Evidence map›Paper›PMID 32871705›Full record

ArticleJournal of affective disorders2020

The role of psychiatric symptoms and environmental vulnerability factors in explaining the relationship between child maltreatment and suicidality: A prospective investigation.

Cathy Spatz Widom, Xuechen Li

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Cathy Spatz WidomPsychology Department, John Jay College and City University of New York, New York City, NY, United States. Electronic address: cwidom@jjay.cuny.edu.
Xuechen LiPsychology Department, John Jay College and City University of New York, New York City, NY, United States.
City University of New York · US

Funding

THIRTY YEAR FOLLOW-UP OF NEGLECTED CHILDRENR01HD040774 · NICHD · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 2000 to 2009
$8.7M
Child Maltreatment and Risk for Mild Cognitive Impairment and Alzheimer's DiseaseR01AG058683 · NIA · JOHN JAY COLLEGE OF CRIMINAL JUSTICE · PI WIDOM, CATHY SPATZ · 2018 to 2022
$7.6M
CHILDHOOD VICTIMIZATION AND LIFETIME REVICTIMIZATIONR01MH058386 · NIMH · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 1999 to 2003
$2.8M
Genes, Behavior, Psychosocial Links of Child Maltreatment to Health, DiseaseR01HD072581 · NICHD · JOHN JAY COLLEGE OF CRIMINAL JUSTICE · PI BRZUSTOWICZ, LINDA M, WIDOM, CATHY SPATZ · 2011 to 2013
$1.3M
Child Abuse and Neglect, Chronic Stress, and Drug AbuseR01DA017842 · NIDA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 2004 to 2005
$386k
LONGTERM MENTAL OUTCOMES OF CHILD ABUSE &NEGLECTR01MH049467 · NIMH · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1992 to 1994
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CHILD ABUSE, RISK, AND PROTECTIVE FACTORS--DRUG ABUSER01DA010060 · NIDA · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1996 to 1997
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CHILDHOOD VICTIMIZATION AND RISK FOR ALCOHOL PROBLEMSR03AA009238 · NIAAA · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI WIDOM, CATHY SPATZ · 1992 to 1993
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CHILD ABUSE AND ALCOHOL ABUSER21AA011108 · NIAAA · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI WIDOM, CATHY SPATZ · 1997 to 1998
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NIAAA NIH HHS R03 AA009238NIAAA NIH HHS R21 AA011108NIA NIH HHS R01 AG058683NICHD NIH HHS R01 HD040774NICHD NIH HHS R01 HD072581NIDA NIH HHS R01 DA010060NIDA NIH HHS R01 DA017842NIMH NIH HHS R01 MH049467NIMH NIH HHS R01 MH058386
6 · The paper itself

Abstract

backgroundChildhood maltreatment has been associated with suicide thoughts and attempts; however, few longitudinal studies have assessed risk of suicidality into adulthood. Fewer have examined potential mediators (psychiatric symptoms and environmental vulnerability factors).

methodsProspective cohort design. Children with documented cases of maltreatment (N = 495, ages 0-11) were matched with non-maltreated children (N = 395) and followed up into adulthood. Psychiatric symptoms (depression, anxiety, dysthymia, post-traumatic stress,antisocial personality,and substance use) and environmental vulnerability (social isolation, physical disability/illness, and homelessness) were assessed at mean age 29 and suicide thoughts and attempts at 39. Structural equation models tested for mediation, controlling for age, sex, race, and IQ.

resultsChildhood maltreatment predicted suicide attempts (Beta = 0.44, p<0.001), but not suicide thoughts only.Individuals with only suicide thoughts differed significantly from those with suicide attempts in psychiatric symptoms, physical disability/ illness, and homelessness. There were significant paths from child maltreatment to suicide attempts through psychiatric symptoms (0.18, p<0.001), ASPD (0.13, p<0.001), substance use (0.07, p<0.01), and homelessness (0.10, p<0.05). LIMITATIONS: Court cases of child maltreatment may not generalize to middle- or upper- class and non-reported cases.Effect sizes were small but significant.

conclusionsPsychiatric risk factors for suicide are well recognized. These new results provide strong evidence that environmental vulnerability factors, particularly homelessness, are associated with increased risk for suicide attempts and warrant attention.Although many people report suicide thoughts, maltreated children with more psychiatric symptoms and experience homelessness are more likely to attempt suicide and warrant targeted interventions.

Indexed as

Child AbuseSuicideAdultChildChild, PreschoolHumansInfantInfant, NewbornProspective StudiesRisk FactorsSuicidal IdeationSuicide, Attempted

Identifiers

PMID32871705
PMCPMC9375955
OpenAlexW3043474101

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.