Examining Associations Between Child Abuse and Neglect Experiences With Emotion Regulation Difficulties Indicative of Adolescent Suicidal Ideation Risk.

Published on Apr 6, 2021in Frontiers in Psychiatry2.849
· DOI :10.3389/FPSYT.2021.630697
Claire Hatkevich6
Estimated H-index: 6
Eric Sumlin2
Estimated H-index: 2
Carla Sharp59
Estimated H-index: 59
Objective: Preliminary work indicates one specific aspect of emotion dysregulation (i.e., limited access to emotion regulation strategies) uniquely associates with adolescent suicide ideation. An optimal score cut point on a measure of this emotion dysregulation impairment has been identified to indicate risk for past-year suicidal ideation. Examining types of child abuse and neglect associated with being above cut-off on this measure may point to interactive environmental effects associated with subsequent risk for suicidal ideation. The primary aim of this study was to investigate the relations between multiple types of child abuse and neglect with being above cutoff on a measure of limited access to emotion regulation strategies in a psychiatrically severe adolescent sample. Method: The full sample included 203 psychiatric adolescents (Mean age = 15.31 years; 66.5% female; 74.4% White), assigned to two groups: (1) those at or above cutoff on the access to emotion regulation strategies subscale (n = 139); and (2) those below cutoff (n = 64). Results: Significant differences were only evidenced between the emotion regulation cutoff groups on emotional abuse, after covarying for other types of abuse and neglect; significant group differences were not evidenced on any other type of abuse or neglect (sexual or physical abuse, emotional or physical neglect). Conclusion: Relative to other types of abuse and neglect, emotional abuse may be differentially related to experiencing limited access to emotion regulation strategies, at the level indicative of suicide ideation risk. Clinical implications are discussed.
#2Zewditu DemissieH-Index: 15
Last. Margaret BrownH-Index: 1
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Suicide is the second leading cause of death among high school-aged youths 14-18 years after unintentional injuries. This report summarizes data regarding suicidal ideation (i.e., seriously considered suicide) and behaviors (i.e., made a suicide plan, attempted suicide, and made a suicide attempt requiring medical treatment) from CDC's 2019 Youth Risk Behavior Survey. Results are reported overall and by sex, grade, race/ethnicity, sexual identity, and sex of sexual contacts, overall and within s...
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#1Meredith A. Gruhn (Vandy: Vanderbilt University)H-Index: 10
#2Bruce E. Compas (Vandy: Vanderbilt University)H-Index: 94
Abstract Background Child maltreatment is consistently linked to adverse mental and physical health problems, making the identification of risk and resilience processes crucial for prevention efforts. The ways that individuals cope and regulate emotions in response to stress may buffer against pre-existing risk, while deficits in these processes have the potential to amplify risk. Thus, a candidate mechanism to explain the association between early-life abuse and neglect and later maladjustment ...
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#1Francesca Penner (UH: University of Houston)H-Index: 6
#2Małgorzata Gambin (University of Warsaw)H-Index: 7
Last. Carla Sharp (UH: University of Houston)H-Index: 59
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Abstract Introduction Identity integration, as opposed to identity diffusion, has been associated with greater self-esteem, meaning in life, and functioning. Trauma may have negative effects on identity; however, few studies have examined trauma and identity among adolescents, particularly those with psychiatric disorders. Moreover, factors that may promote healthy identity in adolescents who have experienced trauma have not been identified. This study aimed to test associations between childhoo...
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#1Amy M. Brausch (Western Kentucky University)H-Index: 16
#2Sherry E. Woods (UMass: University of Massachusetts Amherst)H-Index: 2
BACKGROUND: The relationship between emotion regulation deficits and nonsuicidal self-injury (NSSI) is well established. Many studies have documented the strong relationship between NSSI and suicidal thoughts and behaviors. The relationship between emotion regulation deficits and suicide is less understood, but recent studies indicate a moderate association. This study aimed to examine the relationship between emotion regulation deficits, NSSI behavior, and suicide ideation in an unselected comm...
