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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
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    References listed on IDEAS

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    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.
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    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.

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