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. 2019 Sep 4;60(10):1094–1103. doi: 10.1111/jcpp.13100

Table 3.

Results of mediation model; association between adverse childhood experiences and self‐harm via inflammatory markers interleukin‐6 and C‐reactive protein (imputed data N = 4,308)

Model Direct effect Indirect effect via IL‐6 and CRP Total effect
RR  95% CI p RR  95% CI p RR  95% CI p
Main analysis
Self‐harm at age 16 1.11 1.05, 1.17 <0.001 1.00 1.00, 1.00 0.380 1.11 1.05, 1.18 <0.001
Sensitivity analyses
Self‐harm at age 21 1.12 1.06, 1.18 <0.001 1.00 1.00, 1.01 0.617 1.12 1.06, 1.18 <0.001
Multiple self‐harm at age 16 1.10 1.03, 1.17 0.007 1.00 1.00, 1.00 0.668 1.10 1.03, 1.17 0.007
Suicide attempt at age 16 1.22 1.11, 1.33 <0.001 1.00 1.00, 1.01 0.806 1.22 1.11, 1.33 <0.001
Excluding those with psychiatric disorder at age 15 (n = 4,138) 1.11 1.05, 1.17 <0.001 1.00 1.00, 1.01 0.313 1.11 1.05, 1.17 <0.001
Excluding those with CRP values of >10 mg/L excluded (n = 4,278) 1.11 1.05, 1.17 <0.001 1.00 1.00, 1.00 0.318 1.11 1.05, 1.18 <0.001

All models adjusted for BMI, internalising and externalising problems as intermediate confounders, and child sex, maternal smoking during pregnancy, income, maternal education and housing tenure as covariates; CRP, C‐reactive protein. Fifty imputed data sets generated. RR, relative risk; CI, confidence interval.