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Hopelessness as Mediator of the Link Between Reports of a History of Child Maltreatment and Suicidality in African American Women

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Abstract

Findings from a study comparing reports of a history of child maltreatment and hopelessness in a sample of economically, socially, and educationally disadvantaged young urban African American women suicide attempters (n = 176) and demographically similar nonattempters (n = 185) revealed higher rates of child maltreatment and hopelessness among attempters than those among their nonsuicidal counterparts. Using a mediational model involving both linear and logistic regressions, results indicated that hopelessness partially mediated the link between reports of certain forms of child maltreatment (i.e., physical/emotional abuse and emotional neglect) and suicide attempts, and hopelessness fully mediated the link between child sexual abuse and suicide attempts. Of equal importance, reports of a history of childhood maltreatment significantly predicted the presence of hopelessness in those women who later attempted suicide. These results emphasize the clinical importance of screening for hopelessness in women who report a history of childhood maltreatment and/or current or previous suicidal behavior, as well as the need to target negative views of the future in clinical interventions with African American women abused as children.

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REFERENCES

  • Abramson, L. Y., Alloy, L. B., Hogan, M. E., Whitehouse, W. G., Cornette, M., Akhavan, S., et al. (1998). Suicidality and cognitive vulnerability to depression among college students: A prospective study. Journal of Adolescence, 21, 473–487.

    Google Scholar 

  • Ackerman, P. T., Newton, J. E. O., McPherson, W. B., Jones, J. G., & Dykman, R. A. (1998). Prevalence of post traumatic stress disorder and other psychiatric diagnoses in three groups of abused children (sexual, physical, and both). Child Abuse and Neglect, 22, 759–774.

    Google Scholar 

  • Allen, D. M., & Tarnowski, K. J. (1989). Depressive characteristics of physically abused children. Journal of Abnormal Child Psychology, 17, 1–11.

    Google Scholar 

  • Alloy, L. B. (2001). The developmental origins of cognitive vulnerability to depression: Negative interpersonal contest leads to personal vulnerability. Cognitive Therapy and Research, 25, 349–351.

    Google Scholar 

  • Alvy, K. T. (1987). Black parenting: Strategies for training. New York: Irvington.

    Google Scholar 

  • Anderson, R. N., Kochanek, R. D., & Murphy, S. L. (1997). Report of final mortality statistics, 1995. Hyattsville, MD: National Center for Health Statistics.

    Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Google Scholar 

  • Beautrais, A. L., Joyce, P. R., Mulder, R. T., Fergusson, D. M., Deavoll, B. J., & Nightingale, S. K. (1996). Prevalence and comorbidity of mental disorders in persons making serious suicide attempts: A casecontrol study. American Journal of Psychiatry, 153, 1009–1014.

    Google Scholar 

  • Beck, A. T. (1986). Hopelessness as a predictor of eventual suicide. In J. J. Mann & M. Stanley (Eds.), Psychobiology of suicidal behavior (pp. 90–96). New York: Academy of Sciences.

    Google Scholar 

  • Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: A replication with psychiatric outpatients. American Journal of Psychiatry, 147, 190–195.

    Google Scholar 

  • Beck, A. T., Brown, G., & Steer, R. A. (1989). Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness. Journal of Consulting and Clinical Psychology, 57, 309–310.

    Google Scholar 

  • Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

    Google Scholar 

  • Beck, A. T., Steer, R. A., Beck, J. S., & Newman, C. F. (1993). Hopelessness, depression, suicidal ideation, & clinical diagnosis of depression. Suicide and Life-Threatening Behavior, 23, 139–145.

    Google Scholar 

  • Beck, A. T., Steer, R. A., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide:A10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559–563.

    Google Scholar 

  • Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: The hopelessness scale. Journal of Consulting and Clinical Psychology, 47, 861–865.

