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Moreover, a strong association exists between childhood sexual abuse (<jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>) and suicidal ideation among individuals with <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content>. Yet growing evidence suggests that existential well\u2010being (<jats:styled-content style=\"fixed-case\">EWB<\/jats:styled-content>) may be a protective factor against suicidality. In this study, adult <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> patients (<jats:italic>N\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>112) provided data on <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>, religious well\u2010being (<jats:styled-content style=\"fixed-case\">RWB<\/jats:styled-content>; spiritual life in relation to God), <jats:styled-content style=\"fixed-case\">EWB<\/jats:styled-content> (purpose\/meaning in life), and suicidal ideation. Participants were between 19 and 65 years of age. The majority was female and described their race\/ethnicity as African American. Results indicated that <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content> was negatively associated with <jats:styled-content style=\"fixed-case\">EWB<\/jats:styled-content> and was not related to <jats:styled-content style=\"fixed-case\">RWB<\/jats:styled-content>. Further, <jats:styled-content style=\"fixed-case\">EWB<\/jats:styled-content> mediated the association between <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content> and suicidal ideation, whereas <jats:styled-content style=\"fixed-case\">RWB<\/jats:styled-content> did not. Having meaning\/purpose in life may serve as a protective factor against suicidal ideation among individuals with <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> who experienced <jats:styled-content style=\"fixed-case\">CSA<\/jats:styled-content>, whereas having a relationship\/belief in God may not serve the same function.<\/jats:p>","DOI":"10.1111\/sltb.12438","type":"journal-article","created":{"date-parts":[[2018,2,12]],"date-time":"2018-02-12T09:42:44Z","timestamp":1518428564000},"page":"401-412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Childhood Sexual Abuse and Suicidal Ideation Among Bipolar Patients: Existential But Not Religious Well\u2010Being as a Protective Factor"],"prefix":"10.1111","volume":"49","author":[{"given":"Dorian A.","family":"Lamis","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Grady Health System Atlanta GA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shweta","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Sciences Center Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda P. 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