TY  - JOUR
PY  - 2021//
TI  - Self-transcendence mediates the relationship between early trauma and fatal methods of suicide attempts
JO  - Journal of Korean medical science
A1  - Yang, Jeong Hun
A1  - Rhee, Sang Jin
A1  - Park, C. Hyung Keun
A1  - Kim, Min Ji
A1  - Shin, Daun
A1  - Lee, Jae Won
A1  - Kim, Junghyun
A1  - Kim, Hyeyoung
A1  - Lee, Hyun Jeong
A1  - Ha, Kyooseob
A1  - Ahn, Yong Min
SP  - e39
EP  - e39
VL  - 36
IS  - 5
N2  - BACKGROUND: Early trauma is known to be a risk factor of suicide-related behavior. On the other hand, people who attempt suicide using a fatal method are reported to be more likely to complete suicide. In this study, we assumed that early trauma affects an individual's temperament and character and thereby increases the risk of a fatal method of suicide attempts. <br><br>METHODS: We analyzed 92 people with a history of previous suicide attempts. We compared the Temperament and Character Inventory-Revised scores between the groups with and without early trauma, and between the groups with and without a history of suicide attempt using fatal methods through an analysis of covariance with age, sex, and presence of a psychiatric history as covariates. A mediation analysis was conducted of the relationship between early trauma and fatal methods of suicide attempt with self-transcendence as a mediator. <br><br>RESULTS: Higher self-transcendence was reported in the fatal group (27.71 ± 13.78 vs. 20.97 ± 12.27, P = 0.010) and the early trauma group (28.05 ± 14.30 vs. 19.43 ± 10.73, P = 0.001), respectively. The mediation model showed that self-transcendence mediates the relationship between early trauma and fatal methods of suicide attempt. The 95% confidence intervals for the direct and indirect effect were (-0.559, 1.390) and (0.026, 0.947), respectively. <br><br>CONCLUSION: Self-transcendence may mediate the relationship between early trauma and fatal methods of suicide attempt. Self-transcendence may be associated with unhealthy defenses and suicidal behavior for self-punishment and may constitute a marker of higher suicide risk.<p />  <p>Language: en</p>
LA  - en
SN  - 1011-8934
UR  - http://dx.doi.org/10.3346/jkms.2021.36.e39
ID  - ref1
ER  -