https://m2.mtmt.hu/ hun 2026-09-21 03:10 JournalArticle 36123913 VALIDATED true Doctoral School of Psychology, ELTE Eötvös Lóránd University, Budapest, Hungary Department of Sports Medicine, Semmelweis University, Budapest, Hungary Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary Clinical Psychology Center of CC, Health Care Service Units, University of Debrecen Clinical Centre, Debrecen, Hungary Department of Clinical Psychology, Semmelweis University, Budapest, Hungary Department of Psychiatry and Psychotherapy, Semmelweis University, Budapest, Hungary NAP3.0-SE Neuropsychopharmacology Research Group, Hungarian Brain Research Program, Semmelweis University, Budapest, Hungary Export Date: 04 August 2025; Cited By: 2; Correspondence Address: N.M. Szeifert; Doctoral School of Psychology, ELTE Eötvös Lóránd University, Budapest, Hungary; email: szeifert.noemi@semmelweis.hu 0 false 2026-07-02T06:37:59.308+0000 2025-11-20T11:32:59.659+0000 2025-05-07T11:05:36.431+0000 true 10003491 Gonda Xénia /api/author/10003491 Author true 10003491 2026-01-01T21:25:49.009+0000 2025-05-16T09:31:25.018+0000 true 10080205 Szalóky-Siki Ágnes /api/admin/10080205 Admin true true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Szeifert, Noemi Monika The mediating role of adult attachment styles between early traumas and suicidal behaviour. true true /api/journal/10019966 REVIEWED true false 10019966 false 10019966 true 2045-2322 Journal FOREIGN 15 1 15855 15855 9 2025 Our Hungarian cross-sectional study highlights the crucial mediating role that adult attachment styles play in the relationship between early traumas and suicidal behaviour, shaping how individuals process and respond to traumatic experiences. Early traumas, such as abuse or neglect, often disrupt the development of secure attachment, leading to insecure styles in adulthood-such as anxious or avoidant attachment. These insecure attachment styles influence emotional regulation, interpersonal relationships, and coping mechanisms, thereby exacerbating feelings of isolation and despair. For instance, anxious attachment can intensify fear of abandonment and hypersensitivity to rejection, increasing emotional instability and suicidal ideation. Conversely, avoidant attachment may lead to emotional suppression and reluctance to seek support, amplifying feelings of hopelessness. Psychopathological symptoms resulting from early trauma-such as depression and PTSD-are often filtered through these attachment patterns, shaping how distress is experienced and managed. In our research, we analysed the role of adult attachment styles and early traumas in suicidal behaviour. We also examined the mediating effect of attachment style in the relationship between early traumas and suicidal behaviour. A total of 357 subjects between the ages of 18 and 85 (mean = 37.02, SD = 12.86) were included in the analysis; 33.6% were male and 66.4% female. The sample consisted of 146 individuals with a history of suicide, 154 clinical participants without a history of suicide, and 57 from a non-clinical population. The adult attachment scale (AAS) and the childhood trauma questionnaire (CTQ) were used as assessment tools. To model the relationships between variables, logistic regression, generalized linear models, and mediation analyses were conducted. All models were adjusted for basic demographic variables. Our results showed that the severity of emotional abuse (adjusted OR 1.064, p = 0.004), emotional neglect (adjusted OR 1.064, p = 0.007), and overall traumatization measured by the CTQ (adjusted OR 1.021, p = 0.006) significantly predicted a higher risk of suicidal behaviour. In contrast, higher levels of secure attachment style predicted a lower risk of suicide attempt (adjusted OR -0.091, p = 0.004). Additionally, secure attachment style significantly mediated part of the total effect of early traumatization severity on suicidal behaviour (indirect effect = 0.0032, p < 0.05; Pm = 16.5%). We also examined the relationship between early traumas and attachment style and found multiple significant associations. For avoidant attachment, significant associations were observed with the total traumatization score (B = 0.086, p < 0.001) and specific adversities, including emotional abuse, emotional neglect, and physical neglect (B = 0.244-0.319, all p < 0.001). Anxious-ambivalent attachment was associated with the total CTQ score (B = 0.088, p < 0.001), as well as emotional abuse (B = 0.298, p < 0.001), emotional neglect (B = 0.254, p < 0.001), physical