Recalled Childhood Maltreatment and Suicide Risk in Chinese College Students: The Mediating Role of Psychache and the Moderating Role of Meaning in Life

Angelakis, I., Gillespie, E. L., & Panagioti, M. (2019). Childhood maltreatment and adult suicidality: A comprehensive systematic review with meta-analysis. Psychological Medicine, 49(7), 1057–1078. https://doi.org/10.1017/s0033291718003823

Baker, A. J. L. (2009). Adult recall of childhood psychological maltreatment: Definitional strategies and challenges. Children and Youth Services Review, 31(7), 703–714. https://doi.org/10.1016/j.childyouth.2009.03.001

Beach, V. L., Brown, S. L., & Cukrowicz, K. C. (2021). Examining the relations between hopelessness, thwarted interpersonal needs, and passive suicide ideation among older adults: Does meaning in life matter? Aging & Mental Health, 25(9), 1759–1767. https://doi.org/10.1080/13607863.2020.1855102

Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., Stokes, J., Handelsman, L., Medrano, M., Desmond, D., & Zule, W. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169–190. https://doi.org/10.1016/s0145-2134(02)00541-0

Black, J., Bond, M. A., Hawkins, R., & Black, E. (2019). Test of a clinical model of poor physical health and suicide: The role of depression, psychosocial stress, interpersonal conflict, and panic. Journal of Affective Disorders, 257, 404–411. https://doi.org/10.1016/j.jad.2019.05.079

Bu, Y., Chen, L. H., Guo, H. Y., & Lin, D. H. (2017). Emotional abuse and children’s social anxiety: Mediating of basic psychological needs and self-esteem. Chinese Journal of Clinical Psychology, 25(02), 203–207. https://doi.org/10.16128/j.cnki.1005-3611.2017.02.002

Campos, R. C., Holden, R. R., & Gomes, M. (2019). Assessing psychache as a suicide risk variable: Data with the portuguese version of the psychache scale. Death Studies, 43(8), 527–533. https://doi.org/10.1080/07481187.2018.1493002

Centers for disease control and prevention. (2022, May 5). Suicide prevention. https://www.cdc.gov/suicide/facts/index.html

Dannlowski, U., Kugel, H., Huber, F., Stuhrmann, A., Redlich, R., Grotegerd, D., Dohm, K., Sehlmeyer, C., Konrad, C., Baune, B. T., Arolt, V., Heindel, W., Zwitserlood, P., & Suslow, T. (2013). Childhood maltreatment is associated with an automatic negative emotion processing bias in the amygdala. Human Brain Mapping, 34(11), 2899–2909. https://doi.org/10.1002/hbm.22112

Ducasse, D., Holden, R. R., Boyer, L., Artero, S., Calati, R., Guillaume, S., Courtet, P., & Olie, E. (2018). Psychological pain in suicidality: A meta-analysis. Journal of Clinical Psychiatry. https://doi.org/10.4088/JCP.16r10732

Fitzgerald, M. (2022). A drive for redemption: Relationship quality as a mediator linking childhood maltreatment to symptoms of social anxiety and depression. Journal of Adult Development, 29, 29–39. https://doi.org/10.1007/s10804-021-09383-3

Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition & Emotion, 19(3), 313–332. https://doi.org/10.1080/02699930441000238

Gonzalez-Blanks, A., Bridgewater, J. M., & Yates, T. M. (2020). Statistical approaches for highly skewed data: Evaluating relations between maltreatment and young adults’ non-suicidal self-injury. Journal of Clinical Child and Adolescent Psychology, 49(2), 147–161. https://doi.org/10.1080/15374416.2020.1724543

Holden, R. R., Mehta, K., Cunningham, E. J., & McLeod, L. D. (2001). Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science, 33(4), 224–232. https://doi.org/10.1037/h0087144

Hou, X. L., Bian, X. H., Zuo, Z. H., Xi, J. Z., Ma, W. J., & Owens, L. D. (2021). Childhood maltreatment on young adult depression: a moderated mediation model of negative automatic thoughts and self-compassion. Journal of Health Psychology, 26(13), 2552–2562. https://doi.org/10.1177/1359105320918351

