TY  - JOUR
PY  - 2015//
TI  - Relationship between suicidality and low self-esteem in patients with schizophrenia
JO  - Clinical psychopharmacology and neuroscience
A1  - Yoo, Taeyoung
A1  - Kim, Sung-Wan
A1  - Kim, Seon-Young
A1  - Lee, Ju-Yeon
A1  - Kang, Hee-Ju
A1  - Bae, Kyung-Yeol
A1  - Kim, Jae-Min
A1  - Shin, Il-Seon
A1  - Yoon, Jin-Sang
SP  - 296
EP  - 301
VL  - 13
IS  - 3
N2  - 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>
LA  - en
SN  - 1738-1088
UR  - http://dx.doi.org/10.9758/cpn.2015.13.3.296
ID  - ref1
ER  -