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Child Maltreatment and Suicide Ideation in Rural China: The Roles of Self-compassion and School Belonging

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Abstract

Child maltreatment as a significant risk factor for suicide behavior is one of major challenges faced by the child welfare system in China. However, few studies have focused on child maltreatment of rural Chinese children. Furthermore, research has not examined the protective factors between the linkage of child maltreatment and suicide ideation. This study aimed to fill the research gap by investigating the mediating role of self-compassion and the moderating role of school belonging in the association between child maltreatment and suicidal ideation. We used convenience sampling strategy to collect data from four schools and 31 classes in rural area in Hunan, China in 2018. Participants included 1167 students in grades seven through nine. SPSS macro PROCESS was used to examine the mediating effect of self-compassion and moderating effect of school belonging in the association between child maltreatment and suicide ideation. The findings indicated that rural children reported a higher level of child maltreatment history than their urban counterparts. Emotional abuse, emotional and physical neglect were all positively associated with suicide ideation through decreased self-compassion. In addition, school belonging could moderate the direct relations between emotional abuse and suicide ideation. The findings suggested that it is of great importance to include self-compassion and school belonging into mental health intervention programs for rural adolescents with child maltreatment experiences. Programs that teach students self-compassion and resources that help adolescents develop a sense of school belonging and inclusion should be provided in schools in rural China.

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References

  • Aiken, L., West, S., & Reno, R. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks: Sage Publications Inc.

    Google Scholar 

  • Alink, L., Cicchetti, D., Kim, J., & Rogosch, F. A. (2009). Mediating and moderating processes in the relation between maltreatment and psychopathology: Mother-Child relationship quality and emotion regulation. Journal of Abnormal Child Psychology, 37, 831–843.

    PubMed  PubMed Central  Google Scholar 

  • Allen, K., Kern, M. L., Vella-Brodrick, D., Hattie, J., & Waters, L. (2018). What schools need to know about fostering school belonging: A meta-analysis. Education Psychology Review, 30, 1–34.

    Google Scholar 

  • Appleyard, K., Berlin, J., Rosanbalm, D., & Dodge, A. (2011). Preventing early child maltreatment: Implications from a longitudinal study of maternal abuse history, substance use problems, and offspring victimization. Prevention Science, 12, 139–149.

    PubMed  PubMed Central  Google Scholar 

  • Auslander, W., Sterzing, P., Threlfall, J., Gerke, D., & Edmond, T. (2016). Childhood abuse and aggression in adolescent girls involved in child welfare: The role of depression and posttraumatic stress. Journal of Child Adolescent Trauma, 9, 1–10.

    PubMed  Google Scholar 

  • Barber, B. K., & Schluterman, J. M. (2008). Connectedness in the lives of children and adolescents: A call for greater conceptual clarity. Journal of Adolescent Health, 43, 209–216.

    Google Scholar 

  • Barlow, R., Turow, G., & Gerhart, J. (2017). Trauma appraisals, emotion regulation difficulties, and self-compassion predict posttraumatic stress symptoms following childhood abuse. Child Abuse & Neglect, 65, 37–47.

    Google Scholar 

  • Barnard, K., & Curry, F. (2011). Self-compassion: Conceptualization, correlates, and intervention. Review of General Psychology, 15(4), 289–303.

    Google Scholar 

  • Bernstein, D. P., Stein, J. A., Newcomb, M. D., Walker, E., Pogge, D., Ahluvalia, T., et al. (2003). Development and validation of a brief screening version of the childhood trauma questionnaire. Child Abuse & Neglect, 27(2), 169–190.

    Google Scholar 

  • Bow, L. N. (2012). Developing a child welfare and child protection system in China: UNICEF support to the government of China. Child Protection in Chinese Societies: Challenges and Policies 173–208

  • Brodsky, B., & Stanley, B. (2008). Adverse childhood experiences and suicidal behavior. Psychiatric Clinics of North America, 31(2), 223–235.

    PubMed  Google Scholar 

  • Burke, N. J., Hellman, J. L., Scott, B. G., Weems, C. F., & Carrion, V. G. (2011). The impact of adverse childhood experiences on an urban pediatric population. Child Abuse and Neglect, 35(6), 408–413.

    PubMed  Google Scholar 

  • Chen, J., Yan, L., & Zhou, L. (2011). Reliability and validity of Chinese version of self- compassion scale. Chinese Journal of Clinical Psychology, 19(6), 734–736.