Johnson, J., Wood, A. M., Gooding, P., Taylor, P. J., & Tarrier, N. (2011). Resilience to suicidality: The buffering hypothesis. Clinical Psychology Review, 31(4), 563–591. https://doi.org/10.1016/j.cpr.2010.12.007

Kleiman, E. M., & Beaver, J. K. (2013). A meaningful life is worth living: Meaning in life as a suicide resiliency factor. Psychiatry Research, 210(3), 934–939. https://doi.org/10.1016/j.psychres.2013.08.002

Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy, 8(2), 114–129. https://doi.org/10.1521/ijct.2015.8.2.114

Kober, H., Buhle, J., Weber, J., Ochsner, K. N., & Wager, T. D. (2019). Let it be: Mindful acceptance down-regulates pain and negative emotion. Social Cognitive and Affective Neuroscience, 14(11), 1147–1158. https://doi.org/10.1093/scan/nsz104

Kremer, I., Orbach, I., & Rosenbloom, T. (2017). Mental pain and suicidal tendencies in sexual and physical abuse victims. Archives of Suicide Research, 21(2), 307–321. https://doi.org/10.1080/13811118.2016.1175394

Lew, B., Osman, A., Huen, J., Siau, C. S., Talib, M. A., Cunxian, J., Chan, C., & Leung, A. (2020). A comparison between American and Chinese college students on suicide-related behavior parameters. International Journal of Clinical and Health Psychology, 20(2), 108–117. https://doi.org/10.1016/j.ijchp.2020.03.005

Macià, D., Cattaneo, G., Solana, J., Tormos, J. M., Pascual-Leone, A., & Bartrés-Faz, D. (2021). Meaning in life: A major predictive factor for loneliness comparable to health status and social connectedness. Frontiers in Psychology, 12, 627547. https://doi.org/10.3389/fpsyg.2021.627547

Marin, T. J., Lewinson, R. E., Hayden, J. A., Mahood, Q., Rossi, M. A., Rosenbloom, B., & Katz, J. (2021). A systematic review of the prospective relationship between child maltreatment and chronic pain. Children-Basel. https://doi.org/10.3390/children8090806

Miao, M., & Gan, Y. (2018). How does meaning in life predict proactive coping? The self-regulatory mechanism on emotion and cognition. Journal of Personality, 87(3), 579–592. https://doi.org/10.1111/jopy.12416

O’Connor, R. C., & Kirtley, O. J. (2018). The integrated motivational-volitional model of suicidal behaviour. Philosophical Transactions of the Royal Society B-Biological Sciences. https://doi.org/10.1098/rstb.2017.0268

Oexle, N., Herrmann, K., Staiger, T., Sheehan, L., Rüsch, N., & Krumm, S. (2019). Stigma and suicidality among suicide attempt survivors: A qualitative study. Death Studies, 43(6), 381–388. https://doi.org/10.1080/07481187.2018.1474286

Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454. https://doi.org/10.1177/107319110100800409

Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879

Qin. Y. F. (2008). Research of influence of perfectionism and psychache on suicide ideation of college students. [Master's thesis, Central China Normal University]. China National Knowledge Internet. https://www.cnki.net/

Rice, S. M., Kealy, D., Oliffe, J. L., Seidler, Z. E., & Ogrodniczuk, J. S. (2019). Affective-somatic symptoms of depression, suicide risk and exposure to childhood maltreatment: Data from emerging adults to older-age males. International Journal of Mental Health and Addiction, 17(6), 1301–1311. https://doi.org/10.1007/s11469-018-0045-z

Russo-Netzer, P. (2019). Prioritizing meaning as a pathway to meaning in life and well-being. Journal of Happiness Study, 20, 1863–1891. https://doi.org/10.1007/s10902-018-0031-y

Schönfelder, A., Hallensleben, N., Spangenberg, L., Forkmann, T., Rath, D., & Glaesmer, H. (2019). The role of childhood abuse for suicidality in the context of the interpersonal theory of suicide: An investigation in German psychiatric inpatients with depression. Journal of Affective Disorders, 245, 788–797. https://doi.org/10.1016/j.jad.2018.11.063

