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

Cian-Ruei Jian, Peng-Wei Wang, Huang-Chi Lin, Mei-Feng Huang, Yi-Chun Yeh, Tai-Ling Liu, Cheng-Sheng Chen, Ya-Ping Lin, Shu-Ying Lee, Ching-Hua Chen, Yun-Chi Wang, Yu-Ping Chang, Yi-Lung Chen () and Cheng-Fang Yen ()
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Cian-Ruei Jian: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Peng-Wei Wang: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Huang-Chi Lin: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Mei-Feng Huang: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Yi-Chun Yeh: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Tai-Ling Liu: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Cheng-Sheng Chen: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Ya-Ping Lin: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Shu-Ying Lee: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Ching-Hua Chen: Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Yun-Chi Wang: Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
Yu-Ping Chang: School of Nursing, University at Buffalo, The State University of New York, Buffalo, NY 14260, USA
Yi-Lung Chen: Department of Psychology, Asia University, Taichung 41354, Taiwan
Cheng-Fang Yen: Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan

IJERPH, 2022, vol. 19, issue 22, 1-10

Abstract: 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.

Keywords: schizophrenia; suicide; self-stigma; self-esteem; social support; mental health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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