    Google Scholar 

  • Chen, J., Yang, L., & Ren, Q. (2015). Report on the state of children in China. Chapin Hall: University of Chicago.

    Google Scholar 

  • Cheng, M., & Fan, F. (2007). Reliability and validity of adult suicidal ideation questionnaire. The 11th Annual Conference of the Chinese Psychological Society, Beijing, China

  • Cicchetti, D., Rogosch, A., Sturge-Apple, M., & Toth, S. L. (2010). Interaction of child maltreatment and 5-HTT polymorphisms: Suicidal ideation among children from low-SES backgrounds. Journal of Pediatric Psychology, 35(5), 536–546.

    PubMed  Google Scholar 

  • Cloitre, M., Cohen, R., & Koenen, C. (2006). Treating survivors of childhood abuse: Psychotherapy for the interrupted life. New York: Guilford Press.

    Google Scholar 

  • Cohen, R., Menon, S. V., Shorey, R. C., Le, V. D., & Temple, J. R. (2017). The distal consequences of physical and emotional neglect in emerging adults: A person-centered, multi-wave, longitudinal study. Child Abuse & Neglect, 63, 151–161.

    Google Scholar 

  • Coleman, S. R., Zawadzki, M. J., Heron, K. E., Vartanian, L. R., & Smyth, J. M. (2016). Self-focused and other-focused resiliency: Plausible mechanisms linking early family adversity to health problems in college women. Journal of American College Health, 64(2), 85–95.

    PubMed  Google Scholar 

  • Currier, D., & Mann, J. J. (2008). Stress, genes, and the biology of suicidal behavior. Psychiatric Clinics of North America, 31, 247–269.

    PubMed  Google Scholar 

  • Deva, M., & D’Souza, R. (2012). Mental health in the low-income Pacific Island countries-time for change in paradigms. Asian Journal of Psychiatry, 5(3), 286–287.

    Google Scholar 

  • Dunn, E. C., McLaughlin, K. A., Slopen, N., Rosand, J., & Smoller, J. W. (2013). Developmental timing of child maltreatment and symptoms of depression and suicidal ideation in young adulthood: Results from the national longitudinal study of adolescent health. Depression & Anxiety, 30(10), 955–964.

    PubMed  Google Scholar 

  • Eisenberg, M. E., Ackard, D. M., & Resnick, M. D. (2007). Protective factors and suicide risk in adolescents with a history of sexual abuse. The Journal of Pediatrics, 151(5), 482–487.

    PubMed  Google Scholar 

  • Eisenberg, M. E., & Resnick, M. D. (2006). Suicidality among gay, lesbian and bisexual adolescents: The role of protective factors. Journal of Adolescent Health, 39(5), 662–668.

    Google Scholar 

  • Enns, M. W., Cox, B., Afifi, T. O., Graaf, R. D., Have, M. T., & Sareen, J. (2006). Childhood adversities and risk for suicidal ideation and attempts: A longitudinal population-based study. Psychological Medicine, 36(12), 1769–1778.

    PubMed  Google Scholar 

  • Fang, X., Brown, D. S., Florence, C. S., & Mercy, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse & Neglect, 36(2), 156–165.

    Google Scholar 

  • Fang, X., Fry, D. A., Ji, K., Finkelhor, D., Chen, J., Lannen, P., et al. (2015). The burden of child maltreatment in China: A systematic review. Bulletin of the World Health Organization, 93, 176–185.

    PubMed  PubMed Central  Google Scholar 

  • Frazier, A., Tix, P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134.

    Google Scholar 

  • Fry, D., McCoy, A., & Swales, D. (2012). The consequences of maltreatment on children’s lives: A systematic review of data from the East Asia and Pacific Region. Trauma, Violence & Abuse, 13(4), 209–233.

    Google Scholar 

  • Fuller-Thomason, E., Baird, S. L., Dhrodia, R., & Brennenstuhl, S. (2016). The association between adverse childhood experiences (ACEs) and suicide attempts in a population-based study. Child Care, Health, and Development, 42(5), 725–734. https://doi.org/10.1111/cch.12351.

    Article  Google Scholar 

  • Galliher, V., Rostosky, S., & Hughes, H. K. (2004). School belonging, self-esteem, and depressive symptoms in adolescents: An examination of sex, sexual attraction status, and urbanicity. Journal of Youth and Adolescence, 33(3), 235–245.

