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KMID : 1009020150130030296
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Clinical Psychopharmacology and Neuroscience
2015 Volume.13 No. 3 p.296 ~ p.301
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Relationship between Suicidality and Low Self-esteem in Patients with Schizophrenia
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Yoo Tae-Young
Kim Sung-Wan
Kim Seon-Young
Lee Ju-Yeon
Kang Hee-Ju
Bae Kyung-Yeol
Kim Jae-Min
Shin Il-Seon
Yoon Jin-Sang
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Abstract
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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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KEYWORD
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Schizophrenia, Suicide, Self-esteem, Stigma, Depression
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