ArticleChild abuse & neglect2022
The mediating role of attachment and mentalising in the relationship between childhood maltreatment, self-harm and suicidality.
Article in Child abuse & neglect, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05613972 (Using Integrated Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Using Integrated Suicide and Trauma Therapy to Reduce Suicide Risk Among Adults With a History of Childhood Trauma
Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Theory of Mind and Suicidality: A Meta-Analysis.Archives of suicide research : official journal of the International Academy for Suicide ResearchPooled it
- Cracks in the foundation: disrupted epistemic trust as a link between trauma, PTSD and disturbances in self-organization.Translational psychiatry · 2026Article
- Childhood Trauma and Aggression: The Role of Epistemic Trust.Journal of child & adolescent trauma · 2026Article
- Childhood Maltreatment and Psychopathology: The Mediating Roles of Mentalizing and Attachment Styles.Psychopathology · 2026Article
- Mapping the Adolescent Mind: Profiles of Reflective Functioning and Epistemic Trust in Adolescent Psychopathology.Journal of adolescence · 2026Article
- Association between hypomentalizing and suicide reattempt: a 12-month follow-up study.BMC psychiatry · 2026Article
- Neuroeconomic adaptation to norm shifts is preserved in borderline personality disorder.Acta neuropsychiatrica · 2026Article
- Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression.European journal of psychotraumatology · 2025Article
- Violences, suicidal behaviour, and non-suicidal self-injury in child development: findings from a Brazilian cohort.Child and adolescent psychiatry and mental health · 2025Article
- The masking effects of self-efficacy and marital satisfaction on the association between childhood trauma and postpartum depressive symptoms: a cross-sectional study.Scientific reports · 2025Article
- The first study of a mentalizing mediator model in a community sample of nonsuicidal self-injured adolescents and its association with salivary oxytocin.Frontiers in psychiatry · 2025Article
- Role of attachment style in the association between childhood adversities and non-suicidal self-injury among young adults: a multigroup structural equation study.General psychiatry · 2025Article
- Risk and protective factors of deliberate self-harm among individuals with substance use disorder: A qualitative study in Pakistan.Pakistan journal of medical sciences · 2024Article
- Predictors of suicidal ideation in Italian veterinarians.Scientific reports · 2024Article
- Childhood adversity and suicidal ideation in older Korean adults: unraveling the mediating mechanisms of mental health, physical health, and social relationships.BMC psychiatry · 2024Article
- Insecure Minds through the Looking Glass: The Mediating Role of Mentalization in the Relationships between Adult Attachment Styles and Problematic Social Media Use.International journal of environmental research and public health · 2024Article
- The relationship between childhood maltreatment and self-harm: the mediating roles of alexithymia, dissociation, internalizing and posttraumatic symptoms.European journal of psychotraumatology · 2024Article
- Mediation effect of anxious attachment on relationship between childhood trauma and suicidal ideation sensitive to psychological pain levels.European psychiatry : the journal of the Association of European Psychiatrists · 2023Article
- Attachment, suicidal behavior, and self-harm in childhood and adolescence: a study of a cohort of Brazilian schoolchildren.BMC pediatrics · 2023Article
- Specific effects of five subtypes of childhood maltreatment on suicide behaviours in Chinese adolescents: the moderating effect of sex and residence.Epidemiology and psychiatric sciences · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundAlthough the relationship between childhood maltreatment, self-harm and suicidality is well-established, less is known about the mediating mechanisms explaining it. Based on a developmental mentalisation-based theoretical framework, childhood adversity compromises mentalising ability and attachment security, which in turn increase vulnerability to later stressors in adulthood.
objectiveThis study aimed to investigate the role of attachment and mentalising as potential mechanisms in the relationship between childhood maltreatment, self-harm and suicidality. PARTICIPANTS AND
settingWe recruited 907 adults from clinical and community settings in Greater London.
methodsThe study design was cross-sectional. Participants completed self-report questionnaires on retrospectively rated childhood trauma, and current attachment to the romantic partner, mentalising, self-harm, suicidal ideation and attempt. We used structural equation modelling to examine the data and conceptualized childhood maltreatment as a general factor in a confirmatory bifactor model.
resultsThe results showed that childhood maltreatment was both directly associated with self-harm and suicidality and indirectly via the pathways of attachment and mentalising.
conclusionsThese findings indicate that insecure attachment and impaired mentalising partially explain the association between childhood maltreatment, self-harm and suicidality. Clinically, they provide support for the potential of mentalisation-based therapy or other psychosocial interventions that aim to mitigate the risk of self-harm and suicidality among individuals who have experienced childhood maltreatment via increasing understanding of self and other mental states.
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Registered trials
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