@article{ref1,
title="Relationship between suicidality and low self-esteem in patients with schizophrenia",
journal="Clinical psychopharmacology and neuroscience",
year="2015",
author="Yoo, Taeyoung and Kim, Sung-Wan and Kim, Seon-Young and Lee, Ju-Yeon and Kang, Hee-Ju and Bae, Kyung-Yeol and Kim, Jae-Min and Shin, Il-Seon and Yoon, Jin-Sang",
volume="13",
number="3",
pages="296-301",
abstract="OBJECTIVE: Low self-esteem is associated with suicide risk in the general psychiatric population. The aim of this study was to examine associations between suicidality and self-esteem in patients with schizophrenia. <br><br>METHODS: Subjects meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnostic criteria for schizophrenia were enrolled. Sociodemographic and clinical variables, including previous suicide attempt history, were assessed. Psychopathology, self-esteem, and self-perceived stigma were also measured using the Positive and Negative Syndrome Scale, the Rosenberg Self-Esteem Scale (SES), the Beck Depression Inventory (BDI), the Beck Hopelessness Scale, and the Korean version of the Internalized Stigma of Mental Illness scale (K-ISMI). <br><br>RESULTS: Of the total of 87 participants, 20 (23.0%) had attempted suicide. Patients with a history of suicide attempts had significantly higher scores on the BDI (p=0.036) and K-ISMI (p=0.009), and significantly lower scores on the SES (p=0.001). Analysis of covariance revealed that the SES scores were significantly lower in patients with a history of previous suicide attempts than in those with no history, after controlling for K-ISMI and BDI scores (p=0.039). <br><br>CONCLUSION: Low self-esteem appears to represent a psychological dimension that is closely related to suicide risk. Therefore, clinical attention should be paid to the evaluation and enhancement of low self-esteem in schizophrenia patients with suicidality. A longitudinal prospective study is required to ascertain whether low self-esteem leads suicide attempts.<p /> <p>Language: en</p>",
language="en",
issn="1738-1088",
doi="10.9758/cpn.2015.13.3.296",
url="http://dx.doi.org/10.9758/cpn.2015.13.3.296"
}