    Google Scholar 

  • Gibb, B. E., Alloy, L. B., Abramson, L. Y., Rose, D, T., Whitehouse, W. G., Donovan, P., Hogan, M. E., Cronholm J., & Tierney, S. (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25, 425–446.

  • Gilbert, P., & Procter, S. (2006). Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy, 13(6), 353–379.

    Google Scholar 

  • Glassman, H., Weierich, M. R., Hooley, J. M., Deliberto, T. L., & Nock, M. K. (2007). Child maltreatment, non-suicidal self-injury, and the mediating role of self-criticism. Behavioral Research and Therapy, 45(10), 2483–2490.

    Google Scholar 

  • Gordon, J., Downey, J., & Bangert, A. (2013). Effects of a school-based mentoring program on school behavior and measures of adolescent connectedness. School Community Journal, 23, 227–250.

    Google Scholar 

  • Han, F., & Shao, S. (2019). A study on childhood trauma, empathy and aggressive behavior of college students of different genders. The Guide of Science & Education, 16, 164–165.

    Google Scholar 

  • He, A. S., Fulginiti, A., & Finno-Velasquez, M. (2015). Connectedness and suicidal ideation among adolescents involved with child welfare: A national survey. Child Abuse & Neglect, 42, 54–62.

    Google Scholar 

  • Hernández, M. M., Robins, R. W., Widaman, K. F., & Conger, R. D. (2017). Ethnic pride, self-esteem, and school belonging: A reciprocal analysis over time. Developmental Psychology, 53(12), 2384–2396.

    PubMed  PubMed Central  Google Scholar 

  • Hill, D. L. (2009). Relationship between sense of belonging as connected and suicide in American Indians. Archives of Psychiatric Nursing, 23(1), 65–74.

    PubMed  Google Scholar 

  • Homma, Y., & Saewyc, E. M. (2007). The emotional well-being of Asian-American sexual minority youth in school. Journal of LGBT Health Research, 3(1), 67–78.

    PubMed  Google Scholar 

  • Huh, H. J., Kim, K. H., Lee, H. K., & Chae, J. H. (2017). The relationship between childhood trauma and the severity of adulthood depression and anxiety symptoms in a clinical sample: The mediating role of cognitive emotion regulation strategies. Journal of Affective Disorders, 213, 44–50.

    PubMed  Google Scholar 

  • Kaplow, J. B., Gipson, P. Y., Horwitz, A. G., Burch, B. N., & King, C. A. (2014). Emotional suppression mediates the relation between adverse life events and adolescent suicide: Implications for prevention. Prevention Science, 15(2), 177–185.

    PubMed  PubMed Central  Google Scholar 

  • Khan, A., McCormack, H. C., Bolger, E. A., McGreenery, C. E., Vitaliano, G., Polcari, A., et al. (2015). Childhood maltreatment, depression, and suicidal ideation: Critical importance of parental and peer emotional abuse during developmental sensitive periods in males and females. Frontiers in Psychiatry, 6, 42. https://doi.org/10.3389/fpsyt.2015.00042.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kidger, J., Araya, R., Donovan, J., & Gunnell, D. (2012). The effect of the school environment on the emotional health of adolescents: A systematic review. Pediatrics, 129(5), 925–949.

    PubMed  Google Scholar 

  • Klumparendt, A., Nelson, J., Barenbrügge, J., & Ehring, T. (2019). Associations between childhood maltreatment and adult depression: A mediation analysis. BMC Psychiatry, 19(1), 36. https://doi.org/10.1186/s12888-019-2016-8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Li, X. B., Bo, Q. J., Zhang, G. P., Zheng, W., Wang, Z. M., Li, A. N., …Wang, C. Y. (2017). Effect of childhood trauma on cognitive functions in a sample of Chinese patients with schizophrenia. Comprehensive Psychiatry, 76, 147–152

  • Li, X. B., Li, Q. Y., Liu, J. T., Zhang, L., Tang, Y. L., & Wang, C. Y. (2015). Childhood trauma associates with clinical features of schizophrenia in a sample of Chinese inpatients. Psychiatry Research, 228(3), 702–707.

    PubMed  Google Scholar 

  • Li, X. B., Wang, Z., Hou, Y., Wang, Y., Liu, J., & Wang, C. (2014). Effects of childhood trauma on personality in a sample of Chinese adolescents. Child Abuse & Neglect, 38(4), 788–796.

    Google Scholar 

  • Lieberman, R., Poland, S., & Kornfeld, C. (2014). Best practices in suicide prevention and intervention. In P. L. Harrison & A. Thomas (Eds.), Best practices in school psychology: System-level services (pp. 273–288). Bethesda: National Association of School Psychologists.