    Google Scholar 

  • Becker, J. V., Alpert, J. L., BigFoot, D. S., Bonner, B. L., Geddie, L. F., Henggeler, S.W., et al. (1995). Empirical research on chid abuse treatment: Report by the Child Abuse and Neglect TreatmentWorking Group, American Psychological Association. Journal of Clinical Child Psychology, 24(Suppl.), 23–46.

    Google Scholar 

  • Bernstein, D. P., & Fink, L. (1998). Childhood Trauma Questionnaire: A retrospective self-report manual. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Bernstein, D. P., Fink, L., Handelsman, L., Foote, J., Lovejoy, M., Wenzelk, K., et al. (1994). Initial reliability and validity of anewretrospective measure of child abuse and neglect. American Journal of Psychiatry, 151, 1132–1136.

    Google Scholar 

  • Blumenthal, S. J., & Kupfer, D. J. (Eds.). (1990). Suicide over the life cycle: Risk factors, assessment, and treatment of suicidal patients.Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Boudewyn, A., & Liem, J. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. Journal of Traumatic Stress, 8, 445–459.

    Google Scholar 

  • Briere, J., & Runtz, M. (1993). Childhood sexual abuse: Long-term sequelae and implications for psychological assessment. Journal of Interpersonal Violence, 8, 312–330.

    Google Scholar 

  • Bryant, S. L., & Range, L. M. (1997). Type and severity of child abuse and college students' lifetime suicidality. Child Abuse and Neglect, 21, 1169–1176.

    Google Scholar 

  • Cahill, L. T., Kaminer, R. K., & Johnson, P. G. (1999). Developmental, cognitive, and behavioral sequelae of child abuse. Child and Adolescent Psychiatric Clinics of North America, 84, 827–843.

    Google Scholar 

  • Canetto, S. S., & Lester, D. (Eds.). (1995). Women and suicidal behavior. New York: Springer.

    Google Scholar 

  • Canetto, S. S., & Sakinofsky, I. (1998). The gender paradox in suicide. Suicide and Life-Threatening Behavior, 28, 1–23.

    Google Scholar 

  • Cerezo, M. A., & Frias, D. (1994). Emotional and cognitive adjustment in abused children. Child Abuse and Neglect, 18, 923–932.

    Google Scholar 

  • Chang, E. C. (1998). Cultural differences, perfectionism, and suicidal risk in a college population: Does social problem solving still matter? Cognitive Therapy and Research, 22, 237–254.

    Google Scholar 

  • Claussen, A. H., & Crittenden, P. M. (1991). Physical and psychological maltreatment: Relations among types of maltreatment. Child Abuse and Neglect, 15, 5–18.

    Google Scholar 

  • Cooper-Patrick, L., Crum, R., & Ford, D. E. (1994). Identifying suicidal ideation in general medical patients. JAMA, 272, 1757–1762.

    Google Scholar 

  • Cullberg, J., Wasserman, D., & Stefansson, C. (1988). Who commits suicide after a suicide attempt? Acta Psychiatrica Scandinavica, 77, 598–603.

    Google Scholar 

  • Cutler, S. E., & Nolen-Hoeksema, S. (1991). Accounting for sex differences in depression through female victimization: Child sexual abuse. Sex Roles, 24, 425–438.

    Google Scholar 

  • Durant, T. (1998, November 16). Racial differences in hopelessness as a risk factor for a nearly lethal suicide attempt. Paper presented at the American Public Health Association, Washington, DC.

  • Earls, F., Escobar, J., & Manson, S. M. (1990). Suicide in minority groups: Epidemiologic and cultural perspectives. In S. J. Blumenthal & D. J. Kupfer (Eds.), Suicide over the life cycle: Risk factors, assessment and treatment of suicidal patients (pp. 571–598). Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State:Apractical method for grading the cognitive state of patients for the clinician. Journal of Psychiatrists Research, 12, 189–198.

    Google Scholar 

  • Frierson, R. L. (1989). Women who shoot themselves. Hospital and Community Psychiatry, 40, 841–843.

