Adolescent suicidal behavior: Associations with preadolescent physical abuse and selected risk and protective factors
Abstract
Objectives To determine whether preadolescent physical abuse raises the risk of adolescent suicidal behavior, to examine potential mediators and moderators of the relationship between preadolescent abuse and adolescent suicidality, and to examine whether distal (preadolescent) risk factors add to proximal (adolescent) factors in predicting suicidality.Method Seventy-five physically abused preadolescents on the New York City Maltreatment Register and 78 controls were studied at ages 10.5 and 16.5 years. Adolescent suicidal ideation and attempts and hypothesized risk and protective factors were assessed by self-report, parent interview, and teacher ratings. Data were analyzed by logistic regression.Results Preadolescent physical abuse was a robust, largely unmediated, independent predictor of adolescent suicidality. Only adolescent internalizing problems mediated the relationship. No risk factors moderated the relationship. Adolescent attachment to parents and internalizing problems contributed independently to the prediction of suicidality risk in abused and control subjects. No preadolescent risk or protective factors added to the predictions beyond risk deriving from preadolescent abuse.Conclusions The association between preadolescent physical abuse and adolescent suicidality is largely unmediated and unmoderated by well-documented risk factors for suicidality. Therefore, comprehensive interventions to reduce abusive parenting must begin when families enter the child protection system, along with therapeutic interventions with the children and adolescents themselves.
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Nine studies reported the ethnicity of the study sample; eight included primarily white participants while Salzinger (2007) recruited predominantly Hispanic participants (54%).
“Nine studies reported the ethnicity of the study sample; eight studies included primarily white participants (Fulginiti et al, 2018; Gallagher et al. 2014; Hom et al. 2019; Joiner and Rudd, 1996; Kleiman et al., 2017 Study 1; Kleiman et al., 2017, Study 2; Pietrzak et al., 2017; Schinka et al., 2013) while Salzinger (2007) recruited predominantly Hispanic participants (54%).”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Salzinger (2007)
Nickel et al. (2006) and Salzinger et al. (2007) reported that their samples did not reflect their target populations.
“Nickel et al. (2006) and Salzinger et al. (2007) reported that their samples did not reflect their target populations.”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Salzinger et al. (2007)
Two papers that measured both suicidal ideation and behaviour were excluded from the moderation analysis to avoid over-representation.
“Two papers (Salzinger et al.,2007; Schinka et al.,2013) measured both suicidal ideation and behaviour as outcome variables. To avoid over-representation, these papers were excluded from the moderation analysis”
From Loneliness as a predictor of suicidal ideation and behaviour: a systematic review and meta-analysis of prospective studies (2020) · cites this paper as Salzinger et al.,2007
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Psychodynamic and family aspects of youth suicide
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ERGENLERDE İNTİHAR DAVRANIŞI İLE ANNEYE BAĞLANMA ÖZELLİKLERİ ARASINDAKİ İLİŞKİ
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50 – Psychological Impact and Treatment of Physical Abuse of Children
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Suicide Ideation, Depression, and Family Structure in Elementary Students
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Childhood Maltreatment and Suicide
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Training Mental Health Providers to Prevent Teen Suicide Using Evidence-Based Approaches
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- Authors
- SALZINGER, S., ROSARIO, M., FELDMAN, R. S., & NG-MAK, D. S.
- Affiliations
- The Graduate Center, CUNY (US)
- Corresponding author
- SALZINGER, SUZANNE
- ORCID
- ROSARIO, MARGARET
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2007-07
- Volume
- 46
- Issue
- 7
- Pages
- 859-866
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2066741182
- Cited by
- 107
- References
- 44
- Citations by year
- 2025: 5 · 2024: 6 · 2023: 8 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 8 · 2018: 5 · 2017: 8 · 2016: 2 · 2015: 7 · 2014: 5 · 2013: 7 · 2012: 9
- FWCI
- 5.44
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH (grants R01 MH48917 01-08)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- adolescent suicidal behavior, child abuse, suicidal ideation, suicide attempts, internalizing problems, parental attachment, risk and protective factors, abusive parenting, child protection system, mediation
- MeSH terms
- Adolescent, Adolescent Behavior, Child, Child Abuse, Child Welfare, Family, Female, Humans, Male, New York City, Risk Factors, Suicide, Attempted
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