Institute of Medical Sociology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
J Ment Health. 2022 Aug;31(4):517-523. doi: 10.1080/09638237.2021.1875421. Epub 2021 Feb 1.
While a growing number of studies analyze the magnitude and predictors of mental health literacy, little is known about suicide-specific knowledge and beliefs ("suicide literacy").
To examine suicide literacy among the German population and to investigate associations between suicide literacy and suicide stigma.
Telephone interviews were conducted in Germany ( = 2002, response rate: 47.3%). The (LOSS-SF) was used covering the knowledge domains "signs," "risk factors," "causes/nature" and "treatment/prevention." In multiple regression analyses, associations between the LOSS-SF and the three dimensions "stigma," "normalization/glorification," and "depression/isolation" of the (SOSS-SF) were examined controlling for several covariates.
Respondents showed most knowledge concerning "treatment and prevention" (>80% correct answers). Lower suicide literacy was found in the domains "risk factors" (33-60% correct answers) and "signs for suicidal ideation" (45-53%). Suicide literacy was negatively associated with age, while it was positively associated with education, own affliction, and personal contact. Moreover, suicide literacy showed negative associations with all three dimensions of the SOSS-SF.
There are deficits in suicide literacy in the German public that may increase suicide stigma. Addressing those deficits in information-campaigns and encouraging personal contact could help decrease suicide stigma.
虽然越来越多的研究分析了心理健康素养的程度和预测因素,但对于自杀特定知识和信念(“自杀素养”)知之甚少。
考察德国人口的自杀素养,并探讨自杀素养与自杀污名之间的关联。
在德国进行了电话访谈(n=2002,应答率:47.3%)。使用自杀知识量表(LOSS-SF)涵盖了“迹象”、“风险因素”、“原因/本质”和“治疗/预防”等知识领域。在多元回归分析中,控制了几个协变量后,考察了 LOSS-SF 与自杀污名量表(SOSS-SF)的“污名”、“正常化/美化”和“抑郁/孤立”三个维度之间的关联。
受访者在“治疗和预防”方面表现出了最多的知识(>80%的正确答案)。在“风险因素”(33-60%的正确答案)和“自杀意念迹象”(45-53%的正确答案)领域,自杀素养较低。自杀素养与年龄呈负相关,而与教育、自身患病和个人接触呈正相关。此外,自杀素养与 SOSS-SF 的三个维度均呈负相关。
德国公众的自杀素养存在缺陷,这可能会增加自杀污名。在信息宣传活动中解决这些缺陷,并鼓励个人接触,可能有助于减少自杀污名。