Skip to main content
Top
Published in: Social Psychiatry and Psychiatric Epidemiology 3/2018

01-03-2018 | Brief Report

Involuntary hospitalization, stigma stress and suicidality: a longitudinal study

Authors: Ziyan Xu, Mario Müller, Barbara Lay, Nathalie Oexle, Thekla Drack, Marco Bleiker, Silke Lengler, Christina Blank, Stefan Vetter, Wulf Rössler, Nicolas Rüsch

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 3/2018

Login to get access

Abstract

People with severe mental illness and a history of involuntary hospitalization may experience stigma-related stress and suffer negative consequences as a result. However, the long-term impact of stigma stress on suicidality in this population remains unknown. This longitudinal study therefore examined stigma stress, self-stigma, self-esteem and suicidal ideation among 186 individuals with mental illness and recent involuntary hospitalization. After adjusting for age, gender, diagnoses and symptoms, more stigma stress at baseline predicted suicidal ideation after 2 years, mediated by increased self-stigma and decreased self-esteem after 1 year. Anti-stigma interventions that reduce stigma stress and self-stigma could therefore support suicide prevention.
Appendix
Available only for authorised users
Literature
1.
go back to reference Link B, Castille DM, Stuber J (2008) Stigma and coercion in the context of outpatient treatment for people with mental illnesses. Soc Sci Med 67:409–419CrossRefPubMed Link B, Castille DM, Stuber J (2008) Stigma and coercion in the context of outpatient treatment for people with mental illnesses. Soc Sci Med 67:409–419CrossRefPubMed
2.
go back to reference Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64CrossRefPubMedPubMedCentral Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64CrossRefPubMedPubMedCentral
3.
go back to reference Farrelly S, Jeffery D, Rüsch N, Williams P, Thornicroft G, Clement S (2015) The link between mental health-related discrimination and suicidality: service user perspectives. Psychol Med 45:2013–2022CrossRefPubMed Farrelly S, Jeffery D, Rüsch N, Williams P, Thornicroft G, Clement S (2015) The link between mental health-related discrimination and suicidality: service user perspectives. Psychol Med 45:2013–2022CrossRefPubMed
4.
go back to reference Corrigan PW, Larson JE, Rüsch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 8:75–81CrossRefPubMedPubMedCentral Corrigan PW, Larson JE, Rüsch N (2009) Self-stigma and the “why try” effect: impact on life goals and evidence-based practices. World Psychiatry 8:75–81CrossRefPubMedPubMedCentral
5.
go back to reference Katsakou C, Rose D, Amos T, Bowers L, McCabe R, Oliver D, Wykes T, Priebe S (2012) Psychiatric patients’ views on why their involuntary hospitalisation was right or wrong: a qualitative study. Soc Psychiatry Psychiatr Epidemiol 47:1169–1179CrossRefPubMed Katsakou C, Rose D, Amos T, Bowers L, McCabe R, Oliver D, Wykes T, Priebe S (2012) Psychiatric patients’ views on why their involuntary hospitalisation was right or wrong: a qualitative study. Soc Psychiatry Psychiatr Epidemiol 47:1169–1179CrossRefPubMed
7.
go back to reference Xu Z, Müller M, Heekeren K, Theodoridou A, Metzler S, Dvorsky D, Oexle N, Walitza S, Rössler W, Rüsch N (2016) Pathways between stigma and suicidal ideation among people at risk of psychosis. Schizophr Res 172:184–188CrossRefPubMed Xu Z, Müller M, Heekeren K, Theodoridou A, Metzler S, Dvorsky D, Oexle N, Walitza S, Rössler W, Rüsch N (2016) Pathways between stigma and suicidal ideation among people at risk of psychosis. Schizophr Res 172:184–188CrossRefPubMed
8.
go back to reference Oexle N, Rüsch N, Viering S, Wyss C, Seifritz E, Xu Z, Kawohl W (2017) Self-stigma and suicidality: a longitudinal study. Eur Arch Psychiatry Clin Neurosci 267:359–361CrossRefPubMed Oexle N, Rüsch N, Viering S, Wyss C, Seifritz E, Xu Z, Kawohl W (2017) Self-stigma and suicidality: a longitudinal study. Eur Arch Psychiatry Clin Neurosci 267:359–361CrossRefPubMed
9.
go back to reference Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, Bleiker M, Lengler S, Blank C, Rössler W (2014) Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness. Eur Arch Psychiatry Clin Neurosci 264:35–43CrossRefPubMed Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, Bleiker M, Lengler S, Blank C, Rössler W (2014) Emotional reactions to involuntary psychiatric hospitalization and stigma-related stress among people with mental illness. Eur Arch Psychiatry Clin Neurosci 264:35–43CrossRefPubMed
10.
