Self-Stigma Mediates the Impact of Insight on Current Suicide Ideation in Suicide Attempters with Schizophrenia: Results of a Moderated Mediation Approach

Yin Ju Lien, Hsin An Chang, Yu Chen Kao, Nian Sheng Tzeng, Chin Bin Yeh, Ching Hui Loh

Research output: Contribution to journalArticle

1 Citation (Scopus)


This study examined the relationships among insight, self-stigma, self-esteem, hope, quality of life, and suicidal behavior in individuals diagnosed as having schizophrenia. Hypotheses concerning mediating and moderating effects were examined. A total of 170 community-dwelling patients with schizophrenia participated in the study. The results revealed a negative association between insight and suicide ideation, which was partially mediated by self-stigma. Moreover, this indirect link was stronger among patients with suicide attempts than among those without attempts. We discuss the implications of these results for preventing or reducing the considerable risks of suicide in this population.

Original languageEnglish
Pages (from-to)661-676
Number of pages16
JournalSuicide and Life-Threatening Behavior
Issue number6
Publication statusPublished - 2018 Dec 1


ASJC Scopus subject areas

  • Clinical Psychology
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this