abuse (B = 0.248, p < 0.001), and physical neglect (B = 0.261, p = 0.010). A lower level of secure attachment was linked to the overall traumatization score (B = -0.039, p = 0.004), as well as emotional abuse, emotional neglect, and sexual abuse (B = -0.101 to -0.163, all p < 0.05). By mediating the relationship between trauma and suicidal behaviour, adult attachment styles can either perpetuate maladaptive coping strategies or hinder recovery. Understanding this mediating role is crucial for developing interventions that address attachment insecurities while promoting resilience and emotional healing. Therapeutic approaches aimed at fostering secure attachment patterns can help mitigate the effects of early trauma and reduce the risk of suicidal behaviour. These findings underscore the importance of incorporating attachment-focused strategies into trauma-informed care. true true 2025 true true true false true false GOLD 2026-07-02 true https://edit.elte.hu/xmlui/handle/10831/120307 12 0 12 11 1 12 12 12 12 12 12 11 11 11 1 0 12 11 12 11 0 3 3 Folyóiratcikk Journal Article 24 12 Könyvrészlet Chapter in Book 25 0 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2025 0 6 5 6 5 2026 0 6 6 6 6 Q1 A nemzetközi false false false false 2025-05-06T13:16:01.531+0000 Klinikai Pszichológia Tanszék (SE / AOK / K / PPK); Magatartástudományi Intézet (DE / ÁOK); NAP3.0-SE Neuropszichofarmakológiai Kutatócsoport (SE / GYTK / GYHATAS); Pszichiátriai és Pszichoterápiás Klinika (SE / AOK / K); Sportorvostan Tanszék (SE / AOK / K) 3 38 5 3 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 126366399 /api/authorship/126366399 1 0.333 true false true Author 10081362 /api/author/10081362 Szeifert Noémi Mónika true true Szeifert Noemi Monika true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126366400 /api/authorship/126366400 2 0.33333334 false false false Author 10076966 /api/author/10076966 Oláh Barnabás true true Oláh Barnabás true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 126366401 /api/authorship/126366401 3 0.333 false true false Author 10003491 /api/author/10003491 Gonda Xénia true 10003491 true Gonda Xenia true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PublicationIdentifier 29318446 /api/publicationidentifier/29318446 PlainSource 6 /api/publicationsource/6 PublicationSourceType 10001 /api/publicationsourcetype/10001 true true true DOI DOI https://doi.org/@@@ true true 6 true IDENTICAL 10.1038/s41598-025-00831-8 https://doi.org/10.1038/s41598-025-00831-8 false true PublicationIdentifier 29376877 /api/publicationidentifier/29376877 PlainSource 1 /api/publicationsource/1 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true WoS WoS https://www.webofscience.com/wos/woscc/full-record/@@@ true true 1 true IDENTICAL 001483188000045 https://www.webofscience.com/wos/woscc/full-record/001483188000045 false true PublicationIdentifier 31801193 /api/publicationidentifier/31801193 SwordSource 92 /api/publicationsource/92 PublicationSourceType 10007 /api/publicationsourcetype/10007 true true true EDIT EDIT https://edit.elte.hu/xmlui/handle/10831/@@@ true true 92 true GREEN true 120307 https://edit.elte.hu/xmlui/handle/10831/120307 false true PublicationIdentifier 29688398 /api/publicationidentifier/29688398 PlainSource 3 /api/publicationsource/3 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true Scopus Scopus http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-@@@ true true 3 true IDENTICAL 105004343279 http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105004343279 false true PublicationIdentifier 29318445 /api/publicationidentifier/29318445 PlainSource 17 /api/publicationsource/17 PublicationSourceType 10003 /api/publicationsourcetype/10003 false true true PubMed PubMed http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=@@@&dopt=Abstract true true 17 true IDENTICAL 40328875 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40328875&dopt=Abstract false true Keyword 14192 /api/keyword/14192 true 14192 true Keyword 1009025 /api/keyword/1009025 true 1009025 true Keyword 1058897 /api/keyword/1058897 true 1058897 true Keyword 1620346 /api/keyword/1620346 true true Keyword 3862267 /api/keyword/3862267 true true MtaRating 519359 /api/mtarating/519359 RatingType 10007 /api/ratingtype/10007 SZTB Institute 14102 /api/institute/14102 0 false true false Szociológiai Tudományos Bizottság Committee on Sociology true 14102 true true true A nemzetközi true 19359 true MtaRating 11551161 /api/mtarating/11551161 RatingType 10010 /api/ratingtype/10010 