Childhood sexual abuse moderates the mediating pathways connecting cognitive distortions and suicidal ideation among homeless youth
Bibliographic Data
| ID | 9054258 |
|---|---|
| Authors | Jing Zhang (0000-0002-6431-9286, Kent State University), Qiong Wu (0000-0002-3169-1276, Florida State University), Natasha Slesnick (0000-0002-6629-0333, The Ohio State University) |
| Year | 2021 |
| Volume | 91 |
| Issue | 5 |
| Pages | 682-692 |
| Publication date | 2021-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | American Journal of Orthopsychiatry (JOURNAL) |
| Journal identifiers | ISSN: 0002-9432 • E-ISSN: 1939-0025 |
| Publisher | American Psychological Association (APA) (PUBLISHER) |
| DOI | 10.1037/ort0000569 |
| PMID | 34166055 |
| OpenAlex | W3174293878 |
| Language | EN |
| References cited | 13 |
Cognitive distortions are conceptualized as one of the most potent predictors of suicide. However, little is known about the mediating and moderating mechanisms linking cognitive distortions and suicidal ideation. The present study examined a prospective moderated mediation model linking cognitive distortions and suicidal ideation, with drug use, social problem-solving, and perceived burdensomeness as the mediators and childhood sexual abuse as the moderator. Participants included 150 homeless youth who participated in a randomized clinical trial for suicide intervention. Participants were assessed at baseline, 3, 6, and 9 months post-baseline. We analyzed the data using a multiple-group path model. Findings showed that social problem-solving and perceived burdensomeness sequentially mediated the association between cognitive distortions and suicidal ideation regardless of childhood sexual abuse, whereas drug use mediated the association between cognitive distortions and suicidal ideation only among youth reporting no history of sexual abuse. Findings highlight how coping processes, both adaptive and maladaptive, operate differently to predict suicidal ideation contingent on the effects of childhood sexual abuse in the context of cognitive distortions. Findings also underscore the importance of addressing the effects of childhood abuse to facilitate the efficiency of interventions that seek to reduce suicidal ideation among a vulnerable population. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Cognition · Moderation · Poison control · Population · Psychiatry · Psychological intervention · Sexual abuse · Suicidal ideation · Suicide prevention · Child Abuse and Trauma · Clinical Psychology · Homelessness and Social Issues · Medicine · Psychology · Suicide and Self-Harm Studies
A General Model for Testing Mediation and Moderation Effects
Mediation analysis allowing for exposure–mediator interactions and causal interpretation
The fifth edition of the addiction severity index
Suicidal desire and the capability for suicide
The interpersonal theory of suicide.
Mediation in experimental and nonexperimental studies
Confidence Limits for the Indirect Effect
Addressing Moderated Mediation Hypotheses
Substance use among runaway and homeless youth in three national samples
Cyber Bullying and Physical Bullying in Adolescent Suicide
Homeless Youths’ Caretakers
Perceived problem-solving deficits and suicidal ideation
| Citation velocity | historical |
|---|---|
| Highly cited | No |