and Sleep," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8493-:d:860705
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    References listed on IDEAS

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    1. Rosana E Norman & Munkhtsetseg Byambaa & Rumna De & Alexander Butchart & James Scott & Theo Vos, 2012. "The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis," PLOS Medicine, Public Library of Science, vol. 9(11), pages 1-31, November.
    2. Wei Lu & Qian Bian & Wenzheng Wang & Xiaoling Wu & Zhen Wang & Min Zhao, 2017. "Chinese version of the Perceived Stress Scale-10: A psychometric study in Chinese university students," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-8, December.
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    Cited by:

    1. Aladdin Y. Shchaslyvyi & Svitlana V. Antonenko & Gennadiy D. Telegeev, 2024. "Comprehensive Review of Chronic Stress Pathways and the Efficacy of Behavioral Stress Reduction Programs (BSRPs) in Managing Diseases," IJERPH, MDPI, vol. 21(8), pages 1-57, August.

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