TY  - JOUR
PY  - 2020//
TI  - Psychological factors intervening between childhood trauma and suicidality in first-episode psychosis
JO  - Psychiatry research
A1  - Cui, Yin
A1  - Piao, YanHong
A1  - Kim, Sung-Wan
A1  - Lee, Bong Ju
A1  - Kim, Jung Jin
A1  - Yu, Je-Chun
A1  - Lee, Kyu Young
A1  - Won, Seung-Hee
A1  - Lee, Seung-Hwan
A1  - Kim, Seung-Hyun
A1  - Kang, Shi Hyun
A1  - Kim, Euitae
A1  - Kim, Namhee
A1  - Chung, Young-Chul
SP  - e113465
EP  - e113465
VL  - 293
IS  - 
N2  - 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 rumination 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2020.113465
ID  - ref1
ER  -