Suicidal Ideation and Resilience in Individuals Experiencing Depression With and Without Childhood Adversities

Authors

  • Anam Pirzada Department of Applied Psychology, University of Central Punjab Lahore Author
  • Zeeshan Manzoor Department of Professional Psychology, Bahria University Lahore Campus Author
  • Wajeeha Shuaib Department of clinical psychology University of lahore Author

DOI:

https://doi.org/10.48047/HM.10.2.2024.1544-1568

Keywords:

Suicidal Ideation, Resilience, Childhood Adversities, Depression, Gender Differences, Mental Health, Trauma, Intervention

Abstract

Background: For those diagnosed with depression, adverse childhood experiences (ACEs) are very harmful traumatic events that can affect mental wellness. Psychologists have previously demonstrated a firm relationship between childhood aversions, suicidal ideation, and decreased resilience. The purpose of this study was to determine what relationship there is between children at risk of suicide ideation, ACEs, and resilience while focusing on gender differences and the connection between childhood adversities.

Method: One hundred and fifty participants (75 male, 75 female) were included in the study, diagnosed with depression, 25 to 45 years old (M = 34.02, SD = 5.51). From Lahore hospitals, staff participated in the study and were assessed for childhood adversities, depression, suicidal ideation, and resilience. The instruments used consisted of a Traumatic Experiences Checklist (TEC), a Patient Health Questionnaire (PHQ-9), a Connor-Davidson Resilience Scale (CD-RISC), and a Suicide Ideation Attributes Scale (SIDAS). Independent sample t-tests were calculated to determine the differences in suicidal ideation and resilience by childhood adversity and by gender.

Results: Analysis of the data revealed that individuals with a history of childhood adversities rated significantly higher on ratings of suicidal ideation (M = 42.54, SD = 2.61 vs. M = 41.33, SD = 2.87; t (148) = 2.39, p < .05). Individuals who had childhood adversities also had significantly lower resilience levels (M = 21.18, SD = 4.14) than those without (M = 19.04, SD = 2.66), t (148) = 3.77, p .05. Similar to other studies, we find that gender differences exist for suicidal ideation but not resilience.

Conclusion: The results demonstrate that exposure to adverse childhood experiences might play a significant role in influencing the risk of suicidal ideation, particularly in people with depression. Importantly, these results suggest that trauma experienced in childhood should be addressed in psychological treatments for depression. Further research is needed to develop a strategy for the prevention of suicidal ideation based on gender differences.

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References

Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., & Giles, W. H. (2006). The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology. European archives of psychiatry and clinical neuroscience, 256, 174-186.

Angelakis, I., Gillespie, E. L., & Panagioti, M. (2019). Childhood maltreatment and adult suicidality: a comprehensive systematic review with meta-analysis. Psychological medicine, 49(7), 1057-1078.

Brown, J., Cohen, P., Johnson, J. G., & Smailes, E. M. (1999). Childhood abuse and neglect: Specificity of effects on adolescent and young adult depression and suicidality. Journal of the American Academy of Child & Adolescent Psychiatry, 38(12), 1490-1496.

Chen, H., Li, W., Cao, X., Liu, P., Liu, J., Chen, X., Luo, C., Liang, X., Guo, H., & Zhong, S. (2021). The association between suicide attempts, anxiety, and childhood maltreatment among adolescents and young adults with first depressive episodes. Frontiers in psychiatry, 12, 745470.

Chen, X., Jiang, L., Liu, Y., Ran, H., Yang, R., Xu, X., Lu, J., & Xiao, Y. (2021). Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience. PeerJ, 9, e11758.

Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2017). Association of adverse childhood experiences with lifetime mental and substance use disorders among men and women aged 50+ years. International psychogeriatrics, 29(3), 359-372.

Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor Davidson Resilience Scale (CD RISC). Depression and anxiety, 18(2), 76-82.

Dube, S. R., Anda, R. F., Felitti, V. J., Chapman, D. P., Williamson, D. F., & Giles, W. H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide throughout the life span: findings from the Adverse Childhood Experiences Study. Jama, 286(24), 30893096.

