{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T06:18:06Z","timestamp":1787897886106,"version":"build-2784847793"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood trauma (CT) is associated with depression, anxiety, and suicide-related thoughts in adolescents. However, the item-level associations linking trauma-related experiences with internalizing symptoms and thoughts of self-harm or death remain unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis of 2,413 adolescents who completed the Childhood Trauma Questionnaire-Short Form (CTQ-SF), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7). Symptom-level associations were examined using a Spearman-EBICglasso network, with a polychoric network as a sensitivity analysis. CTQ-SF item 8 was interpreted descriptively as a perceived parental-rejection experience. PHQ-9 items 1\u20138 indicated latent depressive symptoms, GAD-7 items 1\u20137 indicated latent generalized anxiety symptoms, and PHQ-9 item 9 represented thoughts of being better off dead or self-harm. Four cross-sectional structural equation model (SEM) specifications were compared using maximum likelihood (ML), with MLR and WLSMV sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Childhood trauma, depressive symptoms, and generalized anxiety symptoms formed distinct but interconnected network communities. CTQ-SF item 8 ranked seventh in bridge strength in the primary network and remained among the leading bridge items in the polychoric network. The correlated-factors SEM showed the best primary fit. Under ML, item 8 was associated with depressive symptoms (standardized \u03b2 = 0.439, p &amp;lt; 0.001), generalized anxiety symptoms (standardized \u03b2 = 0.377, p &amp;lt; 0.001), and item 9 directly (standardized \u03b2 = 0.077, p = 0.012). The depressive-symptom association with item 9 was larger (standardized \u03b2 = 0.562, p &amp;lt; 0.001) than the generalized-anxiety association (standardized \u03b2 = 0.111, p = 0.073). MLR reproduced this pattern, whereas WLSMV identified a smaller but statistically significant generalized-anxiety association (standardized \u03b2 = 0.166, p = 0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A perceived parental-rejection experience emerged as a salient bridge item linking childhood trauma with internalizing symptoms and thoughts of self-harm or death. Depressive symptoms showed the larger and more consistent conditional association with item 9, whereas the generalized-anxiety association was smaller and varied by estimator. These findings support further investigation of family relational experiences in adolescent mental-health assessment and prevention research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1927040","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:35:04Z","timestamp":1787895304000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of a perceived parental-rejection experience with self-harm or death thoughts in adolescents: evidence from symptom network analysis and structural equation modeling"],"prefix":"10.3389","volume":"17","author":[{"given":"Jiajun","family":"Yin","sequence":"first","affiliation":[{"name":"Department of Psychiatry, The Affiliated Mental Health Center of Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengmeng","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Affiliated Mental Health Center of Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Logistics Management, Wuxi Institute of Communications Technology","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingying","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Affiliated Mental Health Center of Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyan","family":"He","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The Affiliated Mental Health Center of Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2001.40","article-title":"Childhood psychological, physical, and sexual maltreatment in outpatients with binge eating disorder: frequency and associations with gender, obesity, and eating-related psychopathology","volume":"9","author":"Grilo","year":"2001","journal-title":"Obes Res"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.4493","article-title":"Association of childhood trauma exposure with adult psychiatric disorders and functional outcomes","volume":"1","author":"Copeland","year":"2018","journal-title":"JAMA Netw Open"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2021.01.054","article-title":"Childhood trauma in adult depressive and anxiety disorders: an integrated review on psychological and biological mechanisms in the NESDA cohort","volume":"283","author":"Kuzminskaite","year":"2021","journal-title":"J Affect Disord"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.080499","article-title":"Childhood adversities and adult psychopathology in the WHO World Mental Health Surveys","volume":"197","author":"Kessler","year":"2010","journal-title":"Br J Psychiatry"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su7304a5","article-title":"Adverse childhood experiences and health conditions and risk behaviors among high school students \u2014 youth risk behavior survey, United States 2023","volume":"73","author":"Swedo","year":"2024","journal-title":"MMWR Suppl"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2015.04.007","article-title":"The role of specific early trauma in adult depression: a meta-analysis of published literature. 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