Adverse and Benevolent Childhood Experiences and Lifetime Self-Harm: A Developmental Psychopathology Perspective
摘要
Research on childhood adversity and self-harm is well-established, but less is known about how dimensions of childhood experiences, including subtypes of adversity and benevolent childhood experiences (BCEs), relate to lifetime self-harm. This study examined associations between childhood maltreatment, exposure to family dysfunction, BCEs, and lifetime self-harm. Participants were 242 low-income, ethnically diverse females (M age = 28.46 years, SD = 5.72, range = 18–41) and their 148 male partners (M age = 30.23 years, SD = 7.39, range = 18–55) who completed well-validated instruments on childhood maltreatment, exposure to family dysfunction, BCEs, and self-harm. Females and males were separately categorized into four groups based on lifetime self-harm: 1-No history of self-harm (Neither); 2-Suicide attempt(s) only (SA); 3-Non-suicidal self-injury (NSSI) only; and 4- NSSI and suicide attempt(s) (Both). Multivariate modeling demonstrated that females with higher childhood maltreatment had a significantly greater odds of membership in the Both group as compared to the Neither group. Females with greater exposure to family dysfunction had a significantly greater odds of membership in the Both, NSSI only, and SA only groups compared to the Neither group. Males with higher childhood maltreatment had a significantly greater odds of membership in the Both, NSSI only, and SA only groups compared to the Neither group. However, levels of BCEs did not differentiate group membership for females or males. Findings highlight the importance of screening for presence of self-harm and links to childhood adversity during healthcare visits to identify at-risk individuals and potentially prevent death by suicide.