Childhood maltreatment, psychiatric symptoms, and suicidal thoughts among adolescents receiving substance use treatment services.
Adolescence
Depressive symptoms
Emotional abuse
Gender
Substance use
Suicidal ideation
Journal
Journal of adolescence
ISSN: 1095-9254
Titre abrégé: J Adolesc
Pays: England
ID NLM: 7808986
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
08
10
2019
revised:
18
02
2021
accepted:
22
03
2021
pubmed:
12
4
2021
medline:
25
11
2021
entrez:
11
4
2021
Statut:
ppublish
Résumé
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. 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. Mood disorder symptoms significantly mediated the relation between neglect/negative home environment and suicidal thoughts. This path of influence did not vary by gender. 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.
Identifiants
pubmed: 33839366
pii: S0140-1971(21)00037-3
doi: 10.1016/j.adolescence.2021.03.002
pmc: PMC8184606
mid: NIHMS1686210
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
18-27Subventions
Organisme : NIDA NIH HHS
ID : K01 DA045219
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA014322
Pays : United States
Informations de copyright
Copyright © 2021 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.
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