    Google Scholar 

  • Gibb, B. E., Alloy, L. B., Abramson, L. Y., Rose, D. T., Whitehouse, W. G., Donovan, P., et al.. (2001). History of childhood maltreatment, negative cognitive styles, and episodes of depression in adulthood. Cognitive Therapy and Research, 25, 425–446.

    Google Scholar 

  • Gladstone, G., Parker, G., Wilhelm, K., Mitchell, P., & Austin, M. (1999). Characteristics of depressed patients who report child sexual abuse. American Journal of Psychiatry, 156, 431–437.

    Google Scholar 

  • Gould, D., Stevens, N., Ward, N., Carlin, A., Sowell, H., & Gustafson, B. (1994). Self-reported childhood abuse in an adult population in a primary care setting: Prevalence, correlates, and associated suicide attempts. Archives of Family Medicine, 3, 252–256.

    Google Scholar 

  • Griffith, E. E., & Bell, C. G. (1989). Recent trends in suicide and homicide among Blacks. JAMA, 262, 2265–2269.

    Google Scholar 

  • Hampton, R. L. (Ed.). (1991). Black family violence: Current research and theory. Lexington, MA: Lexington Books.

    Google Scholar 

  • Harter, S. L., & Vanecek, R. J. (2000). Cognitive assumptions and long-term distress in survivors of childhood abuse, parental alcoholism, and dysfunctional family environments. Cognitive Therapy and Research, 24, 445–472.

    Google Scholar 

  • Heckler, M. (1985). Report of the Secretary's Task Force on black and minority health. Washington, DC: U.S. Department of Health and Human Services.

    Google Scholar 

  • Heron, R. L., Twomey, H. B., Jacobs, D. P., & Kaslow, N. J. (1997). Culturally competent interventions for abused and suicidal African American women. Psychotherapy, 34, 410–424.

    Google Scholar 

  • Ingram, R. E. (2001). Developing perspectives on the cognitive–developmental origins of depression: Back is the future. Cognitive Therapy and Research, 25, 4997–4504.

    Google Scholar 

  • Jacobs, D. G. (1999). The Harvard Medical School guide to suicide assessment and intervention. San Francisco: Jossey-Bass.

    Google Scholar 

  • Juon, H. S., & Ensminger, M. E. (1997). Childhood, adolescent, and young adult predictors of suicidal behaviors: A prospective study of African Americans. Journal of Child Psychology and Psychiatry, 38, 553–563.

    Google Scholar 

  • Kachur, S. P., Potter, L. B., James, S. P., & Powell, K. E. (1995). Suicide in the United States: 1980–1992. Violence surveillance summary series No. 1. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.

    Google Scholar 

  • Kaslow, N., Thompson, M., Meadows, L., Chance, S., Puett, R., Hollins, L., et al. (2000). Risk factors for suicide attempts among African American women. Depression and Anxiety, 12, 13–20.

    Google Scholar 

  • Kaslow, N. J., Thompson, M. P., Meadows, L. A., Jacobs, D., Chance, S., Gibb, B., et al. (1998). Factors that mediate and moderate the link between partner abuse and suicidal behavior in African American women. Journal of Consulting and Clinical Psychology, 66, 533–540.

    Google Scholar 

  • Kent, A., & Waller, G. (1998). The impact of childhood emotional abuse: An extension of the Child Abuse and Trauma Scale. Child Abuse and Neglect, 22, 393–399.

    Google Scholar 

  • Kuyken, W., & Brewin, C. R. (1999). The relation of early abuse to cognition and coping in depression. Cognitive Therapy and Research, 23, 665–677.

    Google Scholar 

  • Levy, S. R., Jurkovic, G. L., & Spirito, A. (1995). Amultisystems analysis of adolescent suicide attempters. Journal of Abnormal Child Psychology, 23, 221–234.

    Google Scholar 

  • Liem, J. H., & Boudewyn, A. C. (1999). Contextualizing the effects of childhood sexual abuse on adult self-and social functioning: An attachment theory perspective. Child Abuse and Neglect, 23, 1141–1157.

