{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T20:03:54Z","timestamp":1793649834663,"version":"4.5.1"},"reference-count":87,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2021,11,14]],"date-time":"2021-11-14T00:00:00Z","timestamp":1636848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI15\/00097"],"award-info":[{"award-number":["PI15\/00097"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI15\/00793"],"award-info":[{"award-number":["PI15\/00793"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI15\/00723"],"award-info":[{"award-number":["PI15\/00723"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI15\/00685"],"award-info":[{"award-number":["PI15\/00685"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003030","name":"Ag\u00e8ncia de Gesti\u00f3 d'Ajuts Universitaris i de Recerca","doi-asserted-by":"publisher","award":["FI_B100023-2018"],"award-info":[{"award-number":["FI_B100023-2018"]}],"id":[{"id":"10.13039\/501100003030","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008394","name":"Fundaci\u00f3 Bosch i Gimpera","doi-asserted-by":"publisher","award":["IP: Lourdes Fa\u00f1an\u00e1s"],"award-info":[{"award-number":["IP: Lourdes Fa\u00f1an\u00e1s"]}],"id":[{"id":"10.13039\/501100008394","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002943","name":"Departament d'Innovaci\u00f3, Universitats i Empresa, Generalitat de Catalunya","doi-asserted-by":"publisher","award":["2017SGR1577"],"award-info":[{"award-number":["2017SGR1577"]}],"id":[{"id":"10.13039\/501100002943","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004837","name":"Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"publisher","award":["RTI2018\u2010099800\u2010B\u2010I00"],"award-info":[{"award-number":["RTI2018\u2010099800\u2010B\u2010I00"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Ramon y Cajal research fellowship","award":["RYC-2017-23144"],"award-info":[{"award-number":["RYC-2017-23144"]}]},{"DOI":"10.13039\/501100006751","name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Salud Mental","doi-asserted-by":"publisher","award":["CIBERSAM"],"award-info":[{"award-number":["CIBERSAM"]}],"id":[{"id":"10.13039\/501100006751","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Childhood maltreatment (CM) is associated with increased non-suicidal self-injury (NSSI) and suicidal behavior (SB), independently of demographic and mental health conditions. Self-Trauma Theory and Linehan\u2019s Biopsychosocial Model might explain the emergence of Borderline Personality Disorder (BPD) symptoms as mediators of the association between CM and the risk of SB. However, little is known regarding such relationships when the exposure is recent for young persons. Here, we study 187 youths aged 7\u201317, with or without mental disorders. We explore CM experiences (considering the severity and frequency of different forms of neglect and abuse), recent stressful life events (SLEs), some BPD traits (emotion dysregulation, intense anger and impulsivity), and the risk of SB (including NSSI, suicide threat, suicide ideation, suicide plan and suicide attempt). We study the direct and mediating relationships between these variables via a structural equation analysis using the statistical software package EQS. Our findings suggest that youths exposed to more severe\/frequent CM have more prominent BPD traits, and are more likely to have experienced recent SLEs. In turn, BPD traits increase the risk of SLEs. However, only emotion dysregulation and recent SLEs were found to be correlated with SB. Therefore, targeted interventions on emotion dysregulation are necessary to prevent NSSI or SB in children and adolescents exposed to CM, as is the minimization of further SLEs.<\/jats:p>","DOI":"10.3390\/jcm10225293","type":"journal-article","created":{"date-parts":[[2021,11,14]],"date-time":"2021-11-14T20:48:36Z","timestamp":1636922916000},"page":"5293","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Risk of Suicidal Behavior in Children and Adolescents Exposed to Maltreatment: The Mediating Role of Borderline Personality Traits and Recent Stressful Life Events"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4670-5850","authenticated-orcid":false,"given":"Laia","family":"Marques-Feixa","sequence":"first","affiliation":[{"name":"Department of Evolutionary Biology, Ecology and Environmental Sciences, Faculty of Biology, University of Barcelona, Biomedicine Institute of the University of Barcelona (IBUB), Av Diagonal 643, 2n A, 08028 Barcelona, Spain"},{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7017-3087","authenticated-orcid":false,"given":"Jorge","family":"Moya-Higueras","sequence":"additional","affiliation":[{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"},{"name":"Department of Psychology, Faculty of Education, Psychology and Social Work, University of Lleida, Av. de I\u2019Estudi