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Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia

OBJECTIVE: Low self-esteem is associated with suicide risk in the general psychiatric population. The aim of this study was to examine associations between suicidality and self-esteem in patients with schizophrenia. METHODS: Subjects meeting the Diagnostic and Statistical Manual of Mental Disorders,...

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Autores principales: Yoo, Taeyoung, Kim, Sung-Wan, Kim, Seon-Young, Lee, Ju-Yeon, Kang, Hee-Ju, Bae, Kyung-Yeol, Kim, Jae-Min, Shin, Il-Seon, Yoon, Jin-Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean College of Neuropsychopharmacology 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662169/
https://www.ncbi.nlm.nih.gov/pubmed/26598589
http://dx.doi.org/10.9758/cpn.2015.13.3.296
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author Yoo, Taeyoung
Kim, Sung-Wan
Kim, Seon-Young
Lee, Ju-Yeon
Kang, Hee-Ju
Bae, Kyung-Yeol
Kim, Jae-Min
Shin, Il-Seon
Yoon, Jin-Sang
author_facet Yoo, Taeyoung
Kim, Sung-Wan
Kim, Seon-Young
Lee, Ju-Yeon
Kang, Hee-Ju
Bae, Kyung-Yeol
Kim, Jae-Min
Shin, Il-Seon
Yoon, Jin-Sang
author_sort Yoo, Taeyoung
collection PubMed
description OBJECTIVE: Low self-esteem is associated with suicide risk in the general psychiatric population. The aim of this study was to examine associations between suicidality and self-esteem in patients with schizophrenia. METHODS: Subjects meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnostic criteria for schizophrenia were enrolled. Sociodemographic and clinical variables, including previous suicide attempt history, were assessed. Psychopathology, self-esteem, and self-perceived stigma were also measured using the Positive and Negative Syndrome Scale, the Rosenberg Self-Esteem Scale (SES), the Beck Depression Inventory (BDI), the Beck Hopelessness Scale, and the Korean version of the Internalized Stigma of Mental Illness scale (K-ISMI). RESULTS: Of the total of 87 participants, 20 (23.0%) had attempted suicide. Patients with a history of suicide attempts had significantly higher scores on the BDI (p=0.036) and K-ISMI (p=0.009), and significantly lower scores on the SES (p=0.001). Analysis of covariance revealed that the SES scores were significantly lower in patients with a history of previous suicide attempts than in those with no history, after controlling for K-ISMI and BDI scores (p=0.039). CONCLUSION: Low self-esteem appears to represent a psychological dimension that is closely related to suicide risk. Therefore, clinical attention should be paid to the evaluation and enhancement of low self-esteem in schizophrenia patients with suicidality. A longitudinal prospective study is required to ascertain whether low self-esteem leads suicide attempts.
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spelling pubmed-46621692015-12-01 Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia Yoo, Taeyoung Kim, Sung-Wan Kim, Seon-Young Lee, Ju-Yeon Kang, Hee-Ju Bae, Kyung-Yeol Kim, Jae-Min Shin, Il-Seon Yoon, Jin-Sang Clin Psychopharmacol Neurosci Original Article OBJECTIVE: Low self-esteem is associated with suicide risk in the general psychiatric population. The aim of this study was to examine associations between suicidality and self-esteem in patients with schizophrenia. METHODS: Subjects meeting the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) diagnostic criteria for schizophrenia were enrolled. Sociodemographic and clinical variables, including previous suicide attempt history, were assessed. Psychopathology, self-esteem, and self-perceived stigma were also measured using the Positive and Negative Syndrome Scale, the Rosenberg Self-Esteem Scale (SES), the Beck Depression Inventory (BDI), the Beck Hopelessness Scale, and the Korean version of the Internalized Stigma of Mental Illness scale (K-ISMI). RESULTS: Of the total of 87 participants, 20 (23.0%) had attempted suicide. Patients with a history of suicide attempts had significantly higher scores on the BDI (p=0.036) and K-ISMI (p=0.009), and significantly lower scores on the SES (p=0.001). Analysis of covariance revealed that the SES scores were significantly lower in patients with a history of previous suicide attempts than in those with no history, after controlling for K-ISMI and BDI scores (p=0.039). CONCLUSION: Low self-esteem appears to represent a psychological dimension that is closely related to suicide risk. Therefore, clinical attention should be paid to the evaluation and enhancement of low self-esteem in schizophrenia patients with suicidality. A longitudinal prospective study is required to ascertain whether low self-esteem leads suicide attempts. Korean College of Neuropsychopharmacology 2015-12 2015-12-31 /pmc/articles/PMC4662169/ /pubmed/26598589 http://dx.doi.org/10.9758/cpn.2015.13.3.296 Text en Copyright © 2015, Korean College of Neuropsychopharmacology This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yoo, Taeyoung
Kim, Sung-Wan
Kim, Seon-Young
Lee, Ju-Yeon
Kang, Hee-Ju
Bae, Kyung-Yeol
Kim, Jae-Min
Shin, Il-Seon
Yoon, Jin-Sang
Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title_full Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title_fullStr Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title_full_unstemmed Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title_short Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
title_sort relationship between suicidality and low self-esteem in patients with schizophrenia
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4662169/
https://www.ncbi.nlm.nih.gov/pubmed/26598589
http://dx.doi.org/10.9758/cpn.2015.13.3.296
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