    Google Scholar 

  • Maris, R.W., Burman, A. L., Maltsberger, J. T., & Yufit, R. I. (Eds.). (1992). Assessment and prediction of suicide. New York: Guilford.

    Google Scholar 

  • McCauley, J., Kern, D., Koldner, K., Dill, L., Schroeder, A., DeChant, H., et al. (1997). Clinical characteristics of women with a history of childhood abuse. JAMA, 277, 1362–1368.

    Google Scholar 

  • Mina, E. E. S., & Gallop, R. M. (1998). Childhood sexual and physical abuse and adult self-harm and suicidal behavior: A literature review. Canadian Journal of Psychiatry, 43, 793–800.

    Google Scholar 

  • Molnar, B. E., Shade, S. B., Kral, A. H., Booth, R. E., & Watters, J. K. (1998). Suicidal behavior and sexual/physical abuse among street youth. Child Abuse and Neglect, 22, 213–222.

    Google Scholar 

  • Molock, S.D., Kimbrough, R., Lacy, M. B., McClure, K. P., & Williams, S. (1994). Suicidal behavior among African American college students: A preliminary study. Journal of Black Psychology, 20, 234–251.

    Google Scholar 

  • Moscicki, E. K. (1989). Epidemiological surveys as tools for studying suicidal behavior: A review. Suicide and Life-Threatening Behavior, 19, 131–146.

    Google Scholar 

  • Moscicki, E. K., O'Carroll, P., Rae, D. S., Locke, B. Z., Roy, A., & Regier, D. A. (1988). Suicide attempts in the Epidemiologic Catchment Area Study. The Yale Journal of Biology and Medicine, 61, 259–268.

    Google Scholar 

  • Mtezuka, M. (1996). Issues of race and culture in child abuse. In B. F. B. Fawcett, J. Hearn, and C. Toft (Eds.), Violence and gender relations: Theories and interventions (pp. 171–177). London: Sage.

    Google Scholar 

  • Myers, H. F., Alvy, K. T., Arrington, A., Richardson, M. A., Marigna, M., Huff, R., et al. (1992). The impact of a parent training program on inner-city African-American parents. Journal of Community Psychology, 20, 132–147.

    Google Scholar 

  • National Center for Health Statistics. (1997). Vital statistics mortality data, underlying causes of death, 1979–1995. Hyattsville, MD: Centers for Disease Control and Prevention, 1997.

    Google Scholar 

  • O'Carroll, P. W., Berman, A. L., Maris, R. W., & Moscicki, E. (1996). Beyond the tower of Babel: A nomenclature for suicidology. Suicide and Life-Threatening Behavior, 26, 237–252.

    Google Scholar 

  • Pelcovitz, D., Kaplan, S. J., Ellenberg, A., Labruna, V., Salzinger, S., Mandel, F., et al. (2000). Adolescent physical abuse: Age at time of onset and adolescent perception of family functioning. Journal of Family Violence, 4, 375–389.

    Google Scholar 

  • Pillay, A. L., & Schoubben-Hesk, S. (2001). Depression, anxiety, and hopelessness in sexually abused adolescent girls. Psychological Reports, 88, 727–733.

    Google Scholar 

  • Polusny, A., & Follette, V. (1995). Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied and Preventive Psychology, 4, 143–166.

    Google Scholar 

  • Ramsey, R., & Bagley, C. (1985). The prevalence of suicidal behaviors, attitudes, and associated social experiences in an urban population. Suicide and Life-Threatening Behavior, 15, 151–167.

    Google Scholar 

  • Reinecke, M. A., DuBois, D. L., & Schultz, T. M. (2001). Social problem solving, mood, and suicidality among inpatient adolescents. Cognitive Therapy and Research, 25, 743–756.

    Google Scholar 

  • Rickelman, B. L., & Houfek, J. F. (1995). Toward an interactional model of suicidal behaviors: Cognitive rigidity, attributional style, stress, hopelessness, and depression. Archives of Psychiatric Nursing, 9(3), 158–168.

