Lehmann Meshan, Hilimire Matthew R, Yang Lawrence H, Link Bruce G, DeVylder Jordan E
1 School of Social Work, University of Maryland, Baltimore, MD, USA.
2 Department of Psychology, The College of William and Mary, Williamsburg, VA, USA.
Crisis. 2016 Jul;37(4):265-270. doi: 10.1027/0227-5910/a000399. Epub 2016 Jun 24.
Self-esteem is a major contributor to risk for repeated suicide attempts. Prior research has shown that awareness of stigma is associated with reduced self-esteem among people with mental illness. No prior studies have examined the association between self-esteem and stereotype awareness among individuals with past suicide attempts.
To understand the relationship between stereotype awareness and self-esteem among young adults who have and have not attempted suicide.
Computerized surveys were administered to college students (N = 637). Linear regression analyses were used to test associations between self-esteem and stereotype awareness, attempt history, and their interaction.
There was a significant stereotype awareness by attempt interaction (β = -.74, p = .006) in the regression analysis. The interaction was explained by a stronger negative association between stereotype awareness and self-esteem among individuals with past suicide attempts (β = -.50, p = .013) compared with those without attempts (β = -.09, p = .037).
Stigma is associated with lower self-esteem within this high-functioning sample of young adults with histories of suicide attempts. Alleviating the impact of stigma at the individual (clinical) or community (public health) levels may improve self-esteem among this high-risk population, which could potentially influence subsequent suicide risk.
自尊是导致反复自杀未遂风险的一个主要因素。先前的研究表明，对污名的认知与精神疾病患者的自尊降低有关。此前尚无研究探讨有过自杀未遂经历的个体中自尊与刻板印象认知之间的关联。
了解有过和未曾有过自杀未遂经历的年轻人中刻板印象认知与自尊之间的关系。
对大学生（N = 637）进行计算机化调查。采用线性回归分析来检验自尊与刻板印象认知、未遂史及其相互作用之间的关联。
回归分析中存在显著的未遂史与刻板印象认知的交互作用（β = -.74，p = .006）。与未曾有过自杀未遂经历的个体（β = -.09，p = .037）相比，有过自杀未遂经历的个体中，刻板印象认知与自尊之间的负相关更强（β = -.50，p = .013），这解释了该交互作用。
在这个有自杀未遂史的高功能年轻成人样本中，污名与较低的自尊相关。在个体（临床）或社区（公共卫生）层面减轻污名的影响，可能会提高这个高风险人群的自尊，这可能会潜在地影响后续的自杀风险。
