The mediating role of attachment and mentalising in the relationship between childhood maltreatment, self-harm and suicidality

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dc.contributor.authorStagaki, Mariaen
dc.contributor.authorNolte, Tobiasen
dc.contributor.authorFeigenbaum, Janeten
dc.contributor.authorCasas, Brooksen
dc.contributor.authorLohrenz, Terryen
dc.contributor.authorFonagy, Peteren
dc.contributor.authorPersonality Mood Disorder Research Consortiumen
dc.contributor.authorMontague, P. Readen
dc.date.accessioned2022-06-09T13:05:41Zen
dc.date.available2022-06-09T13:05:41Zen
dc.date.issued2022-06en
dc.description.abstractBackground: Although the relationship between childhood maltreatment, self-harm and suicidality is well-established, less is known about the mediating mechanisms explaining it. Based on a developmental mentalisation-based theoretical framework, childhood adversity compromises mentalising ability and attachment security, which in turn increase vulnerability to later stressors in adulthood.Objective: This study aimed to investigate the role of attachment and mentalising as potential mechanisms in the relationship between childhood maltreatment, self-harm and suicidality. Participants and setting: We recruited 907 adults from clinical and community settings in Greater London.Methods: The study design was cross-sectional. Participants completed self-report questionnaires on retrospectively rated childhood trauma, and current attachment to the romantic partner, mentalising, self-harm, suicidal ideation and attempt. We used structural equation modelling to examine the data and conceptualized childhood maltreatment as a general factor in a confirmatory bifactor model.Results: The results showed that childhood maltreatment was both directly associated with self harm and suicidality and indirectly via the pathways of attachment and mentalising.Conclusions: These findings indicate that insecure attachment and impaired mentalising partially explain the association between childhood maltreatment, self-harm and suicidality. Clinically, they provide support for the potential of mentalisation-based therapy or other psychosocial interventions that aim to mitigate the risk of self-harm and suicidality among individuals who have experienced childhood maltreatment via increasing understanding of self and other mental states.en
dc.description.notesThis work was supported by a National Institute for Health Research (NIHR) Senior Investigator Award (NF-SI-0514-10157) awarded to Peter Fonagy. The work was also supported by NIH-NIDS Grant 5R01NS092701-03, National Institutes of Health Award (MH115221) awarded to Brooks King-Casas, the Kane Family Foundation and a Wellcome Trust Senior Investigator Award to P. Read Montague.en
dc.description.sponsorshipNational Institute for Health Research (NIHR) Senior Investigator Award [NF-SI-0514-10157]; NIH-NIDS Grant [5R01NS092701-03]; National Institutes of Health Award [MH115221]; Kane Family Foundation; Wellcome Trust Senior Investigator Awarden
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.chiabu.2022.105576en
dc.identifier.eissn1873-7757en
dc.identifier.issn0145-2134en
dc.identifier.other105576en
dc.identifier.pmid35313127en
dc.identifier.urihttp://hdl.handle.net/10919/110517en
dc.identifier.volume128en
dc.language.isoenen
dc.publisherPergamon-Elsevieren
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectNon-suicidal self-injury (NSSI)en
dc.subjectSuicidalityen
dc.subjectChildhood traumaen
dc.subjectAttachmenten
dc.subjectMentalisingen
dc.subjectStructural equation modelen
dc.titleThe mediating role of attachment and mentalising in the relationship between childhood maltreatment, self-harm and suicidalityen
dc.title.serialChild Abuse & Neglecten
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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Scholarly Works, Fralin Biomedical Research Institute at VTC
Destination Area: Adaptive Brain and Behavior (ABB)
Scholarly Works, Physics
Scholarly Works, Psychology
Scholarly Works, Virginia Tech Carilion School of Medicine (VTCSOM)