    Google Scholar 

  • Rind, B., Tromovitch, P., & Bauserman, R. (1998). A meta-analytic examination of assumed properties of child sexual abuse using college samples. Psychological Bulletin, 124, 22–53.

    Google Scholar 

  • Robins, L. N., Carlson, V., & Bucholz, K. (1989). Violence as a black health problem. Paper presented for the National Research Council study on the Status of Black Americans.

  • Robins, L. N., & Kulbok, P. A. (1988). Epidemiologic studies in suicide. Review of Psychiatry, 7, 289–306.

    Google Scholar 

  • Romans, S. E., Martin, J. L., Anderson, J. C., Herbison, G. P., & Mullen, P. E. (1995). Sexual abuse in childhood and deliberate self-harm. American Journal of Psychiatry, 152, 1336–1342.

    Google Scholar 

  • Rosen, D. H. (1976). The serious suicide attempt: Five year follow-up study of 886 patients. JAMA, 235, 2105–2109.

    Google Scholar 

  • Rowan, B., & Foy, D. (1993). Post-traumatic stress disorder in child sexual abuse survivors: A literature review. Journal of Traumatic Stress, 6, 3–20.

    Google Scholar 

  • Roy, A., Lamparski, D., DeJong, J., Moore, V., & Linnoila, M. (1990). Characteristics of alcoholics who attempt suicide. American Journal of Psychiatry, 147, 761–765.

    Google Scholar 

  • Rudd, J. M., & Herzberger, S. D. (1999). Brother–sister incest father–daughter incest: A comparison of characteristics and consequences. Child Abuse and Neglect, 23, 915–928.

    Google Scholar 

  • Rudd, M. D., Joiner, T., & Rajab, M. H. (1996). Relationships among suicide ideators, attempters, and multiple attempters in a young–adult sample. Journal of Abnormal Psychology, 105, 541–550.

    Google Scholar 

  • Sacco, M. L., & Farber, B. A. (1999). Reality testing in adult women who report childhood sexual and physical abuse. Child Abuse and Neglect, 23, 1193–1203.

    Google Scholar 

  • Schaaf, K. K., & McCanne, T. R. (1998). Relationship of childhood sexual, physical, and combined sexual and physical abuse to adult victimization and posttraumatic stress disorder. Child Abuse and Neglect, 22, 1119–1133.

    Google Scholar 

  • Schmidtke, A., Bille-Brahe, U., DeLeo, D., Kerkhof, A., Bjerke, T., Crepet, P., et al. (1996). Attempted suicide in Europe: Rates, trends, and sociodemographic characteristics of suicide attempters during the period dy1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatrica Scandinavica, 93, 327–338.

    Google Scholar 

  • Shiang, J. (1998). Does culture make a difference? Racial/ethnic patterns of completed suicide in San Francisco, CA 1987–1996 and clinical applications. Suicide and Life-Threatening Behavior, 28, 338–354.

    Google Scholar 

  • Silverman, A. B., Reinherz, H. Z., & Giaconia, R. M. (1996). The long-term sequelae of child and adolescent abuse: A longitudinal community study. Child Abuse and Neglect, 20, 709–723.

    Google Scholar 

  • Stack, S., & Wasserman, I. M. (1995). Marital status, alcohol abuse, and attempted suicide: A logit model. Journal of Addictive Diseases, 14, 43–51.

    Google Scholar 

  • Stark, E., & Flitcraft, A. (1996). Women at risk: Domestic violence and women's health. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Thompson, M. P., Kaslow, N. J., Kingree, J. B., Puett, R., Thompson, N. J., & Meadows, L. (1999). Partner abuse and posttraumatic stress disorder as risk factors for suicide attempts in a sample of low-income, inner-city women. Journal of Traumatic Stress, 12, 59–72.

    Google Scholar 

  • Thompson, M. P., Kaslow, N. J., Lane, D. B., & Kingree, J. B. (2000). Childhood maltreatment, PTSD and suicidal behavior among African American women. Journal of Interpersonal Violence, 15, 3–15.