RegTB Institute 14100 /api/institute/14100 0 false true false Regionális Tudományok Bizottsága Committee on Regional Studies true 14100 true true true B nemzetközi false true SjrRating 11736329 /api/sjrrating/11736329 24 0.24 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 1000 /api/classificationexternal/1000 true 1000 true Q1 DIRECT true true /api/publication/36123913 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10081362"><a href="/gui2/?type=authors&mode=browse&sel=10081362" target="_blank">Szeifert Noemi Monika ✉ (<span class="authorship-author-name">Szeifert Noémi Mónika</span> <span class="authorAux-mtmt"> klinikai szakpszichológia, pszichoterápia, spor...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Városmajori Szív- és Érgyógyászati Klinika">VAROSMAJOR_SZÍVÉRGYÓGY</span>/Sportorvostan Tanszék</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10076966"><a href="/gui2/?type=authors&mode=browse&sel=10076966" target="_blank">Oláh Barnabás (<span class="authorship-author-name">Oláh Barnabás</span> <span class="authorAux-mtmt"> Klinikai és egészségpszichológia</span>) </a> </span> <span class="author-affil"><span title="Debreceni Egyetem">DE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Magatartástudományi Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10003491"><a href="/gui2/?type=authors&mode=browse&sel=10003491" target="_blank">Gonda Xenia (<span class="authorship-author-name">Gonda Xénia</span> <span class="authorAux-mtmt"> Pszichiátria, pszichiátriai genetika, farmakoló...</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/<span title="Pszichiátriai és Pszichoterápiás Klinika">PPK</span>/Klinikai Pszichológia Tanszék; <span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Klinikum">K</span>/Pszichiátriai és Pszichoterápiás Klinika; <span title="Semmelweis Egyetem">SE</span>/<span title="Gyógyszerésztudományi Kar">GYTK</span>/<span title="Gyógyszerhatástani Intézet">GYHATAS</span>/NAP3.0-SE Neuropszichofarmakológiai Kutatócsoport</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;36123913" target="_blank">The mediating role of adult attachment styles between early traumas and suicidal behaviour.</a></div> <div> <span class="journal-title">SCIENTIFIC REPORTS</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2045-2322">2045-2322</a>)</span>: <span class="journal-volume">15</span> <span class="journal-issue">1</span> <span class="page"> Paper 15855. 9 p. </span> <span class="year">(2025)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1038/s41598-025-00831-8" target="_blank" href="https://doi.org/10.1038/s41598-025-00831-8"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="001483188000045" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/001483188000045"> WoS </a> </span> <span class="id identifier oa_GREEN" title=" Green "> <a style="color:black" title="120307" target="_blank" href="https://edit.elte.hu/xmlui/handle/10831/120307"> EDIT </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="105004343279" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-105004343279"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="40328875" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=40328875&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Multidisciplinary&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> <div class="journal-subject">Szociológiai Tudományos Bizottság IXGJO SZTB [1901-]&nbsp;&nbsp;&nbsp;A nemzetközi</div> <div class="journal-subject">Regionális Tudományok Bizottsága IXGJO RTB [1901-]&nbsp;&nbsp;&nbsp;B nemzetközi</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 12</span> | Független: 11 | Függő: 1 | Nem jelölt: 0 | WoS jelölt: 12 | Scopus jelölt:&nbsp;12 | WoS/Scopus jelölt:&nbsp;12 | DOI jelölt:&nbsp;12 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;36123913&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 3 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 36123913</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">kézi felvitel</span> </div> <div class="lastModified">Utolsó módosítás: 2025.11.20. 12:32 Reményiné Kállai Zsuzsa (DE admin 4) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Doctoral School of Psychology, ELTE Eötvös Lóránd University, Budapest, Hungary Department of Sports Medicine, Semmelweis University, Budapest, Hungary Department of Behavioural Sciences, Faculty of Medicine, University of Debrecen, Debrecen, Hungary Clinical Psychology Center of CC, Health Care Service Units, University of...</pre> </div></div>