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#1Sara R. Berzenski (CSUN: California State University, Northridge)H-Index: 7
: Efforts to differentiate between the developmental sequelae of childhood emotional abuse and childhood emotional neglect are critical to both research and practice efforts. As an oft-identified mechanism of the effects of child maltreatment on later adjustment, emotion dysregulation represents a key potential pathway. The present study explored a higher order factor model of specific emotion regulation skills, and the extent to which these skill sets would indicate distinct developmental pathw...
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#1Jennifer M. Warmingham (UR: University of Rochester)H-Index: 2
#2Elizabeth D. Handley (UR: University of Rochester)H-Index: 17
Last. Dante Cicchetti (UR: University of Rochester)H-Index: 167
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Abstract Maltreatment experiences are complex, and it is difficult to characterize the heterogeneity in types of maltreatment. Subtypes, such as emotional maltreatment, sexual abuse, physical abuse, and neglect commonly co-occur and may persist across development. Therefore, treating individual maltreatment subtypes as independently occurring is not representative of the nature of maltreatment as it occurs in children’s lives. Latent class analysis (LCA) is employed herein to identify subgroups ...
32 CitationsSource
#1Claire Hatkevich (UH: University of Houston)H-Index: 6
#2Francesca Penner (UH: University of Houston)H-Index: 6
Last. Carla Sharp (UH: University of Houston)H-Index: 59
view all 3 authors...
Abstract This study aimed to examine the concurrent relation between six dimensions of emotion dysregulation, proposed by Gratz and Roemer (2004), and suicide ideation and attempt in a large sample of psychiatric adolescent inpatients. A sample of 547 adolescent inpatients completed measures on dimensions of emotion dysregulation, psychiatric diagnoses, and suicidal ideation and attempt. Binary logistic regression analyses revealed that limited access to emotion regulation strategies, difficulti...
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#1Gregory Plemmons (Monroe Carell Jr. Children's Hospital at Vanderbilt)H-Index: 1
#1Gregory Plemmons (Monroe Carell Jr. Children's Hospital at Vanderbilt)H-Index: 2
Last. Derek J. Williams (Monroe Carell Jr. Children's Hospital at Vanderbilt)H-Index: 31
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OBJECTIVES: Suicide ideation (SI) and suicide attempts (SAs) have been reported as increasing among US children over the last decade. We examined trends in emergency and inpatient encounters for SI and SA at US children’s hospitals from 2008 to 2015. METHODS: We used retrospective analysis of administrative billing data from the Pediatric Health Information System database. RESULTS: There were 115 856 SI and SA encounters during the study period. Annual percentage of all visits for SI and SA alm...
107 CitationsSource
#1Taylor Heffer (Brock University)H-Index: 5
#2Teena Willoughby (Brock University)H-Index: 54
Abstract Emotion dysregulation is considered to be transdiagnostic in nature, given its association with a variety of problem behaviors. Of concern, emotion dysregulation also may be associated with key components of the Interpersonal Theory of Suicide (ITS), namely suicidal desire and acquired capability for suicide (ACS; heightened fearlessness toward death and pain tolerance). ITS suggests that experiencing suicidal desire in conjunction with ACS leads to greater risk for suicide attempts. Th...
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#1Adam Bryant Miller (UNC: University of North Carolina at Chapel Hill)H-Index: 17
#2Katie A. McLaughlin (UW: University of Washington)H-Index: 93
Last. Margaret A. Sheridan (UNC: University of North Carolina at Chapel Hill)H-Index: 51
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Abstract Background Research on the neural correlates associated with risk for suicidal ideation (SI) has been limited, particularly in one increasingly at-risk group—adolescents. Previous research with adolescents indicates that poor emotion regulation skills are linked with SI, but these studies have not previously examined neural activation in service of emotion regulation between those with and without SI histories. Methods Here we examine whether SI is associated with neural responses durin...
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