Skip to main content
×
×
Home

Does the stigma of mental illness contribute to suicidality?

  • Nicolas Rüsch (a1), Alina Zlati (a2), Georgia Black (a3) and Graham Thornicroft (a4)
Summary

Mental disorders are associated with suicidality and with stigma. Many consequences of stigma, such as social isolation, unemployment, hopelessness or stress, are risk factors for suicidality. Research is needed on the link between stigma and suicidality as well as on anti-stigma interventions and their effects on suicidality.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Does the stigma of mental illness contribute to suicidality?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Does the stigma of mental illness contribute to suicidality?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Does the stigma of mental illness contribute to suicidality?
      Available formats
      ×
Copyright
Corresponding author
Nicolas Rüsch, Section of Public Mental Health, Department of Psychiatry II, University of Ulm, Parkstrasse 11, D-89073 Ulm, Germany. Email: nicolas.ruesch@uni-ulm.de
Footnotes
Hide All

Declaration of interest

None.

Footnotes
References
Hide All
1 World Health Organization. Public Health Action for the Prevention of Suicide: A Framework. WHO, 2012.
2 Cavanagh, JT, Carson, AJ, Sharpe, M, Lawrie, SM. Psychological autopsy studies of suicide: a systematic review. Psychol Med 2003; 33: 395405.
3 Schomerus, G, Schwahn, C, Holzinger, A, Corrigan, PW, Grabe, HJ, Carta, MG, et al. Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 2012; 125: 440–52.
4 Lasalvia, A, Zoppei, S, van Bortel, T, Bonetto, C, Cristofalo, D, Wahlbeck, K, et al. Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 2013; 381: 5562.
5 Goldston, DB, Molock, SD, Whitbeck, LB, Murakami, JL, Zayas, LH, Hall, GC. Cultural considerations in adolescent suicide prevention and psychosocial treatment. Am Psychol 2008; 63: 1431.
6 Taylor, PJ, Gooding, P, Wood, AM, Tarrier, N. The role of defeat and entrapment in depression, anxiety, and suicide. Psychol Bull 2011; 137: 391420.
7 Corrigan, PW, Larson, JE, Rüsch, N. Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 2009; 8: 7581.
8 Rüsch, N, Corrigan, PW, Wassel, A, Michaels, P, Olschewski, M, Wilkniss, S, et al. Ingroup perception and responses to stigma among persons with mental illness. Acta Psychiatr Scand 2009; 120: 320–8.
9 Wesselmann, ED, Williams, KD. Ostracism and stages of coping. In The Oxford Handbook of Social Exclusion (ed DeWall, CN): 2030. Oxford University Press, 2013.
10 Rüsch, N, Corrigan, PW, Powell, K, Rajah, A, Olschewski, M, Wilkniss, S, et al. A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 2009; 110: 6571.
11 Clement, S, Schauman, O, Graham, T, Maggioni, F, Evans-Lacko, S, Bezborodovs, N, et al. What is the impact of mental-health related stigma on help-seeking? A systematic review of quantitative and qualitative studies. In Psychol Med 2014; Feb 26: 117 (Epub ahead of print).
12 Pompili, M, Serafini, G, Innamorati, M, Lester, D, Shrivastava, A, Girardi, P, et al. Suicide risk in first episode psychosis: a selective review of the current literature. Schizophr Res 2011; 129: 111.
13 Wray, M, Colen, C, Pescosolido, B. The sociology of suicide. Ann Rev Sociol 2011; 37: 505–28.
14 van Orden, KA, Witte, TK, Cukrowicz, KC, Braithwaite, SR, Selby, EA, Joiner, TE Jr. The interpersonal theory of suicide. Psychol Rev 2010; 117: 575600.
15 van Heeringen, K. Stress-diathesis model of suicidal behavior. In The Neurobiological Basis of Suicide (ed Dwivedi, Y): 113–24. CRC Press, 2012.
16 Rüsch, N, Corrigan, PW, Heekeren, K, Theodoridou, A, Dvorsky, D, Metzler, S et al. Well-being among persons at risk of psychosis: the role of self-labeling, shame and stigma stress. Psychiatr Serv 2014; 65: 483–9.
17 van Orden, KA, Joiner, TE. Depression and suicide: transactional relations with rejection. In The Oxford Handbook of Social Exclusion (ed DeWall, CN): 211–9. Oxford University Press, 2013.
18 Reynders, A, Kerkhof, AJFM, Molenberghs, G, van Audenhove, C. Attitudes and stigma in relation to help-seeking intentions for psychological problems in low and high suicide rate regions. Soc Psychiatry Psychiatr Epidemiol 2014; 49: 231–9.
19 Schomerus, G, Evans-Lacko, S, Rüsch, N, Mojtabai, R, Angermeyer, MC, Thornicroft, G. Collective levels of stigma and national suicide rates in 25 European countries. In Epidemiol Psychiatr Sci 2014; Feb 27: 16 (Epub ahead of print).
20 Eagles, JM, Carson, DP, Begg, A, Naji, SA. Suicide prevention: a study of patients' views. Br J Psychiatry 2003; 182: 261–5.
21 Sharaf, AY, Ossman, LH, Lachine, OA. A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia. Int J Nurs Stud 2012; 49: 1512–20.
22 Bryan, CJ, Ray-Sannerud, B, Morrow, CE, Etienne, N. Shame, pride, and suicidal ideation in a military clinical sample. J Affect Disord 2013; 147: 212–6.
23 Rihmer, Z, Kiss, K. Bipolar disorders and suicidal behaviour. Bipolar Disord 2002; 4 (suppl 1): s215.
24 Witvliet, M, Brendgen, M, van Lier, PAC, Koot, HM, Vitaro, F. Early adolescent depressive symptoms: Prediction from clique isolation, loneliness, and perceived social acceptance. J Abnorm Child Psychol 2010; 38: 1045–56.
25 Rüsch, N, Thornicroft, G. Does stigma impair prevention of mental disorders? Br J Psychiatry 2014; 204: 249–51.
26 Corrigan, PW, Morris, SB, Michaels, PJ, Rafacz, JE, Rüsch, N. Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012; 63: 963–73.
27 Mittal, D, Sullivan, G, Chekuri, L, Allee, E, Corrigan, PW. Empirical studies of self-stigma reduction strategies: a critical review of the literature. Psychiatr Serv 2012; 63: 974–81.
28 Rüsch, N, Abbruzzese, E, Hagedorn, E, Hartenhauer, D, Kaufmann, I, Curschellas, J, et al. The efficacy of Coming Out Proud to reduce stigma's impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry 2014; 204: 391–7.
29 Parigi, P, Henson, WI. Social isolation in America. Ann Rev Sociol 2014; 40: 153–71.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Does the stigma of mental illness contribute to suicidality?

  • Nicolas Rüsch (a1), Alina Zlati (a2), Georgia Black (a3) and Graham Thornicroft (a4)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *