Pan Lu,Wu Yuhang,Song Yuqin,Lin Cen,Cen Yu,Shao Jiarui,Xie Cailin,Dai Mengqin,Fan Qiuyue,Tang Lei,Luo Jiaming,Relationship between psychological abuse and neglect and suicidal ideation in left-behind adolescents: the mediating role of negative affect and the moderating role of different stages of adolescence[J].SICHUAN MENTAL HEALTH,2025,(4):374-380
Relationship between psychological abuse and neglect and suicidal ideation in left-behind adolescents: the mediating role of negative affect and the moderating role of different stages of adolescence
DOI:10.11886/scjsws20250324005
English keywords:Psychological neglect  Psychological abuse  Suicidal ideation  Early and late adolescence  Negative affect
Fund projects:
Author NameAffiliationPostcode
Pan Lu Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Wu Yuhang Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Song Yuqin Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Lin Cen Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Cen Yu Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Shao Jiarui Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Xie Cailin Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Dai Mengqin Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Fan Qiuyue Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China 637000
Tang Lei Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China
School of Psychiatry North Sichuan Medical College NanChong 637100 China 
637100
Luo Jiaming* Mental Health Center Affiliated Hospital of North Sichuan Medical College NanChong 637000 China
School of Psychiatry North Sichuan Medical College NanChong 637100 China 
637100
Hits:
Download times:
English abstract:
      Background Previous studies have identified a close relationship among psychological neglect and abuse, negative affect, different stages of adolescence, and suicidal ideation. However, the mechanisms underlying the impact of psychological abuse and neglect on suicidal ideation among left-behind adolescents remain unclear, and this field of research is still in its relative infancy.Objective To explore the relationship between psychological neglect/abuse and suicidal ideation among left-behind adolescents, as well as the mediating role of negative affect and the moderating effect of different stages of adolescence, so as to provide insights for preventing and intervening suicidal ideation in this population.Methods From November 2021 to May 2022, a cluster random sampling technique was utilized to select 2 309 left-behind adolescents in western China. Assessments were conducted using the Child Psychological Abuse and Neglect Scale (CPANS), the Positive and Negative Suicide Ideation (PANSI) and the Positive and Negative Affect Schedule for Children (PANAS-C). Spearman correlation coefficients were calculated across all samples, and Process 4.1 was employed to test the mediating role of negative affect and the moderating role of different stages of adolescence in the pathway linking psychological abuse/neglect to suicidal ideation.Results A total of 2 119 left-behind adolescents (mean age: 14.94±1.20 years) completed the study, with males comprising 51.34% (1 088/2 119) and females 48.66% (1 031/2 119).Among left-behind adolescents, scores on CPANS psychological neglect subscale showed positive correlations with both psychological abuse subscale scores and PANAS-C negative affect subscale scores (r=0.446, 0.496, P<0.01). Additionally, CPANS psychological neglect and psychological abuse subscale scores were also positively correlated with PANSI scores (r=0.487, 0.508, P<0.01). Furthermore, PANAS-C negative affect subscale scores demonstrated a positive correlation with PANSI scores (r=0.499, P<0.01). Negative affect partially mediated the relationship between psychological abuse/psychological neglect and suicidal ideation, with effect sizes of 0.166 (95% CI: 0.141~0.191) and 0.131 (95% CI: 0.112~0.152). Different stages of adolescence moderated the latter part (negative emotion → suicidal ideation) of the indirect mediation path from psychological neglect to suicidal ideation through negative affect (β=-0.066, P<0.01).Conclusion Both psychological neglect and psychological abuse may influence suicidal ideation among left-behind adolescents via negative affect. Moreover, different stages of adolescence may moderate the indirect path from psychological neglect to suicide ideation through negative affect.
View Full Text   View/Add Comment  Download reader
Close