General, 4, 25001 Lleida, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9934-5196","authenticated-orcid":false,"given":"Soledad","family":"Romero","sequence":"additional","affiliation":[{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"},{"name":"Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neuroscience, Hospital Cl\u00ednic de Barcelona, C\/Villarroel, 170, 08036 Barcelona, Spain"},{"name":"Institut d\u2019Investigacions Biomediques August Pi i Sunyer (IDIBAPS), C\/Rossell\u00f3, 149, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pilar","family":"Santamarina-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry and Psychology, 2017SGR88, Institute of Neuroscience, Hospital Cl\u00ednic de Barcelona, C\/Villarroel, 170, 08036 Barcelona, Spain"},{"name":"Institut d\u2019Investigacions Biomediques August Pi i Sunyer (IDIBAPS), C\/Rossell\u00f3, 149, 08036 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8484-6051","authenticated-orcid":false,"given":"Marta","family":"Rapado-Castro","sequence":"additional","affiliation":[{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"},{"name":"Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, IiSGM, C. Dr. Esquerdo, 46, 28007 Madrid, Spain"},{"name":"Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne & Melbourne Health, C\/Alan Gilbert, 161, Carlton, VIC 3053, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6444-8208","authenticated-orcid":false,"given":"I\u00f1aki","family":"Zorrilla","sequence":"additional","affiliation":[{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"},{"name":"Department of Psychiatry, Hospital Santiago Apostol, Olagibel Kalea, 29, 01004 Vitoria-Gasteiz, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Mart\u00edn","sequence":"additional","affiliation":[{"name":"Adolescent Crisis Unit, Hospital Benito Menni, C\/Pablo Picasso, 12, 08830 Sant Boi de Llobregat, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eulalia","family":"Anglada","sequence":"additional","affiliation":[{"name":"Hospital for Adolescents, Fundaci\u00f3 Orienta, c\/Sant Llu\u00eds, 64, 08850 Gav\u00e0, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Lobato","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Puerta de Hierro University Hospital-Majadahonda, C\/Joaqu\u00edn Rodrigo, 1, 28222 Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maite","family":"Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Galdakao Mental Health Services, Child and Adolescent Mental Health, C\/Ibaizabal, 6, 48960 Galdakao, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4481-1724","authenticated-orcid":false,"given":"Nerea","family":"Moreno","sequence":"additional","affiliation":[{"name":"Department of Evolutionary Biology, Ecology and Environmental Sciences, Faculty of Biology, University of Barcelona, Biomedicine Institute of the University of Barcelona (IBUB), Av Diagonal 643, 2n A, 08028 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Mayoral","sequence":"additional","affiliation":[{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"},{"name":"Department of Child and Adolescent Psychiatry, Institute of Psychiatry and Mental Health, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, IiSGM, C. Dr. Esquerdo, 46, 28007 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Mar\u00edn-Vila","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Puerta de Hierro University Hospital-Majadahonda, C\/Joaqu\u00edn Rodrigo, 1, 28222 Majadahonda, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9181-2132","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Arias","sequence":"additional","affiliation":[{"name":"Department of Evolutionary Biology, Ecology and Environmental Sciences, Faculty of Biology, University of Barcelona, Biomedicine Institute of the University of Barcelona (IBUB), Av Diagonal 643, 2n A, 08028 Barcelona, Spain"},{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lourdes","family":"Fa\u00f1an\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Evolutionary Biology, Ecology and Environmental Sciences, Faculty of Biology, University of Barcelona, Biomedicine Institute of the University of Barcelona (IBUB), Av Diagonal 643, 2n A, 08028 Barcelona, Spain"},{"name":"Network Centre for Biomedical Research in Mental Health (CIBER of Mental Health, CIBERSAM), Av. Monforte de Lemos, 3-5, 28029 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"EPI-Young Stress GROUP","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,14]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1111\/jcpp.12713","article-title":"Annual Research Review: Childhood maltreatment, latent vulnerability and the shift to preventative psychiatry\u2014The contribution of functional brain imaging","volume":"58","author":"McCrory","year":"2017","journal-title":"J. Child Psychol. 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