Negative Schema and Rumination as Mediators of the Relationship Between Childhood Trauma and Recent Suicidal Ideation in Patients With Early Psychosis
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.
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Rumination has been suggested as an underlying mechanism for triggering and maintaining depression, anxiety and psychotic symptoms.
“Rumination, which is characterised by repetitive thoughts about negative personal experiences, has been suggested as an underlying mechanism for triggering and maintaining depression, anxiety and psychotic symptoms.10,11”
From Dispositional Mindfulness and Psychotic Symptoms in Schizophrenia Spectrum Disorders: The Mediating Roles of Rumination and Negative Emotion (2022) · cites this paper as [11]
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- Authors
- Cui, Y., Kim, S.-W., Lee, B. J., Kim, J. J., Yu, J.-C., Lee, K. Y., Won, S., Lee, S.-H., Kim, S.-H., Kang, S. H., Kim, E., Piao, Y. H., Kang, N.-I., & Chung, Y.-C.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Chonnam National University (KR)
- Inje University Haeundae Paik Hospital (KR)
- The Catholic University of Korea Seoul St. Mary's Hospital (KR)
- Eulji University (KR)
- Kyungpook National University (KR)
- Inje University (KR)
- Seoul National University Bundang Hospital (KR)
- Jeonbuk National University Hospital (KR)
- Maeumsarang Hospital (KR)
- Corresponding author
- Chung, Young-Chul
- ORCID
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2019-04-02
- Volume
- 80
- Issue
- 3
- ISSN
- 0160-6689 (ISSN-L)
- 1555-2101
- OpenAlex
- W2930558937
- Cited by
- 42
- References
- 0
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 8 · 2021: 7 · 2020: 5 · 2019: 1
- FWCI
- 6.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- childhood trauma, suicidal ideation, early psychosis, negative schemas, rumination, mediation, depression, suicide attempts, schizophrenia spectrum disorders, emotional abuse, corporal punishment, psychosocial interventions
- MeSH terms
- Rumination, Cognitive, Adverse Childhood Experiences, Correlation of Data, Adolescent, Adult, Age Factors, Child, Cross-Sectional Studies, Female, Humans, Male, Personality Development, Psychiatric Status Rating Scales, Psychotic Disorders, Risk Factors, Schizophrenia, Schizophrenic Psychology, Self Concept, Antipsychotic Agents, Cohort Studies, Young Adult, Suicidal Ideation
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