IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i22p15071-d974073.html
   My bibliography  Save this article

Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends

Author

Listed:
  • Cian-Ruei Jian

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Peng-Wei Wang

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Huang-Chi Lin

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Mei-Feng Huang

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Yi-Chun Yeh

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Tai-Ling Liu

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Cheng-Sheng Chen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Ya-Ping Lin

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Shu-Ying Lee

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Ching-Hua Chen

    (Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Yun-Chi Wang

    (Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan)

  • Yu-Ping Chang

    (School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA)

  • Yi-Lung Chen

    (Department of Psychology, Asia University, Taichung 41354, Taiwan
    Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    Department of Psychiatry, School of Medicine, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

Abstract

This cross-sectional study assessed the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk in individuals with schizophrenia. We included 300 participants (267 with schizophrenia and 33 with schizoaffective disorder). Suicide risk was assessed using items adopted from the suicide module of the Mini-International Neuropsychiatric Interview; self-stigma was assessed using the Self-Stigma Scale–Short; perceived support from friends was assessed using the Friend Adaptation, Partnership, Growth, Affection, and Resolve Index; and self-esteem was assessed using the Rosenberg Self-Esteem Scale. A moderation analysis was performed to examine the moderating effects of self-esteem and perceived support from friends on the association between self-stigma and suicide risk. The results indicated that self-stigma was positively associated with suicide risk after the effects of other factors were controlled for. Both perceived support from friends and self-esteem significantly reduced the magnitude of suicide risk in participants with self-stigma. Our findings highlight the value of interventions geared toward ameliorating self-stigma and enhancing self-esteem in order to reduce suicide risk in individuals with schizophrenia.

Suggested Citation

  • Cian-Ruei Jian & Peng-Wei Wang & Huang-Chi Lin & Mei-Feng Huang & Yi-Chun Yeh & Tai-Ling Liu & Cheng-Sheng Chen & Ya-Ping Lin & Shu-Ying Lee & Ching-Hua Chen & Yun-Chi Wang & Yu-Ping Chang & Yi-Lung C, 2022. "Association between Self-Stigma and Suicide Risk in Individuals with Schizophrenia: Moderating Effects of Self-Esteem and Perceived Support from Friends," IJERPH, MDPI, vol. 19(22), pages 1-10, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15071-:d:974073
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/22/15071/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/22/15071/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Keunwoo Park & Lee MinHwa & Mikyung Seo, 2019. "The impact of self-stigma on self-esteem among persons with different mental disorders," International Journal of Social Psychiatry, , vol. 65(7-8), pages 558-565, November.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Tatiana Arboleya-Faedo & Ana González-Menéndez & David González-Pando & Mercedes Paino & Fernando Alonso-Pérez, 2023. "Experiences of Self-Stigma in People with Chronic Psychosis: A Qualitative Study," IJERPH, MDPI, vol. 20(9), pages 1-15, April.
    2. Zahra Mojtahedi & Ying Guo & Pearl Kim & Parsa Khawari & Hailey Ephrem & Jay J. Shen, 2023. "Mental Health Conditions– and Substance Use—Associated Emergency Department Visits during the COVID-19 Pandemic in Nevada, USA," IJERPH, MDPI, vol. 20(5), pages 1-11, March.
    3. Chung-Ying Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2023. "Assessing Enacted Sexual Stigma toward Gay and Bisexual Men in the Military: The Enacted Sexual Stigma Experiences Scale in Military Service," IJERPH, MDPI, vol. 20(2), pages 1-10, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eduardo Valenciano-Mendoza & Fernando Fernández-Aranda & Roser Granero & Mónica Gómez-Peña & Laura Moragas & Bernat Mora-Maltas & Anders Håkansson & José M. Menchón & Susana Jiménez-Murcia, 2021. "Prevalence of Suicidal Behavior and Associated Clinical Correlates in Patients with Behavioral Addictions," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    2. Jawwad Muhammad Shujaat & Muhammad Akram Riaz & Muhammad Naveed Riaz & Masud Akhtar & Muhammad Iqbal Chaudhry, 2022. "Impact of Behavioral and Psychosocial Factors on Relapse among Persons with Substance Use Disorder," International Journal of Innovations in Science & Technology, 50sea, vol. 4(6), pages 50-56, September.
    3. William McGovern & Michelle Addison & Ruth McGovern, 2024. "The Adoption of a “Diseased Identity” in Traditional 12-Step Groups: Exploring the Implications of These Processes for Individuals and Practitioners in Health and Social Care Services," IJERPH, MDPI, vol. 21(10), pages 1-16, September.
    4. Dany Fernández & Pamela Grandón & Yaranay López-Angulo & Alexis Vladimir-Vielma & Wenceslao Peñate & Gabriela Díaz-Pérez, 2023. "Internalized stigma and self-stigma in people diagnosed with a mental disorder. One concept or two? A scoping review," International Journal of Social Psychiatry, , vol. 69(8), pages 1869-1881, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15071-:d:974073. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.