The Relation of Self-Hatred and Suicidality in People With Schizophrenia-Spectrum Symptoms

  • Thomas E. JoinerJr.
  • Faruk Gencoz
  • Tulin Gencoz
  • Gerald I. Metalsky
  • M. David Rudd
Article

DOI: 10.1023/A:1010915709011

Cite this article as:
Joiner, T.E., Gencoz, F., Gencoz, T. et al. Journal of Psychopathology and Behavioral Assessment (2001) 23: 107. doi:10.1023/A:1010915709011

Abstract

It is well known that depressive symptoms represent a risk for suicidality in general. It is less clear, however, that general depressive symptoms comprise a definite suicide risk factor for people with schizophrenia. Based on this, as well as on the early writings of E. Bleuler (1911/1987), it was hypothesized that there may be a particular aspect of depressive symptoms that combines with schizophrenia to encourage suicidality. Specifically, schizophrenia may impart to self-concept a quality of self-hatred that encourages suicidality in schizophrenic people. If so, then an index of self-hatred should be more correlated with suicidality among people with schizophrenia-spectrum symptoms than among people with fewer such symptoms. Two studies evaluated this possibility. In Study 1 on 243 suicidal outpatients affiliated with the military, self-hate and suicidality were more correlated among people with schizotypal symptoms than among other patients. In Study 2 on 113 VA psychiatric inpatients, self-hate and suicidality were more correlated among people with a diagnosis of schizophrenia than among patients with a diagnosis of major depression. Study limitations were noted, and it was suggested that self-hatred be a focus of suicide risk assessment in schizophrenic people.

self-hatred suicidality schizophrenia 

Copyright information

© Plenum Publishing Corporation 2001

Authors and Affiliations

  • Thomas E. JoinerJr.
    • 1
  • Faruk Gencoz
    • 2
  • Tulin Gencoz
    • 2
  • Gerald I. Metalsky
    • 3
  • M. David Rudd
    • 4
  1. 1.Department of PsychologyFlorida State UniversityTallahassee
  2. 2.Department of PsychologyMiddle East Technical UniversityAnkaraTurkey
  3. 3.Department of PsychologyLawrence UniversityUSA
  4. 4.Department of PsychologyBaylor UniversityUSA

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