    Google Scholar 

  • Twomey, H. B., Kaslow, N. J., & Croft, S. (2000). Childhood maltreatment, object relations, and suicidal behavior in women. Psychoanalytic Psychology, 17, 313–335.

    Google Scholar 

  • Urquiza, A. J., & Goodlin-Jones, B. L. (1994). Child sexual abuse and adult revictimization with women of color. Violence and Victims, 9, 223–232.

    Google Scholar 

  • Vissing, Y. M., Straus, M. A., Gelles, R. J., & Harrop, J. W. (1991). Verbal aggression by parents and psychosocial problems of children. Child Abuse and Neglect, 15, 223–238.

    Google Scholar 

  • Wagner, A.W., & Linehan, M. M. (1994). Relationship between childhood sexual abuse and topography of parasuicide among women with borderline personality disorder. Journal of Personality Disorders, 8, 1–9.

    Google Scholar 

  • Weissman, M. M., Klerman, G., Markowitz, J. S., & Ouellette, R. (1989). Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine, 321, 1209–1214.

    Google Scholar 

  • Williams, M. V., Parker, R. M., Baker, D. W., Parikh, N. S., Pitkin, K., Coates, W. C., et al. (1995). Inadequate functional health literacy among patients at two public hospitals. JAMA, 274, 1677–1682.

    Google Scholar 

  • Wyatt, G. (1985). The sexual abuse of Afro-American and White American women in childhood. Child Abuse and Neglect, 9, 507–519.

    Google Scholar 

  • Wyatt, G. (1990). The aftermath of child sexual abuse of African American andWhite American women: The victim's experience. Journal of Family Violence, 5, 61–81.

    Google Scholar 

  • Wyatt, G. E., Guthrie, D., & Notgrass, C. M. (1992). Differential effects of women's child sexual abuse and subsequent revictimization. Journal of Counseling and Clinical Psychology, 60, 167–173.

    Google Scholar 

  • Wyatt, G. E., & Newcomb, M. (1990). Internal and external mediators of women's sexual abuse in childhood. Journal of Consulting and Clinical Psychology, 58, 758–767.

    Google Scholar 

  • Wyatt, G. E., & Powell, G. J. (Eds.). (1988). Lasting effects of child sexual abuse. Newbury Park, CA: Sage.

    Google Scholar 

  • Yang, B., & Clum, G. A. (1996). Effects of early negative life experiences on cognitive functioning and risk for suicide: A review. Clinical Psychology Review, 16, 177–195.

    Google Scholar 

  • Young, S., Twomey, H. B., & Kaslow, N. J. (2000). Suicidal behavior in African American women with a history of childhood maltreatment. In T. Joiner (Ed.), Suicide science: Expanding the boundaries (pp. 221–240). Norwell, MA: Kluwer.

    Google Scholar 

  • Zlotnick, C., Mattia, J., & Zimmerman, M. (2001). Clinical features of survivors of sexual abuse with major depression. Child Abuse and Neglect, 25, 357–367.

    Google Scholar 

  • Zlotnick, C., Ryan, C. E., Miller, I. W., & Keitner, G. I. (1995). Childhood abuse and recovery from major depression. Child Abuse and Neglect, 19, 1513–1516.

    Google Scholar 

  • Zlotnick, C., Zakriski, A., Shea, T., Costello, E., Begin, A., Pearlstein, T., et al. (1996). The long-term sequelae of sexual abuse: Support for a complex posttraumatic stress disorder. Journal of Traumatic Stress, 9, 195–205.

    Google Scholar 

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  1. Department of Psychology, Georgia State University, Atlanta, Georgia

    Lindi A. Meadows

  2. Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia

    Nadine J. Kaslow

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Meadows, L.A., Kaslow, N.J. Hopelessness as Mediator of the Link Between Reports of a History of Child Maltreatment and Suicidality in African American Women. Cognitive Therapy and Research 26, 657–674 (2002). https://doi.org/10.1023/A:1020361311046

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