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The relationship between childhood psychological abuse and college students' suicidal ideation: A three-level
Yihan Deng1, Yongsheng Li1, Yue Zhang1
1Mental Health Education Centre, Heilongjiang University, Heilongjiang Province, China.
Objective:
To examine the association between childhood psychological abuse and suicidal ideation among college students using a three-level meta-analytic approach, and to identify potential moderators.
Method:
A comprehensive search of Chinese (CNKI, WanFang, VIP) and English (WOS, PubMed, PsycINFO, ProQuest) databases was conducted up to September 12, 2025. A total of 31 eligible studies (116 effect sizes, N = 862,132) were included. A three-level random-effects model was employed to account for dependency among effect sizes.
Results:
Childhood psychological abuse was positively and significantly associated with suicidal ideation (r = 0.479, 95% CI [0.348, 0.610], p < 0.001), representing a large effect size. The type of abuse significantly moderated this relationship, with sexual abuse showing the strongest association (r = 0.319) compared to other forms. Age, gender, cultural individualism, and measurement tools did not significantly moderate the association.
Conclusion:
The findings underscore the robust link between childhood psychological abuse and suicidal ideation, particularly for sexual abuse, and highlight the need for targeted assessment and intervention strategies.
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