{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T16:57:44Z","timestamp":1790355464422,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Am Psychiatr Nurses Assoc"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In 2023, suicide emerged as the second leading cause of death for 10- to 24-year-olds in the United States, accounting for over 40,000 deaths across the age group. Recent research identified childhood adverse experiences, including sexual, physical, and emotional abuse and neglect, as possible links with youth suicidal behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This review aimed to synthesize qualitative evidence on childhood sexual abuse (CSA) and the relationship to self-harm, suicidal ideation, or attempts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>CINAHL, OVID Medline, and PsycInfo databases were searched for qualitative research articles relevant to youth sexual abuse, trauma, and suicidal behaviors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 442 records screened, 11 qualitative studies met the criteria for the systematic review. Four themes emerged: CSA and the perpetrators; suicidal behaviors and self-harm; shame, self-blame, and guilt; and disclosure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Despite the growing prevalence of childhood sexual abuse and other traumas, there is a lack of boundaries and safety for youth and an absence of effective strategies to mitigate CSA and related suicidality. Opportunities for youth disclosure about child sexual abuse initiate the work of healing from shame and should be provided in a timely manner. Researchers acknowledge the powerful impact of disclosure and advise ongoing therapy for recovery, with emphasis on safe environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10783903261471541","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:30:40Z","timestamp":1785760240000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Relationship of Child Sexual Abuse and Youth Suicide: A Qualitative Systematic Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5789-7141","authenticated-orcid":false,"given":"Pamela","family":"Adamshick","sequence":"first","affiliation":[{"name":"Moravian University, Bethlehem, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Adamshick P. Z. (2010). The lived experience of girl-to-girl aggression in marginalized girls. Qualitative Health Research 20(4) 541\u2013555. https:\/\/doi.org\/10.1177\/1049732310361611","DOI":"10.1177\/1049732310361611"},{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Alix S. Cossette L. Hebert M. Cyr M. Frappier J. (2017). Posttraumatic stress disorder and suicidal ideation among sexually abused adolescent girls: The mediating role of shame. Journal of Child Sexual Abuse 26(2) 158\u2013174. https:\/\/doi.org\/10.1080\/10538712.2017.1280577","DOI":"10.1080\/10538712.2017.1280577"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"Angelakis I. Austin J. L. Gooding P. (2020). Association of childhood maltreatment with suicide behaviors among young people: A systematic review and meta-analysis. JAMA Network Open 3(8) e2012563. https:\/\/doi.org\/10.1001\/jamanetworkopen","DOI":"10.1001\/jamanetworkopen.2020.12563"},{"key":"e_1_3_3_5_1","doi-asserted-by":"crossref","unstructured":"Chia Y. Y. Wan T. S. Teo S. M. Sim L. Sandeeshwara Kasturiratna K.T.A. (2025). The impact of childhood sexual physical and emotional abuse and neglect on suicidal behavior and non-suicidal self-injury: A systematic review of meta-analyses. Psychiatry Research Communications 5(1) 100202. https:\/\/doi.org\/10.1016\/j.psycom.2025.100202","DOI":"10.1016\/j.psycom.2025.100202"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Chouliara Z. Karatas T. Gullone A. (2014). Recovering from childhood sexual abuse: A theoretical framework for practice and research. Journal of Psychiatric and Mental Health Nursing 21 69\u201378. https:\/\/doi.org\/10.1111\/jpm.12048.","DOI":"10.1111\/jpm.12048"},{"key":"e_1_3_3_7_1","volume-title":"Hand-book of qualitative research","author":"Denzin N. 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