    Google Scholar 

  • Lin, D., Li, X., Fan, X., & Fang, X. (2011). Child sexual abuse and its relationship with health risk behaviors among rural children and adolescents in Hunan, China. Child Abuse & Neglect, 35(9), 680–687.

    Google Scholar 

  • Liu, X., & Tein, J. Y. (2005). Life events, psychopathology, and suicidal behavior in Chinese adolescents. Journal of Affective Disorders, 86(2), 195–203.

    PubMed  Google Scholar 

  • Lloyd-Richardson, E. E., Perrine, N., Dierker, L., & Kelley, M. L. (2007). Characteristic and functions on non-suicidal self-injury in a community sample of adolescents. Psychological Medicine, 37(8), 1183–1192.

    PubMed  PubMed Central  Google Scholar 

  • Luoma, J. B., & Villatte, J. L. (2012). Mindfulness in the treatment of suicidal individuals. Cognitive and Behavioral Practice, 19(2), 265–276.

    PubMed  Google Scholar 

  • Luthar, S. S., Cicchetti, D., & Becker, B. (2000). The construct of resilience: A critical evaluation and guideline for future work. Child Development, 71, 543–562.

    PubMed  PubMed Central  Google Scholar 

  • Ma, Y., Chen, J., Xiao, W., Wang, F., & Zhang, M. (2011). Parents’ self-reporting of child physical maltreatment in Yuncheng City, China. Child Abuse & Neglect, 35(8), 592–600.

    Google Scholar 

  • MacBeth, A., & Gumley, A. (2012). Exploring compassion: A meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32, 545–552.

    PubMed  Google Scholar 

  • Miller, A. B., Adams, L. M., Esposito-Smythers, C., Thompson, R., & Proctor, L. (2014). Parents and friendships: A longitudinal examination of interpersonal mediators of the relationship between child maltreatment and suicidal ideation. Psychiatry Research, 220(3), 998–1006.

    PubMed  PubMed Central  Google Scholar 

  • Miller, A. B., & Esposito-Smythers, C. (2013). How do cognitive distortions and substance related problems affect the relationship between child maltreatment and adolescent suicidal ideation? Psychology of Violence, 3(4), 340–353.

    PubMed  PubMed Central  Google Scholar 

  • Miller, A. B., Esposito-Smythers, C., Weismoore, J. T., & Renshaw, K. D. (2013). The relation between child maltreatment and adolescent suicidal behavior: A systematic review and critical examination of the literature. Clinical Child and Family Psychology Review, 16, 146–172.

    PubMed  PubMed Central  Google Scholar 

  • Mills, R., Scott, J., Alati, R., O’Callaghan, M., Najman, J. M., & Strathearn, L. (2012). Child maltreatment and adolescent mental health problems in a large birth cohort. Child Abuse & Neglect, 37(5), 292–302.

    Google Scholar 

  • Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2(3), 223–250.

    Google Scholar 

  • Neff, K. D., & McGehee, P. (2010). Self-compassion and psychological resilience among adolescents and young adults. Self and Identity, 9(3), 225–240.

    Google Scholar 

  • Neff, K. D., Rude, S. S., & Kirkpatrick, K. L. (2007). An examination of self-compassion in relation to positive psychological functioning and personality traits. Journal of Research in Personality, 41, 908–916.

    Google Scholar 

  • Osterman, K. F. (2000). Students’ need for belonging in the school community. Review of Education Research, 70(3), 323–367.

    Google Scholar 

  • Raes, F. (2011). The effect of self-compassion on the development of depression symptoms in a non-clinical sample. Mindfulness, 2(1), 33–36.

    Google Scholar 

  • Reynolds, W. M. (1991). Psychometric characteristics of the Adult Suicidal Ideation Questionnaire in college students. Journal of Personality Assessment, 56(2), 289–307.

    PubMed  Google Scholar 

  • Seeley, J. R., Rohde, P., & Jones, L. (2010). School-based prevention and intervention for depression and suicidal behavior. In M. R. Shinn & H. M. Walker (Eds.), Interventions for achievement and behavior problems in a three-tier model including RTI (pp. 363–396). Bethesda: National Association of School Psychologists.

    Google Scholar 

  • Shenk, C. E., Noll, J. G., & Cassarly, J. A. (2010). A multiple mediational test of the relationship between childhood maltreatment and non-suicidal self-injury. Journal of Youth and Adolescence, 39(4), 335–342.