go back to reference Lay B, Salize HJ, Dressing H, Rüsch N, Schönenberger T, Bühlmann M, Bleiker M, Lengler S, Korinth L, Rössler W (2012) Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring. BMC Psychiatry 12:136CrossRefPubMedPubMedCentral Lay B, Salize HJ, Dressing H, Rüsch N, Schönenberger T, Bühlmann M, Bleiker M, Lengler S, Korinth L, Rössler W (2012) Preventing compulsory admission to psychiatric inpatient care through psycho-education and crisis focused monitoring. BMC Psychiatry 12:136CrossRefPubMedPubMedCentral
11.
go back to reference Rüsch N, Heekeren K, Theodoridou A, Müller M, Corrigan PW, Mayer B, Metzler S, Dvorsky D, Walitza S, Rössler W (2015) Stigma as a stressor and transition to schizophrenia after one year among young people at risk of psychosis. Schizophr Res 166:43–48CrossRefPubMed Rüsch N, Heekeren K, Theodoridou A, Müller M, Corrigan PW, Mayer B, Metzler S, Dvorsky D, Walitza S, Rössler W (2015) Stigma as a stressor and transition to schizophrenia after one year among young people at risk of psychosis. Schizophr Res 166:43–48CrossRefPubMed
12.
go back to reference Kaiser CR, Major B, McCoy SK (2004) Expectations about the future and the emotional consequences of perceiving prejudice. Pers Soc Psychol Bull 30:173–184CrossRefPubMed Kaiser CR, Major B, McCoy SK (2004) Expectations about the future and the emotional consequences of perceiving prejudice. Pers Soc Psychol Bull 30:173–184CrossRefPubMed
13.
go back to reference Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121:31–49CrossRefPubMed Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121:31–49CrossRefPubMed
14.
go back to reference Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, PrincetonCrossRef Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, PrincetonCrossRef
15.
go back to reference Lukoff D, Liberman RP, Nuechterlein KH (1986) Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophr Bull 12:578–602CrossRefPubMed Lukoff D, Liberman RP, Nuechterlein KH (1986) Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophr Bull 12:578–602CrossRefPubMed
16.
go back to reference Muthén L, Muthén B (1998–2002) Mplus user’s guide, 7th edn. Los Angeles Muthén L, Muthén B (1998–2002) Mplus user’s guide, 7th edn. Los Angeles
18.
go back to reference Rüsch N, Abbruzzese E, Hagedorn E, Hartenhauer D, Kaufmann I, Curschellas J, Ventling S, Zuaboni G, Bridler R, Olschewski M, Kawohl W, Rössler W, Kleim B, Corrigan PW (2014) Efficacy of Coming Out Proud to reduce stigma’s impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry 204:391–397CrossRefPubMedPubMedCentral Rüsch N, Abbruzzese E, Hagedorn E, Hartenhauer D, Kaufmann I, Curschellas J, Ventling S, Zuaboni G, Bridler R, Olschewski M, Kawohl W, Rössler W, Kleim B, Corrigan PW (2014) Efficacy of Coming Out Proud to reduce stigma’s impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry 204:391–397CrossRefPubMedPubMedCentral
19.
go back to reference Corrigan P, Larson J, Michaels P, Buchholz B, Del Rossi R, Fontecchio M, Castro D, Gause M, Krzyzanowski R, Rüsch N (2015) Diminishing the self-stigma of mental illness by Coming Out Proud. Psychiatry Res 229:148–154CrossRefPubMed Corrigan P, Larson J, Michaels P, Buchholz B, Del Rossi R, Fontecchio M, Castro D, Gause M, Krzyzanowski R, Rüsch N (2015) Diminishing the self-stigma of mental illness by Coming Out Proud. Psychiatry Res 229:148–154CrossRefPubMed
20.
go back to reference Mulfinger N, Müller S, Böge I, Sakar V, Corrigan PW, Evans-Lacko S, Nehf L, Djamali J, Samarelli A, Kempter M, Ruckes C, Libal G, Oexle N, Noterdaeme M, Rüsch N (2018) Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial. J Child Psychol Psychiatry. https://doi.org/10.1111/jcpp.12853 (publ online) Mulfinger N, Müller S, Böge I, Sakar V, Corrigan PW, Evans-Lacko S, Nehf L, Djamali J, Samarelli A, Kempter M, Ruckes C, Libal G, Oexle N, Noterdaeme M, Rüsch N (2018) Honest, Open, Proud for adolescents with mental illness: pilot randomized controlled trial. J Child Psychol Psychiatry. https://​doi.​org/​10.​1111/​jcpp.​12853 (publ online)
21.
go back to reference Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 42:1741–1752CrossRefPubMed Evans-Lacko S, Brohan E, Mojtabai R, Thornicroft G (2012) Association between public views of mental illness and self-stigma among individuals with mental illness in 14 European countries. Psychol Med 42:1741–1752CrossRefPubMed
Metadata
Title
Involuntary hospitalization, stigma stress and suicidality: a longitudinal study
Authors
Ziyan Xu
Mario Müller
Barbara Lay
Nathalie Oexle
Thekla Drack
Marco Bleiker
Silke Lengler
Christina Blank
Stefan Vetter
Wulf Rössler
Nicolas Rüsch
Publication date
01-03-2018
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 3/2018
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-018-1489-y

Other articles of this Issue 3/2018

Social Psychiatry and Psychiatric Epidemiology 3/2018 Go to the issue