Childhood adversity and severity of positive symptoms as predictors of suicidality controlling for sociodemographics among hospitalized patients diagnosed with schizophrenia in Jordan
| Date | 10 June 2024 |
| Pages | 1439-1450 |
| DOI | https://doi.org/10.1108/MHSI-05-2024-0068 |
| Published date | 10 June 2024 |
| Subject Matter | Health & social care,Mental health,Social inclusion |
| Author | Mo’tasem M. Aldaieflih,Rabia H. Haddad,Ayman M. Hamdan-Mansour |
Childhood adversity and severity of positive
symptoms as predictors of suicidality
controlling for sociodemographics among
hospitalized patients diagnosed with
schizophrenia in Jordan
Mo’tasem M. Aldaieflih, Rabia H. Haddad and Ayman M. Hamdan-Mansour
Abstract
Purpose –This studyaims to examine the predictivepower of childhood adversityand severity of positive
symptomson suicidality, controllingfor selected sociodemographicsfactors,among hospitalized patients
diagnosedwith schizophreniain Jordan.
Design/methodology/approach –This study used a descriptive-explorative design. The studywas
conducted at two major psychiatric hospitals in Jo rdan. The targeted sample was 66 patients
diagnosed with schizophrenia. Data was collected using a struct ured format in the period
February–April 2024.
Findings –A two-step multiple hierarchical regression analysis was conducted. In the first model,
childhood adversity and the severity of positive symptoms were entered. In the second model,
sociodemographic variables were entered. The analysis revealed that the first model (F¼5.35, p¼
0.007) was statistically significant. The second model (F¼717, p<0.001) was statistically significant.
Furthermore,the analysis revealed that childhood adversity was not a significantpredictor for suicidality.
However, positivesymptoms and patients’ demographics(age, number of hospitalizations and lengthof
being diagnosedwith schizophrenia) were significant predictorsof suicidality. The analysis revealed that
childhood adversity was not a significant predictor of suicidality. However, positive symptoms and
patients’ demographics (age, number of hospitalizations and length of being diagnosed with
schizophrenia)were significant predictorsof suicidality.
Research limitations/implications –One limitationof this study is related to the sample and the setting
where therewere only 66 patients recruited from governmentalhospitals within inpatient wards. Thus, the
upcoming studies shouldinclude more participants from private hospitals and differenthospital settings
includingoutpatient and emergency departments.
Practical implications –The research provides empirical insights that positive symptoms, age
hospitalizationand schizophrenia diagnosis length were significantpredictors of suicidality. At the same
time, childhoodadversity was not a significant predictorof suicidality.
Social implications –The current research contributes to expanding mental health studies.
Moreover, this study enlarges the body of knowledge in the academic world and clinical settings.
It supports the disciplines of psychology, mental health and social sciences by increasing
knowledge of the complicated relationships among childhood adversity, positive symptoms and
suicidality.
Originality/value –This paper fulfills an identified need to study childhood adversity with
comorbid psychiatric disorders such as schizophrenia, as well as psychiatric mental health
covariates.
Keywords Childhood adversity, Positive symptoms, Suicide, Schizophrenia
Paper type Research paper
(Informationabout the
authorscan be found at the
end of this article.)
This study was conducted as part of
PhD requirement. The authors
acknowledge the support of the
School of Nursing at the University of
Jordan.
Funding: This research received no
specific grant from any funding
agency in the public, commercial or
not-for-profit sectors.
Declarations
Conflict of interest: The author(s)
declare(s) that they have no conflicts
of interest to disclose.
Consent for publication: written
informed consent was obtained from
all participants included in this study.
Availabilityo f data and materials: the
data sets generated and analyzed
during the current study are available
with the corresponding author [MA]
and can be provided on a reasonable
request according to institutional review
board approval restrictions.
Human and animal rights: no animals
were used in this research. All human
research procedures followed were
underthe ethicalstandardsof the
committeeresponsibleforhuman
experimentation(institutionaland
national) and with the Helsinki
Declaration of 1964, as revised in
2009 and its amendments.
DOI 10.1108/MHSI-05-2024-0068 VOL. 28 NO. 6 2024, pp. 1439-1450, ©Emerald Publishing Limited, ISSN 2042-8308 jMENTAL HEALTH AND SOCIAL INCLUSION jPAGE 1439
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