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Journal Article

Citation

Fulginiti A, Brekke JS. Community Ment. Health J. 2015; 51(6): 654-662.

Affiliation

School of Social Work, University of Southern California, 669 W. 34th St., Montgomery Ross Fisher Building, Los Angeles, CA, 90089-0411, USA, fulginit@usc.edu.

Copyright

(Copyright © 2015, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10597-015-9846-8

PMID

25682283

Abstract

While suicidal ideation represents an "early warning" sign for suicidal behavior, studies examining suicidal ideation have been limited and largely atheorethical among those with schizophrenia. Informed by the Escape Theory of Suicide, we investigated the relationship between discrepancy factors, in the form of self-esteem and quality of life (QoL), and suicidal ideation. In a sample of 162 individuals with Schizophrenia, hierarchical logistic regression was employed to examine the contribution of (1) demographic (2) clinical and (3) discrepancy factors to suicidal ideation. A mediation analysis was performed to determine if self-esteem mediated the relationship between QoL and suicidal ideation. While QoL (in social relationships) and self-esteem collectively added value to predicting suicidal ideation beyond other factors, only self-esteem remained significant in the final hierarchical model. Self-esteem was found to mediate the relationship between QoL and suicidal ideation.

FINDINGS support Escape Theory in schizophrenia, marking self-esteem and QoL as targets for intervention.


Language: en

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