ArticleBMC public health2024
Childhood maltreatment associated suicidal risk in Chinese children and adolescents: a mediation of resilience.
Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Psychological factors mediating/moderating the association between adverse childhood experiences and suicidal ideation in young people: a systematic review.European child & adolescent psychiatry · 2026Pooled it
- Adverse childhood experiences and suicidality in low-income and middle-income countries: a systematic review and meta-analysis.BMJ global health · 2025Pooled it
- The role of hope traits and psychological distressin the effect of childhood abuse on suicidal ideation in Chinese college students.BMC psychiatry · 2026Article
- How resilience and age shape the link between negative life events and suicidal ideation in clinically depressed adolescents: a multicenter study.BMC psychiatry · 2026Article
- The mediating effect of emotion dysregulation on the relationship between childhood maltreatment and suicidal ideation in patients with depression.Frontiers in psychology · 2026Article
- Internet gaming disorder and suicidal behaviors mediated by sleep disturbance: a large-scale school-based study in 135,174 Chinese middle school students.European child & adolescent psychiatry · 2025Article
- Bullying victimization, suicidal behavior, and help-seeking in Chinese adolescents: a legal-psychological Study of resilience and responsibility.Frontiers in psychology · 2025Article
- Exploring resilience mechanism in learning burnout among pupils: school adjustment and academic self-efficacy.Frontiers in psychology · 2025Article
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11 authors.
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Abstract
backgroundExisting evidence suggests that children and adolescents who had experienced childhood maltreatment (CM) are at higher suicidal risk. However, the mediation role of resilience in this association remains unclear. We aim to investigate the mediation via resilience in the associations between CM and three suicidal risk indicators (suicidal ideation, SI; suicidal plan, SP; suicidal attempt, SA) among a large sample of Chinese children and adolescents.
methodsA population-based cross-sectional survey was conducted in southwestern China Yunnan province. A total of 9723 children and adolescents were included and analyzed by using a multi-stage stratified cluster sampling design. Univariate and multivariate logistic regression models were fitted to explore the associations between CM, resilience, and the three suicidal risk indicators, dose-response trends further elucidated by using the restricted cubic splines. Path models were adopted to estimate the mediation of resilience.
resultsThe estimated prevalence rates for one-year SI, SP and SA were 32.86% (95% CI: 31.93-33.80%), 19.36% (95% CI: 18.57-20.16%) and 9.07% (95% CI: 8.51-9.66%). After adjustment, CM significantly associated with all 3 suicidal risk indicators, and the odds ratios (ORs) were 2.13 (95% CI: 1.91-2.37), 2.45 (95% CI: 2.13-2.81), and 3.61 (95% CI: 2.90-4.52) for one-year SI, SP, and SA, respectively. Path models revealed that resilience significantly mediated the associations between CM and the three suicidal risk indicators, and among all dimensions of resilience, family support presented the strongest mediation consistently.
conclusionsOur study results suggest that intervention measures which focusing on improving psychological resilience might be effective in reducing suicidal risk for children and adolescents who had experienced maltreatment. Prospective studies should be done to corroborate our findings.
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