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

doi:10.1111/sltb.12384

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

^*Corresponding author for this work

Department of Health Promotion and Health Education

Research output: Contribution to journal › Article › peer-review

23 Citations (Scopus)

Abstract

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 language	English
Pages (from-to)	661-676
Number of pages	16
Journal	Suicide and Life-Threatening Behavior
Volume	48
Issue number	6
DOIs	https://doi.org/10.1111/sltb.12384
Publication status	Published - 2018 Dec

ASJC Scopus subject areas

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/sltb.12384

Cite this

@article{e939c9a1f1554a0fb2e08d11415e7d5a,

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

abstract = "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.",

author = "Lien, {Yin Ju} and Chang, {Hsin An} and Kao, {Yu Chen} and Tzeng, {Nian Sheng} and Yeh, {Chin Bin} and Loh, {Ching Hui}",

note = "Publisher Copyright: {\textcopyright} 2017 The American Association of Suicidology",

year = "2018",

month = dec,

doi = "10.1111/sltb.12384",

language = "English",

volume = "48",

pages = "661--676",

journal = "Suicide and Life-Threatening Behavior",

issn = "0363-0234",

publisher = "Wiley-Blackwell",

number = "6",

}

TY - JOUR

T1 - Self-Stigma Mediates the Impact of Insight on Current Suicide Ideation in Suicide Attempters with Schizophrenia

T2 - Results of a Moderated Mediation Approach

AU - Lien, Yin Ju

AU - Chang, Hsin An

AU - Kao, Yu Chen

AU - Tzeng, Nian Sheng

AU - Yeh, Chin Bin

AU - Loh, Ching Hui

PY - 2018/12

Y1 - 2018/12

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85053519686&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85053519686&partnerID=8YFLogxK

U2 - 10.1111/sltb.12384

DO - 10.1111/sltb.12384

M3 - Article

C2 - 28869800

AN - SCOPUS:85053519686

SN - 0363-0234

VL - 48

SP - 661

EP - 676

JO - Suicide and Life-Threatening Behavior

JF - Suicide and Life-Threatening Behavior

IS - 6

ER -

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

Abstract

ASJC Scopus subject areas

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this