Lyu Shunyan, Guo Zixuan, Jiang Sabrina Yanan, Li Yu
Applied Psychology Programme, Department of Life Sciences, BNU-HKBU United International College, Zhuhai, China.
Faculty of Education and Social Work, Thompson Rivers University, Kamloops, BC, Canada.
Omega (Westport). 2024 Aug 13:302228241272648. doi: 10.1177/00302228241272648.
Although perceived and internalized suicide stigma are considered risk factors for suicidal thoughts and behaviors (STBs), their specific roles in STBs are not well understood. This study examined the relationships among perceived and internalized suicide stigma, hopelessness, unbearable pain, suicidal desire, and suicide attempts in college students. A total of 1,387 Chinese college students (mean age: 22.22 years) completed the relevant scales. Structural equation modeling was used to determine the relationships of interest. The results showed that perceived stigma primarily had indirect impacts on suicidal desire through internalized stigma, which subsequently affected unbearable pain and hopelessness. The findings of this study suggest that the internalization of suicide stigma is an important predictor of STBs. These findings advocate for stigma interventions aimed at reducing internalized stigma as a potentially effective strategy for suicide prevention, as it may alleviate unbearable pain and hopelessness, which are significant contributors to suicidal desire and attempts.
尽管感知到的和内化的自杀污名被认为是自杀念头和行为（STB）的风险因素，但它们在STB中的具体作用尚未得到充分理解。本研究考察了大学生中感知到的和内化的自杀污名、绝望感、无法忍受的痛苦、自杀欲望和自杀未遂之间的关系。共有1387名中国大学生（平均年龄：22.22岁）完成了相关量表。采用结构方程模型来确定感兴趣的关系。结果表明，感知到的污名主要通过内化污名对自杀欲望产生间接影响，内化污名随后影响无法忍受的痛苦和绝望感。本研究结果表明，自杀污名的内化是STB的一个重要预测因素。这些发现提倡进行旨在减少内化污名的污名干预，作为一种潜在有效的自杀预防策略，因为它可能减轻无法忍受的痛苦和绝望感，而这两者是导致自杀欲望和未遂的重要因素。
