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Association between childhood physical abuse and suicidal behaviors among Chinese adolescents: The mediation of aggression

侵略 敌意 心理学 愤怒 临床心理学 调解 毒物控制 伤害预防 自杀预防 冲突战术量表 精神科 家庭暴力 医学 医疗急救 政治学 法学
作者
Chang Peng,Tengyun Guo,Junhan Cheng,Mengni Wang,Yafei Tan,Fajuan Rong,Chun Kang,Hongli Ding,Yan Wang,Yizhen Yu
出处
期刊:Journal of Affective Disorders [Elsevier]
卷期号:318: 338-346 被引量:9
标识
DOI:10.1016/j.jad.2022.09.021
摘要

Although previous studies have examined many predictors of suicidal behaviors. However, little is known for childhood physical abuse (CPA) and aggression, which are prevalent among adolescents. This study aimed to explore association between CPA and suicidal behaviors, and the potential mediating role of aggression.A total of 16,111 students graded 7 to 12 were recruited using a stratified cluster sampling across five representative provinces in China. Conflict Tactics Scale-Parents to Child (CTS-PC) and Buss and Warren's Aggression Questionnaire (BWAQ) were used to measure CPA and aggression, respectively.During the last year, 16.0 % of adolescents reported suicidal behaviors. Specifically, 7.9 % were suicide ideators, 4.6 % were planners, and 3.5 % were attempters. The prevalence of CPA in mild, moderate, and severe was 15.7 %, 26.9 %, and 4.4 %, respectively. Multinomial logistic regression indicated that moderate and severe CPA and overall aggression were associated with suicide ideators, planners, and attempters. In five sub-types of aggression, only hostility was significantly associated with all three suicidal behaviors. Structural equation modelling showed that aggression partially mediate the relationship between CPA and suicidal behaviors. The mediation proportion of overall aggression, physical aggression, verbal aggression, anger, hostility, and indirect aggression were 27.2 %, 22.4 %, 5.2 %, 14.2 %, 23.5 %, and 12.1 %, respectively.Cross-sectional design, self-reported questionnaire, and no other forms of childhood maltreatment.CPA is a critical risk factor of suicidal behaviors among Chinese adolescents and aggression is a mediator between CPA and suicidal behaviors. Targeted suicide prevention should focus on those adolescents who report CPA and aggression, especially for hostility.
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