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Cited 4 time in webofscience Cited 4 time in scopus
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Psychological factors intervening between childhood trauma and suicidality in first-episode psychosis

Authors
Cui, YinPiao, YanHongKim, Sung-WanLee, Bong JuKim, Jung JinYu, Je-ChunLee, Kyu YoungWon, Seung-HeeLee, Seung-HwanKim, Seung-HyunKang, Shi HyunKim, EuitaeKim, NamheeChung, Young-Chul
Issue Date
Nov-2020
Publisher
ELSEVIER IRELAND LTD
Keywords
Negative schema; Rumination; Suicidality
Citation
Psychiatry Research, v.293
Indexed
SCIE
SSCI
SCOPUS
Journal Title
Psychiatry Research
Volume
293
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/49220
DOI
10.1016/j.psychres.2020.113465
ISSN
0165-1781
Abstract
Several studies have investigated childhood trauma (ChT) and suicidality in psychosis. However, psychological factors intervening between ChT and suicidality are not well understood. The aims of this study were to explore the roles of negative schema and rumination in the relationship between ChT and suicidality in first-episode psychosis (FEP). Participants were 306 patients with FEP who were enrolled in the Korean Early Psychosis Cohort Study, a prospective naturalistic observational cohort study. ChT, suicidality, negative schema, and ru-mination were evaluated using the Early Trauma Inventory Self Report-Short Form, Columbia Suicide Severity Rating Scale, Brief Core Schema Scale, and Brooding Scale. In addition, psychopathology and depression were evaluated. Structural equation model and a phantom approach were employed to analyze the pathway from ChT to suicidality. We found close associations between ChT, rumination, negative schema, and suicidality. Importantly, negative schema played a direct intervening role in the relationship between ChT and suicidality in patients with FEP. Our findings suggest that targeting negative schema in individuals with FEP exposed to ChT will be an effective strategy for reducing suicidality.
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Kim, Seung Hyun
Guro Hospital (Department of Psychiatry, Guro Hospital)
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