    PubMed  Google Scholar 

  • Shonkoff, J. P., Boyce, W. T., & McEwen, B. S. (2009). Neuroscience, molecular biology, and the childhood roots of health disparities: Building a new framework for health promotion and disease prevention. The Journal of the American Medical Association, 301(21), 2252–2259.

    PubMed  Google Scholar 

  • Swannell, S., Martin, G., Page, A., Hasking, P., Hazell, P., Taylor, A., et al. (2012). Child maltreatment, subsequent non-suicidal self-injury and the mediating roles of dissociation, alexithymia and self-blame. Child Abuse & Neglect, 36(7), 572–584.

    Google Scholar 

  • Taliaferro, L. A., & Muehlenkamp, J. J. (2014). Risk and protective factors that distinguish adolescents who attempt suicide from those who only consider suicide in the past year. Suicide and Life-Threatening Behavior, 44(1), 6–22.

    PubMed  Google Scholar 

  • Tanaka, M., Wekerle, C., Schmuck, M. L., Paglia-Boak, A., & MAP Research Team. (2011). The linkages among childhood maltreatment, adolescent mental health, and self-compassion in child welfare adolescents. Child Abuse & Neglect, 35(10), 887–898.

    Google Scholar 

  • Tietjen, G. E., Brandes, J. L., Peterlin, B. L., Eloff, A., Dafer, R. M., Stein, M. R., et al. (2010). Childhood maltreatment and migraine (part I). Prevalence and adult revictimization: A multicenter headache clinic survey. Headache: The Journal of Head and Face Pain, 50(1), 20–31.

    Google Scholar 

  • Vettese, L. C., Dyer, C. E., Li, W. L., & Wekerle, C. (2011). Does self-compassion mitigate the association between childhood maltreatment and later emotion regulation difficulties? A preliminary investigation. International Journal of Mental Health and Addition, 9, 480–491.

    Google Scholar 

  • Viola, T. W., Salum, G. A., Kluwe-Schiavon, B., Sanvicente-Vieira, B., Levandowski, M. L., & Grassi-Oliveira, R. (2016). The influence of geographical and economic factors in estimates of childhood abuse and neglect using the Childhood Trauma Questionnaire: A world-wide meta-regression analysis. Child Abuse & Neglect, 51, 1–11.

    Google Scholar 

  • Wang, F., Lin, L., Xu, M., Li, L., Lu, J., & Zhou, X. (2019). Mental Health among left-behind children in Rural China in relation to parent-child communication. International Journal of Environmental Research and Public Health, 16(10), 1855. https://doi.org/10.3390/ijerph16101855.

    Article  PubMed Central  Google Scholar 

  • Whitlock, J., Wyman, A., & Moore, S. R. (2014). Connectedness and suicide prevention in adolescents: Pathways and implications. Suicide and Life-Threatening Behavior, 44, 246–272.

    PubMed  Google Scholar 

  • Wu, Q., Chi, P., Lin, X., & Du, H. (2018). Child maltreatment and adult depressive symptoms: Roles of self-compassion and gratitude. Child Abuse & Neglect, 80, 62–69.

    Google Scholar 

  • Xavier, A., Gouveia, J. P., & Cunha, M. (2016). Non-suicidal self-injury in adolescence: The role of shame, self-criticism and fear of self-compassion. Child & Youth Care Forum. https://doi.org/10.1007/s10566-016-9346-1.

    Article  Google Scholar 

  • Yang, L., Liu, Y., Shao, J., Ma, M., & Tian, K. (2015). A pilot study on intervention effect of self-compassion group training on depressed graduates. Chinese Journal of Clinical Psychology, 23, 947–950.

    Google Scholar 

  • Zhang, S., Mulhall, P. F., Flowers, N., & Lee, N. Y. (2019). Bullying reporting concerns as a mediator between school climate and bullying victimization/aggression. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260519889926.

    Article  PubMed  Google Scholar 

  • Zhu, Y. (2013). Listen and respect: An explorative study of child maltreatment under the perspective of children’s rights. China Youth Study, 4, 50–55.

    Google Scholar 

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Zhang, H., Liu, M. & Long, H. Child Maltreatment and Suicide Ideation in Rural China: The Roles of Self-compassion and School Belonging. Child Adolesc Soc Work J 38, 325–335 (2021). https://doi.org/10.1007/s10560-020-00679-z

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