Easton, S. D., Kong, J., Gregas, M. C., Shen, C., & Shafer, K. (2017). Child sexual abuse and depression in late life for men: A population-based, longitudinal analysis. The Journals of Gerontology: Series B.

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., . . . Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245-258.

Gong, M., Zhang, S., Li, W., Wang, W., Wu, R., Guo, L., & Lu, C. (2020). Association between childhood maltreatment and suicidal ideation and suicide attempts among Chinese adolescents: the moderating role of depressive symptoms. International journal of environmental research and public health, 17(17), 6025.

Infurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A., & Kaess, M. (2016). Associations between depression and specific childhood experiences of abuse and neglect: a meta-analysis. Journal of affective disorders, 190, 47-55.

Jenkins, P. E., Meyer, C., & Blissett, J. M. (2013). Childhood abuse and eating psychopathology: The mediating role of core beliefs. Journal of Aggression, Maltreatment & Trauma, 22(3), 248-261.

John, S. G., Cisler, J. M., & Sigel, B. A. (2017). Emotion regulation mediates the relationship between a history of child abuse and current PTSD/depression severity in adolescent females. Journal of family violence, 32(6), 565-575.

Kelly, L. E. (2013). The Relationship Between Emotional Eating, Depression, and Body Mass Index. Vanderbilt University.

Lind, M. J., Brown, R. C., Sheerin, C. M., York, T. P., Myers, J. M., Kendler, K. S., & Amstadter, A. B. (2018). Does parenting influence the enduring impact of severe childhood sexual abuse on psychiatric resilience in adulthood? Child Psychiatry & Human Development, 49(1), 33-41.

Murphy, A., Steele, H., Steele, M., Allman, B., Kastner, T., & Dube, S. R. (2016). The clinical Adverse Childhood Experiences (ACEs) questionnaire: Implications for trauma-informed behavioral healthcare Integrated early childhood behavioral health in primary care (pp. 716): Springer.

Obikane, E., Shinozaki, T., Takagi, D., & Kawakami, N. (2018). Impact of childhood abuse on suicide-related behavior: analysis using marginal structural models. Journal of Affective Disorders, 234, 224-230.

Otte, C., Gold, S. M., Penninx, B. W., Pariante, C. M., Etkin, A., Fava, M., . . . Schatzberg, A. F. (2016). Major depressive disorder. Nature Reviews Disease Primers, 2, 16065.

Piaget, J. (1970). Piaget's theory.

Poole, J. (2016). Adverse Childhood Experiences and Adult Depression: Resilience as a Moderator. University of Calgary.

Stoltenborgh, M., Bakermans‐Kranenburg, M. J., Alink, L. R., & van IJzendoorn, M. H. (2015). The prevalence of child maltreatment across the globe: Review of a series of meta‐analyses. Child Abuse Review, 24(1), 37-50.

Traub, F., & Boynton-Jarrett, R. (2017). Modifiable resilience factors to childhood adversity for clinical pediatric practice. Pediatrics, e20162569.

Ulukol, B., Kahiloğulları, A. K., & Sethi, D. (2014). Adverse childhood experiences survey among university students in Turkey.

Von Cheong, E., Sinnott, C., Dahly, D., & Kearney, P. M. (2017). Adverse childhood experiences (ACEs) and later-life depression: perceived social support as a potential protective factor. BMJ open, 7(9), e013228.

Yousafzai, A. W. (2018). CHILD ABUSE: ARE WE DOING ENOUGH TO PREVENT IT? Khyber Medical University Journal, 10(1), 1-2.

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Published

2024-04-30

How to Cite

Pirzada, A., Manzoor, Z., & Shuaib, W. (2024). Suicidal Ideation and Resilience in Individuals Experiencing Depression With and Without Childhood Adversities. History of Medicine, 10(2), 1544-1568. https://doi.org/10.48047/HM.10.2.2024.1544-1568