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Effects of Childhood Maltreatment on Self-Injury

Psychiatry Res; ePub 2018 Aug 18; McMahon, et al

Childhood maltreatment had stronger effects on violence directed towards the self than on interpersonal violence in both genders, while impulsivity had a stronger effect on self-injury than on suicide attempt or interpersonal violence in men. This according to a recent study that examined the differential effects of childhood maltreatment and impulsivity on interpersonal violence, suicide attempts, and self-injury. Data were drawn from a nationally representative survey of 34,653 US adults, the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Structural equation modeling was used to simultaneously examine the shared and specific effects of 5 types of childhood maltreatment and impulsivity on the risk of different violent behaviors (ie, interpersonal violence, suicide attempts, and self-injury). Analyses were stratified by gender and adjusted for age and ethnicity. Researchers found:

  • Impulsivity and childhood maltreatment independently increased the risk of suicide attempt, self-injury, and interpersonal violence.
  • These findings indicate that childhood maltreatment and impulsivity relate differently to the risk of different types of violence.
Citation:

McMahon K, Hoertel N, Olfson M, Wall M, Wang S, Blanco C. Childhood maltreatment and impulsivity as predictors of interpersonal violence, self-injury and suicide attempts: A national study. [Published online ahead of print August 18, 2018]. Psychiatry Res. doi:10.1016/j.psychres.2018.08.059.