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The study includes 300 trauma-exposed participants (mean age 39.25, SD 12.77), using self-report measures for CPTSD symptoms, depression, suicidal ideation, and trauma-related shame. Results show elevated shame and CPTSD symptom levels in the high-suicidal-ideation group, with moderation strengthening the CPTSD–suicidal ideation association.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/trauma-related-shame-and-depression-moderate-the-relationship-between-complex-posttraumatic-stress-and-suicidal-ideation-in-a-treatment-seeking-adult-sample/449394/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/trauma-related-shame-and-depression-moderate-the-relationship-between-complex-posttraumatic-stress-and-suicidal-ideation-in-a-treatment-seeking-adult-sample/449394.png","ImageObject",300,407,{"name":92,"@type":93},"Guten tag","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the main objective of the study?","Question",{"text":112,"@type":113},"To test whether trauma-related shame and depression moderate the relationship between CPTSD symptoms and suicidal ideation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who participated and how many were included?",{"text":117,"@type":113},"The study included 300 treatment-seeking trauma-exposed adults, with a mean age of 39.25 years.",{"name":119,"@type":110,"acceptedAnswer":120},"How do shame and depression affect CPTSD symptoms and suicidal ideation?",{"text":121,"@type":113},"Higher trauma-related shame intensifies the association between CPTSD symptom severity and suicidal ideation, and increasing shame also strengthens the interaction effects between CPTSD and depression symptoms.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449394,1790794107,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},687212321768,"https://ap-avatar.wpscdn.com/avatar/a0010bdbe886d2fe77?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789897067658708522","EUROPEAN JOURNAL OF PSYCHOTRAUMATOLOGY 2026, VOL. 17, NO. 1, 2604994 [https://doi.org/10.1080/20008066.2025.2604994](https://doi.org/10.1080/20008066.2025.2604994)  \nCLINICAL RESEARCH ARTICLE     \nTrauma-related shame and depression moderate the relationship between complex posttraumatic stress and suicidal ideation in a treatment-seeking adult sample  \nOdeta Gelezelyte  , Greta Guogaite  and Evaldas Kazlauskas   \nCenter for Psychotraumatology, Institute of Psychology, Faculty of Philosophy, Vilnius University, Vilnius, Lithuania  \nABSTRACT  \nBackground & Objective: There has been a dearth of empirical research examining suicidalityin the context of the new diagnosis of the ICD-11 Complex posttraumatic stress disorder (CPTSD) . The main aim of the current cross-sectional study was to test the moderating role of trauma-related shame and depression on the relationship between CPTSD symptoms and suicidal ideation.  \nMethod: In total, 300 treatment-seeking trauma-exposed adults were included in the study. The mean age was 39.25 (SD = 12.77), ranging from 18 to 72 years. The majority of the sample (90.3%) were female and had a university degree (67%) . Self-report measures for assessing complex posttraumatic stress disorder and depression symptoms, suicidal ideation and trauma-related shame were used.  \nResults: In the study sample, 22.7% of the participants met the criteria for probable PTSD, 45.7% probable CPTSD, and 45% reported suicidal ideation. The levels of trauma-related shame and CPTSD symptoms were the highest in the high suicidal ideation group. Moderation analysis revealed that the association between CPTSD symptom severity and suicidal ideation intensified with increasing levels of trauma-related shame. The findings of the moderated moderation analysis showed that with increasing levels of shame, the effects of interaction between CPTSD and depression symptoms on suicidal ideation were getting stronger.  \nConclusions: Results demonstrated that the relationship between CPTSD symptoms and suicidal ideation depends on the levels of trauma-related shame and comorbid depressive symptoms. Such findings provide insights for the assessment and management of suicide risk after trauma exposure and suggest that the relationship between complex posttraumatic stress and suicidal ideation depends on other post-traumatic reactions, comorbid conditions, and on how they interact.  \nLa vergüenza relacionada con el trauma y la depresión moderan larelación entre el estrés postraumático y la ideación suicida en unamuestra de adultos que buscan tratamiento  \nAntecedentes y Objetivo: Ha habido escasez de investigación empírica que examine la suicidalidad en el contexto del nuevo diagnostico de la CIE-11, el trastorno de estréspostraumático complejo (TEPTc) . El objetivo principal del presente estudio transversal fue probar el papel moderador de la vergüenza relacionada con el trauma y la depresión sobre la relación entre los síntomas de TEPTc e ideación suicida.  \nMétodo: En total, se incluyeron en el estudio 300 adultos expuestos a trauma que buscabantratamiento. La edad media fue 39,25 (DE = 12.77), con un rango de 18 a 72 años. La mayoría de la muestra (90.3%) eran mujeres y con un título universitario (67%) . Se utilizaron medidas de auto-reporte para evaluar el trastorno de estrés postraumático complejo y lossíntomas depresivos, la ideación suicida y la vergüenza relacionada con el trauma. Resultados: En la muestra del estudio, 22,7% de los participantes reunía los criterios de probable TEPT, 45,7% probable TEPTc y 45% reportó ideación suicida. Los niveles de vergüenza relacionada con el trauma y los síntomas de TEPTc fueron más altos en el grupo de alta ideación suicida. El análisis de moderación reveló que la asociación entre lagravedad de los síntomas de TEPTc y la ideación suicida se intensificó con el aumento delos niveles de vergüenza relacionados con el trauma. Los hallazgos del análisis demoderación moderada demostraron que, al ","cbCaioOnYUd1tR7Q","https://ap.wps.com/l/cbCaioOnYUd1tR7Q","pdf",691909,11,"English","# Abstract\n## Background & Objective\n## Method\n## Results\n## Conclusions\n# Keywords\n# Highlights","[{\"question\":\"What is the main objective of the study?\",\"answer\":\"To test whether trauma-related shame and depression moderate the relationship between CPTSD symptoms and suicidal ideation.\"},{\"question\":\"Who participated and how many were included?\",\"answer\":\"The study included 300 treatment-seeking trauma-exposed adults, with a mean age of 39.25 years.\"},{\"question\":\"How do shame and depression affect CPTSD symptoms and suicidal ideation?\",\"answer\":\"Higher trauma-related shame intensifies the association between CPTSD symptom severity and suicidal ideation, and increasing shame also strengthens the interaction effects between CPTSD and depression symptoms.\"}]","Trauma-related shame and depression moderate the relationship between complex posttraumatic stress and suicidal ideation in a treatment-seeking adult sample | PDF",1790730111,28]