Abstract
Mental illness stigma is a source of distress for persons with mental illness. Self-stigma occurs when negative stereotypes are internalized, leading to low self-esteem, shame and hopelessness. Due to its consequences self-stigma may contribute to suicidality and be a modifiable target for suicide prevention. Based on 222 disability pensioners with mental illness we examined whether self-stigma at baseline is associated with suicidal ideation over a 2-year period, controlling for baseline suicidal ideation, symptoms, age and gender. More self-stigma predicted suicidal ideation at baseline and longitudinally. Interventions on different levels to reduce self-stigma could improve suicide prevention.
References
Cavanagh JT, Carson AJ, Sharpe M, Lawrie SM (2003) Psychological autopsy studies of suicide: a systematic review. Psychol Med 33(03):395–405
Rüsch N, Angermeyer MC, Corrigan PW (2005) Mental illness stigma: concepts, consequences, and initiatives to reduce stigma. Eur Psychiatry 20:259–539
Corrigan PW, Larson JE, Rüsch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 8(2):75–81
Rüsch N, Zlati A, Black G, Thornicroft G (2014) Does the stigma of mental illness contribute to suicidality? Br J Psychiatry 205(4):257–259
Mittal D, Sullivan G, Chekuri L, Allee E, Corrigan PW (2012) Empirical studies of self-stigma reduction strategies: a critical review of the literature. Psychiatr Serv 63(10):974–981
Tsang HW, Ching SC, Tang KH, Lam HT, Law PY, Wan CN (2016) Therapeutic intervention for internalized stigma of severe mental illness: a systematic review and meta-analysis. Schizophr Res. doi:10.1016/j.schres.2016.02.013
Schomerus G, Evans-Lacko S, Rüsch N, Mojtabai R, Angermeyer MC, Thornicroft G (2015) Collective levels of stigma and national suicide rates in 25 European countries. Epidemiol Psychiatr Sci 24:166–171
Farrelly S, Jeffery D, Rüsch N, Williams P, Thornicroft G, Clement S (2015) The link between mental health-related discrimination and suicidality: service user perspectives. Psychol Med 45(10):2013–2022
Oexle N, Ajdacic-Gross V, Kilian R, Müller M, Rodgers S, Xu Z, Rössler W, Rüsch N (2016) Mental illness stigma, secrecy and suicidal ideation. Epidemiol Psychiatr Sci. doi:10.1017/S2045796015001018
Sharaf AY, Ossman LH, Lachine OA (2012) A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia. Int J Nurs Stud 49(12):1512–1520
Viering S, Bärtsch B, Obermann C, Rüsch N, Rössler W, Kawohl W (2013) The effectiveness of individual placement and support for people with mental illness new on social benefits: a study protocol. BMC Psychiatry 13:195
Derogatis LR (1977) SCL-90-R, administration, scoring & procedures manual for the R(evised) version. John Hopkins University, School of Medicine
Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121(1):31–49
Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 42(08):1741–1752
Corrigan PW, Larson JE, Michaels PJ, Buchholz BA, Del Rossi R, Fontecchio MJ, Castro D, Gause M, Krzyzanowski R, Rüsch N (2015) Diminishing the self-stigma of mental illness by coming out proud. Psychiatry Res 229(1):148–154
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The study was approved by the Ethics Committee of the Canton of Zurich (reference number: KEK-ZH-NR: 2010-0311/0).
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Oexle, N., Rüsch, N., Viering, S. et al. Self-stigma and suicidality: a longitudinal study. Eur Arch Psychiatry Clin Neurosci 267, 359–361 (2017). https://doi.org/10.1007/s00406-016-0698-1
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DOI: https://doi.org/10.1007/s00406-016-0698-1