Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression

Background: Childhood maltreatment (CM) is recognized as one of the primary factors increasing the risk of non-suicidal self-injury (NSSI).Objectives: This study aims to further understand the impact of different types of CM on the mechanisms underlying NSSI risk by examining the potential mediating...

Full description

Saved in:
Bibliographic Details
Main Authors: Linhua Yang, Xiayu Du, Manxia Huang
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:European Journal of Psychotraumatology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20008066.2025.2466279
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849762881971683328
author Linhua Yang
Xiayu Du
Manxia Huang
author_facet Linhua Yang
Xiayu Du
Manxia Huang
author_sort Linhua Yang
collection DOAJ
description Background: Childhood maltreatment (CM) is recognized as one of the primary factors increasing the risk of non-suicidal self-injury (NSSI).Objectives: This study aims to further understand the impact of different types of CM on the mechanisms underlying NSSI risk by examining the potential mediating roles of mentalization and depression.Method: A self-report survey was conducted with 1645 Chinese youths (933 males, 712 females; mean age = 18.25, SD = 0.64) to evaluate their experiences of CM, depression, mentalization, and NSSI frequency over the past year. Structural equation modelling was utilized to examine the direct and indirect pathways linking CM to NSSI risk via mentalization and depression.Results: The study found that emotional abuse, physical abuse, mentalization, and depression had significant direct effects on NSSI risk. Moreover, mentalization and depression mediated the relationship between emotional abuse and NSSI risk, while emotional neglect and physical neglect indirectly influenced NSSI risk only through depression. Physical abuse had a significant direct effect on NSSI risk, whereas sexual abuse did not show any direct or indirect effects.Conclusions: The findings suggest that childhood emotional abuse has a markedly different impact compared to other forms of CM. Interventions focused on improving mentalization may be particularly effective in addressing the effects of emotional abuse, mitigating depression, and reducing the risk of NSSI.
format Article
id doaj-art-87ae40f9b60545ecaa2c79ee131c8439
institution DOAJ
issn 2000-8066
language English
publishDate 2025-12-01
publisher Taylor & Francis Group
record_format Article
series European Journal of Psychotraumatology
spelling doaj-art-87ae40f9b60545ecaa2c79ee131c84392025-08-20T03:05:35ZengTaylor & Francis GroupEuropean Journal of Psychotraumatology2000-80662025-12-0116110.1080/20008066.2025.2466279Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depressionLinhua Yang0Xiayu Du1Manxia Huang2Department of Psychology, Institute of Education, China University of Geosciences, Wuhan, People’s Republic of ChinaDepartment of Psychology, Institute of Education, China University of Geosciences, Wuhan, People’s Republic of ChinaDepartment of Psychology, Institute of Education, China University of Geosciences, Wuhan, People’s Republic of ChinaBackground: Childhood maltreatment (CM) is recognized as one of the primary factors increasing the risk of non-suicidal self-injury (NSSI).Objectives: This study aims to further understand the impact of different types of CM on the mechanisms underlying NSSI risk by examining the potential mediating roles of mentalization and depression.Method: A self-report survey was conducted with 1645 Chinese youths (933 males, 712 females; mean age = 18.25, SD = 0.64) to evaluate their experiences of CM, depression, mentalization, and NSSI frequency over the past year. Structural equation modelling was utilized to examine the direct and indirect pathways linking CM to NSSI risk via mentalization and depression.Results: The study found that emotional abuse, physical abuse, mentalization, and depression had significant direct effects on NSSI risk. Moreover, mentalization and depression mediated the relationship between emotional abuse and NSSI risk, while emotional neglect and physical neglect indirectly influenced NSSI risk only through depression. Physical abuse had a significant direct effect on NSSI risk, whereas sexual abuse did not show any direct or indirect effects.Conclusions: The findings suggest that childhood emotional abuse has a markedly different impact compared to other forms of CM. Interventions focused on improving mentalization may be particularly effective in addressing the effects of emotional abuse, mitigating depression, and reducing the risk of NSSI.https://www.tandfonline.com/doi/10.1080/20008066.2025.2466279Childhood maltreatmentmentalizationdepressionnon-suicidal self-injurytypes of childhood maltreatmentMaltrato infantil
spellingShingle Linhua Yang
Xiayu Du
Manxia Huang
Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
European Journal of Psychotraumatology
Childhood maltreatment
mentalization
depression
non-suicidal self-injury
types of childhood maltreatment
Maltrato infantil
title Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
title_full Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
title_fullStr Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
title_full_unstemmed Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
title_short Childhood maltreatment and non-suicidal self-injury: the mediating role of mentalization and depression
title_sort childhood maltreatment and non suicidal self injury the mediating role of mentalization and depression
topic Childhood maltreatment
mentalization
depression
non-suicidal self-injury
types of childhood maltreatment
Maltrato infantil
url https://www.tandfonline.com/doi/10.1080/20008066.2025.2466279
work_keys_str_mv AT linhuayang childhoodmaltreatmentandnonsuicidalselfinjurythemediatingroleofmentalizationanddepression
AT xiayudu childhoodmaltreatmentandnonsuicidalselfinjurythemediatingroleofmentalizationanddepression
AT manxiahuang childhoodmaltreatmentandnonsuicidalselfinjurythemediatingroleofmentalizationanddepression