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Developing Neuroimaging Phenotypes of the Default Mode Network in PTSD: Integrating the Resting State, Working Memory, and Structural Connectivity

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Core schemas and suicidality in a chronically traumatized population.

Lissa Dutra¹, Kelley Callahan, Evan Forman

¹Cambridge Health Alliance, Victims of Violence Program, Somerville, Massachusetts 02143, USA. syriana_777@yahoo.com

The Journal of Nervous and Mental Disease

|January 16, 2008

Summary

Maladaptive schemas, identified using the Young Schema Questionnaire (YSQ), are linked to suicide risk in chronically traumatized patients. Specific schemas like social isolation and defectiveness may indicate higher suicide risk.

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Area of Science:

Psychiatry
Clinical Psychology
Trauma Studies

Background:

The Young Schema Questionnaire (YSQ) is a validated tool for assessing maladaptive schemas in clinical populations.
Chronically traumatized patients often present with complex psychological needs and elevated suicide risk.

Purpose of the Study:

To investigate maladaptive schemas in 137 chronically traumatized patients undergoing outpatient psychiatric treatment.
To determine if specific schemas measured by the YSQ are associated with suicide risk within this patient group.

Main Methods:

A modified version of the YSQ-S (short form) was administered to participants.
Additional measures included the Post-Traumatic Diagnostic Scale, Dissociative Experiences Scale, and Self-Harm and Risk Behaviors Questionnaire-Revised.
Correlational analyses were performed to examine relationships between schema scores and other clinical variables, including suicide risk.

Main Results:

Significant correlations were observed between most YSQ scales and the Post-Traumatic Diagnostic Scale.
All YSQ scales showed significant correlations with the Dissociative Experiences Scale.
Suicide risk variables demonstrated the strongest correlations with the social isolation/alienation, defectiveness/shame, and failure YSQ scales.

Conclusions:

Certain maladaptive schemas, particularly social isolation/alienation, defectiveness/shame, and failure, are significantly associated with suicide risk in chronically traumatized patients.
These findings highlight the importance of assessing these specific schemas for identifying high-risk individuals.
The results have direct implications for tailoring assessment and treatment strategies for traumatized patients at risk of suicide.