Psychological mechanisms of childhood trauma to suicidality in early psychosis

Poster A40, Monday, October 8, 11:30 am - 1:00 pm, Essex Ballroom

Jihyun Kim1, Woo-Sung Kim2,3, Young Eun Oh2,3, Thong Ba Nguyen2,3, Young-Chul Chung1,3; 1Department of Psychiatry, Chonbuk National University Hospital, 2Department of Medical Science, Chonbuk National University, 3Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital

Several studies have found the relation between childhood trauma and suicidality in psychosis. However, the psychological mechanisms from childhood trauma to suicidality are not well understood. The aim of this study was to explore the translation mechanism of the childhood trauma (ChT) to suicidality in the early psychosis. The sample comprised of 306 patients with early psychosis who were enrolled in the Korean Early Psychosis Cohort Study, a prospective naturalistic observational cohort study. ChT, suicidality, negative schema and rumination were evaluated with the Early Trauma Inventory Self Report-Short Form, Columbia Suicide Severity Rating Scale, Brief Core Schema Scales and Brooding Scales. In addition, depression, empathy and psychopathology were also evaluated. All the variations were assessed at baseline. Structural equation model and phantom approach were conducted to analysis the pathway from childhood trauma (ChT) to suicidality. We found negative schema play a vital role in the relation between childhood trauma and suicidality. Our findings suggest that targeting negative schema in the people with early psychosis who exposed to childhood trauma will be an effective strategy for reducing suicidality events. This study was supported by a grant of the Korean Mental Health Technology R&D Project, Ministry of Health & Welfare, Republic of Korea (HM14C2608).

Topic Area: First Episode Psychosis

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