Schönfelder, A., Rath, D., Forkmann, T., Paashaus, L., Lucht, L., Teismann, T., Stengler, K., Juckel, G., & Glaesmer, H. (2021). Child abuse and suicidality in the context of the interpersonal psychological theory of suicide: A network analysis. The British Journal of Clinical Psychology, 60(4), 425–442. https://doi.org/10.1111/bjc.12293

Sedikides, C., Cheung, W. Y., Wildschut, T., Hepper, E. G., Baldursson, E., & Pedersen, B. (2018). Nostalgia motivates pursuit of important goals by increasing meaning in life. European Journal of Social Psychology, 48(2), 209–216. https://doi.org/10.1002/ejsp.2318

Seungju, H., Kang, S., Hyunyup, L., & Choi, Y. (2021). The moderating effect of meaning in life on the relationship between soldier’s perceived stress and suicidal ideation. Korean Journal of Military Art and Science, 77(2), 122–150. https://doi.org/10.31066/kjmas.2021.77.2.005

Shneidman, E. S. (1993). Suicide as psychache. The Journal of Nervous and Mental Disease, 181(3), 145–147. https://doi.org/10.1097/00005053-199303000-00001

Sleight, A. G., Boyd, P., Klein, W., & Jensen, R. E. (2021). Spiritual peace and life meaning may buffer the effect of anxiety on physical well-being in newly diagnosed cancer survivors. Psycho-Oncology, 30(1), 52–58. https://doi.org/10.1002/pon.5533

Spector, P. E. (2019). Do not cross me: Optimizing the use of cross-sectional designs. Journal of Business Psychology, 34, 125–137. https://doi.org/10.1007/s10869-018-09613-8

Spínola, J., Campos, R. C., Marques, D., & Holden, R. R. (2022). Psychache, unmet interpersonal needs, childhood trauma and suicide ideation in young adults. Death Studies, 46(4), 930–939. https://doi.org/10.1080/07481187.2020.1788670

Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The meaning in life questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://doi.org/10.1037/0022-0167.53.1.80

Steger, M. F., Oishi, S., & Kashdan, T. B. (2009). Meaning in life across the life span: Levels and correlates of meaning in life from emerging adulthood to older adulthood. The Journal of Positive Psychology, 4(1), 43–52. https://doi.org/10.1080/17439760802303127

Stoltenborgh, M., Bakermans-Kranenburg, M. J., Alink, L. R. A., & van Ijzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: Review of a series of meta-analyses. Child Abuse Review, 24(1), 37–50. https://doi.org/10.1002/car.2353

Sun, F. K., Chiu, N. M., Yao, Y., Wu, M. K., Hung, C. F., Chen, C. C., Lee, Y. H., & Chiang, C. Y. (2021). The effects of logotherapy on meaning in life, depression, hopelessness, and suicidal ideation, in patients with depression: An intervention study. Perspectives in Psychiatric Care. https://doi.org/10.1111/ppc.13003

Tang, W., Zhao, J., Lu, Y., Zha, Y., Liu, H., Sun, Y., Zhang, J., Yang, Y., & Xu, J. (2018). Suicidality, posttraumatic stress, and depressive reactions after earthquake and maltreatment: A cross-sectional survey of a random sample of 6132 Chinese children and adolescents. Journal of Affective Disorders, 232, 363–369. https://doi.org/10.1016/j.jad.2018.02.081

Tripp, D. A., Jones, K., Mihajlovic, V., Westcott, S., & MacQueen, G. (2021). Childhood trauma, depression, resilience and suicide risk in individuals with inflammatory bowel disease. Journal of Health Psychology, 27(7), 1626–1634. https://doi.org/10.1177/1359105321999085

Tsai, F. J., Hu, Y. J., Chen, C. Y., Yeh, G. L., Tseng, C. C., & Chen, S. C. (2019). Simulated directed-learning in life-education intervention on the meaning of life, positive beliefs, and well-being among nursing students: A Quasi-experimental study. Medicine, 98(27), e16330. https://doi.org/10.1097/MD.0000000000016330

Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E., Jr. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697

Verrocchio, M. C., Carrozzino, D., Marchetti, D., Andreasson, K., Fulcheri, M., & Bech, P. (2016). Mental pain and suicide: A systematic review of the literature. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00108

Wang, E. N., & Peng, X. (2017). Intervention effect of group counseling on meaning of life: A therapy based on sandplay and satir model. Chinese Journal of Clinical Psychology, 25(2), 315–318. https://doi.org/10.16128/j.cnki.1005-3611.2017.02.026

Wang, X. Q., You, Y. Y., & Zhang, D. J. (2016). Psychometric properties of meaning in life questionnaire Chinese version (MLQ-C) in Chinese university students and its relations with psychological quality. Journal of Southwest University (Natural Science Edition), 38(10), 161–167. https://doi.org/10.13718/j.cnki.xdzk.2016.10.023

World Health Organization. (2022, May 5). Suicide fact sheet. http://www.who.int/mediacentre/factsheets/fs398/en/

Xie, Z., Fang, Y., Mai, Y., Zhao, J., Zhang, X., & Zhao, J. (2021). The role of alexithymia in childhood trauma and suicide risk: A multi-group comparison between left-behind experience students and no left-behind experience students. Personality and Individual Differences, 172, 110260. https://doi.org/10.1016/j.paid.2020.110260

Yek, M. H., Olendzki, N., Kekecs, Z., Patterson, V., & Elkins, G. (2017). Presence of meaning in life and search for meaning in life and relationship to health anxiety. Psychological Reports, 120(3), 383–390. https://doi.org/10.1177/0033294117697084

Yu, E. A., & Chang, E. C. (2020). Depressive symptoms and life satisfaction in Asian American college students: Examining the roles of self-compassion and personal and relational meaning in life. Asian American Journal of Psychology, 11(4), 259–268. https://doi.org/10.1037/aap0000214

Zaorska, J., Kopera, M., Trucco, E. M., Suszek, H., Kobyliński, P., & Jakubczyk, A. (2020). Childhood trauma, emotion regulation, and pain in individuals with alcohol use disorder. Frontiers in Psychiatry, 11, 554150. https://doi.org/10.3389/fpsyt.2020.554150

Zhang, W., & Deng, L. (2016). Child sexual abuse prevention and theory of mind in preschool-aged children. Chinese Journal of Clinical Psychology, 24(1), 28–31. https://doi.org/10.16128/j.cnki.1005-3611.2016.01.006

Zhang, X., Wang, H., Xia, Y., Liu, X., & Jung, E. (2012). Stress, coping and suicide ideation in Chinese college students. Journal of Adolescence, 35(3), 683–690. https://doi.org/10.1016/j.adolescence.2011.10.003

Zhao, J. B., (2006). Influencing of life meaning and cognitive factors on suicidal ideation among medical college students. [Master’s thesis, Southern Medical University]. China National Knowledge Internet. https://www.cnki.net/

Zhao, X. F., Zhang, Y. L., Li, L. F., & Zhou, Y. F. (2005). Evaluation on reliability and validity of Chinese version childhood trauma questionnaire. Chinese Journal of Clinical Rehabilitation, 9(16), 209–211. https://doi.org/10.3321/j.issn:1673-8225.2005.16.037

Zou, Y. M., Li, H. H., Shi, C., Lin, Y. X., Zhou, H. Y., & Zhang, J. Q. (2017). Efficacy of psychological pain theory-based cognitive therapy in suicidal patients with major depressive disorder: A pilot study. Psychiatry Research, 249, 23–29. https://doi.org/10.1016/j.psychres.2016.12.046

Zuo, B., Yang, K., Yao, Y., Han, S., Nie, S., & Wen, F. (2021). The relationship of perceived social support to feelings of hopelessness under COVID-19 pandemic: The effects of epidemic risk and meaning in life. Personality and Individual Differences, 183, 111110. https://doi.org/10.1016/j.paid.2021.111110