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

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...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-11, Vol.19 (22), p.15071
Main Authors: Jian, Cian-Ruei, Wang, Peng-Wei, Lin, Huang-Chi, Huang, Mei-Feng, Yeh, Yi-Chun, Liu, Tai-Ling, Chen, Cheng-Sheng, Lin, Ya-Ping, Lee, Shu-Ying, Chen, Ching-Hua, Wang, Yun-Chi, Chang, Yu-Ping, Chen, Yi-Lung, Yen, Cheng-Fang
Format: Article
Language:English
Subjects:
Cross-Sectional Studies
Friends
Humans
Longitudinal studies
Mental disorders
Risk assessment
Schizoaffective disorder
Schizophrenia
Self esteem
Social Stigma
Social support
Suicide
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Summary: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.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph192215071