Citation

Xu Z, Müller M, Lay B, Oexle N, Drack T, Bleiker M, Lengler S, Blank C, Vetter S, Rossler W, Rüsch N. Soc. Psychiatry Psychiatr. Epidemiol. 2018; 53(3): 309-312.

Affiliation

Department of Psychiatry II, University of Ulm and BKH Günzburg, Parkstrasse 11, 89073, Ulm, Germany. nicolas.ruesch@uni-ulm.de.

Copyright

(Copyright © 2018, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00127-018-1489-y

PMID

29380026

Abstract

People with severe mental illness and a history of involuntary hospitalization may experience stigma-related stress and suffer negative consequences as a result. However, the long-term impact of stigma stress on suicidality in this population remains unknown. This longitudinal study therefore examined stigma stress, self-stigma, self-esteem and suicidal ideation among 186 individuals with mental illness and recent involuntary hospitalization. After adjusting for age, gender, diagnoses and symptoms, more stigma stress at baseline predicted suicidal ideation after 2 years, mediated by increased self-stigma and decreased self-esteem after 1 year. Anti-stigma interventions that reduce stigma stress and self-stigma could therefore support suicide prevention.

Language: en

Keywords

Coercion; Compulsory admission; Self-stigma; Stigma stress; Suicidality