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Related Experiment Videos

Mental illness stigma, secrecy and suicidal ideation.

N Oexle1, V Ajdacic-Gross2, R Kilian1

  • 1Department of Psychiatry II,University of Ulm and BKH Günzburg,Ulm,Germany.

Epidemiology and Psychiatric Sciences
|November 27, 2015
PubMed
Summary

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Public stigma surrounding mental illness significantly increases suicidal ideation in individuals labeled as mentally ill, mediated by secrecy and hopelessness. This highlights the need for targeted suicide prevention strategies for this population.

Area of Science:

  • Psychiatry
  • Public Health
  • Sociology

Background:

  • Public stigma associated with mental illness can disproportionately affect individuals who have been labeled as 'mentally ill'.
  • Secrecy is a common coping mechanism for individuals facing mental illness stigma, despite potential negative consequences.
  • Existing research suggests a link between stigma and suicidality, but quantitative data from community samples are limited.

Purpose of the Study:

  • To investigate the relationship between perceived mental illness stigma and suicidal ideation.
  • To examine the mediating roles of secrecy and hopelessness in this relationship.
  • To compare these effects between individuals labeled as 'mentally ill' and those not labeled.

Main Methods:

  • A theory-driven model was developed based on existing literature.
Keywords:
Hopelessnessmental illness stigmasecrecysuicidal ideation

Related Experiment Videos

  • Data were collected from a Swiss cross-sectional, population-based study of individuals with elevated psychiatric symptoms.
  • Methods included interviews, self-report questionnaires, descriptive analysis, stratified logistic regression, and path analysis.
  • Main Results:

    • Labeled individuals reported significantly higher rates of suicidal ideation and hopelessness compared to unlabelled individuals.
    • Perceived stigma was directly associated with suicidal ideation among the labeled group, but not the unlabelled group.
    • Secrecy and hopelessness mediated the association between perceived stigma and suicidal ideation in labeled individuals.

    Conclusions:

    • Mental illness stigma contributes to suicidal ideation among individuals labeled as mentally ill, primarily through increased secrecy and hopelessness.
    • Findings suggest that interventions aimed at reducing public stigma and empowering individuals in mental health treatment are crucial for suicide prevention.
    • Further research is needed to replicate these findings in diverse community samples.