Vol.:(0123456789) 1 3
J Fam Viol
DOI 10.1007/s10896-017-9943-2
ORIGINAL ARTICLE
Childhood Abuse, Intrapersonal Strength, and Suicide Resilience
in African American Females who Attempted Suicide
Shweta Kapoor
1
· Heather Key Domingue
2
· Natalie N. Watson‑Singleton
3
·
Funlola Are
4
· Corinn A. Elmore
5
· Courtney L. Crooks
2
· Amber Madden
4
·
Sallie A. Mack
2
· Janelle S. Peifer
6
· Nadine J. Kaslow
2
© Springer Science+Business Media, LLC 2017
protective, external protective, and emotional stability).
The initial measurement model and the structural model
both indicated excellent ft. Results indicated that childhood
abuse was negatively associated with intrapersonal strengths
and suicide resilience, intrapersonal strengths were posi-
tively associated with suicide resilience, and intrapersonal
strengths fully mediated the association between childhood
abuse and suicide resilience. Thus, the results suggest a posi-
tive and protective infuence of intrapersonal strengths on
suicide resilience in the face of childhood abuse in suicidal
African American women. The clinical implications and
directions for future research that emerge from these fnd-
ings are discussed.
Keywords Resilience · Childhood abuse · Suicide ·
African-American · Women
Childhood adversities are robust predictors of suicidal
behavior (Borges et al. 2010). These experiences (mal-
treatment/abuse, loss, family and household dysfunction,
physical illness) results in a two to fve fold increase for the
risk of attempted suicide (Dube et al. 2001). The greater
the number of adversities endorsed, the greater the risk for
suicidal behavior (Dube et al. 2001; Enns et al. 2006). Child-
hood abuse is the adversity that presents the greatest risk for
developing suicidal ideation and attempts (Enns et al. 2006).
When other childhood adversities are controlled for, there
remains a link between childhood abuse and later suicidal
behavior (Molnar et al. 2001). Although prior research has
examined the links between childhood abuse and both sui-
cidal ideation and attempts, only recently (Allbaugh et al.
2017) has empirical attention has been given to the asso-
ciation between childhood abuse and suicidal resilience,
that is the capacity to cope with suicidal thoughts without
Abstract There is a signifcant association between child-
hood abuse and suicidal behavior in low-income African
American women with a recent suicide attempt. Increas-
ingly, empirical focus is shifting toward including suicide
resilience, which mitigates against suicidal behavior. This
cross-sectional study examines childhood abuse, intraper-
sonal strengths, and suicide resilience in 121 African Ameri-
can women, average age of 36.07 years (SD = 11.03) with
recent exposure to intimate partner violence and a suicide
attempt. To address the hypothesis that childhood abuse
will be negatively related to suicide resilience and that this
efect will be mediated by intrapersonal strengths that serve
as protective factors, structural equation modeling exam-
ined the relations among three latent variables: childhood
abuse (measured via physical, sexual, and emotional abuse),
intrapersonal strengths (assessed by self-efcacy and spir-
itual well-being), and suicide resilience (operationalized
via the three components of suicide resilience—internal
* Nadine J. Kaslow
nkaslow@emory.edu
1
Department of Psychiatry and Behavioral Sciences,
University of Texas Health Science Center, Houston, TX,
USA
2
Department of Psychiatry and Behavioral Sciences, Emory
School of Medicine, Grady Hospital, 80 Jesse Hill Jr. Drive,
Atlanta, GA 30303, USA
3
Department of Psychology, Spelman College, Atlanta, GA,
USA
4
Department of Psychology, University of Georgia, Athens,
GA, USA
5
Walter Reed National Military Medical Center, Bethesda,
MD, USA
6
Department of Psychology, Agnes Scott College, Decatur,
GA, USA