ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Psychological Therapy and Psychosomatics
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1639762
Adverse Childhood Experiences and Suicidal Ideation among Nurses in China
Provisionally accepted
- 1First Affiliated Hospital, Guangxi Medical University, Nanning, China
- 2Shandong University Cheeloo College of Medicine, Jinan, China
- 3SUNY Buffalo State University, Buffalo, United States
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Background and Aims: Suicidal ideation and behaviors constitute a serious public health issue both globally and in China, with nurses having a relatively higher suicide rate. While existing research has established that adverse childhood experiences (ACEs) may increase the risk of suicide-related behaviors, the precise mechanisms by which ACEs influence suicidal ideation remain underexplored, particularly among nurses. This research investigates the association between ACEs and suicidal ideation, while also analyzing the mediating effect of psychological strain and the moderating influence of impulsivity.: Two top public hospitals, one in Southern China and the other Eastern China, were selected to recruit young nurses for study. The sample consisted of 395 individuals with 80.76% being female and aged between 19 and 42 years. A self-reporting questionnaire survey was administered with a computerized program.Findings: Psychological strain partially mediates the association between ACEs and suicide ideation, with the mediator effect representing 21.70% of the total effect. Impulsivity served as a moderator in the connection between ACEs and suicidal ideation.This study discloses how ACEs can directly and indirectly influence nurses' suicidal ideation through psychological strain, and how impulsivity moderates the connection between ACEs and suicidal ideation. The research findings offer significant practical evidence for enhancing nurses' mental health levels. Future studies could focus on improving nurses' mental health by addressing factors like mitigating the impact of ACEs, reducing psychological strain, and managing impulsivity.
Keywords: Adverse childhood experiences, Strain, Suicide, Nurses, China
Received: 02 Jun 2025; Accepted: 30 Jul 2025.
Copyright: © 2025 Ling, Hou and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jie Zhang, Shandong University Cheeloo College of Medicine, Jinan, China
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