title: Stigma and suicidal ideation among young people at risk of psychosis after one year.
abstract: Suicidality is common among individuals at risk of psychosis. Emerging findings suggest that mental illness stigma contributes to suicidality. However, it is unclear whether stigma variables are associated with suicidality among young people at risk of psychosis. This longitudinal study assessed perceived public stigma and the cognitive appraisal of stigma as a stressor (stigma stress) as predictors of suicidal ideation among individuals at risk of psychosis over the period of one year. One hundred and seventy-two participants between 13 and 35 years of age were included who were at high or ultra-high risk of psychosis or at risk of bipolar disorder. At one-year follow-up, data were available from 73 completers. In multiple logistic regressions an increase of stigma stress (but not of perceived stigma) over one year was significantly associated with suicidal ideation at one-year follow-up, controlling for age, gender, symptoms, comorbid depression and suicidal ideation at baseline. Interventions to reduce public stigma and stigma stress could therefore improve suicide prevention among young people at risk of psychosis.
authors.affiliation: Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany. Electronic address: ziyan.xu@uniklinik-ulm.de.
authors.forename: Ziyan
authors.initials: Z
authors.lastname: Xu
authors.affiliation: Institute of Epidemiology and Medical Biometry, University of Ulm, Germany.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Mayer
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Mario
authors.initials: M
authors.lastname: Müller
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Karsten
authors.initials: K
authors.lastname: Heekeren
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Anastasia
authors.initials: A
authors.lastname: Theodoridou
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Diane
authors.initials: D
authors.lastname: Dvorsky
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland.
authors.forename: Sibylle
authors.initials: S
authors.lastname: Metzler
authors.affiliation: Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Oexle
authors.affiliation: Department of Child and Adolescent Psychiatry, University of Zürich, Switzerland.
authors.forename: Susanne
authors.initials: S
authors.lastname: Walitza
authors.affiliation: Department of Psychiatry, Psychotherapy and Psychosomatics, Zürich University Hospital of Psychiatry, Switzerland; Institute of Psychiatry, Laboratory of Neuroscience, LIM27, University of Sao Paulo, Brazil.
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
authors.affiliation: Department of Psychiatry II, University of Ulm and BKH Günzburg, Germany.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Rüsch
mesh_terms: D000293:Adolescent; D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology; D003863:Depression / Q000523:psychology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011618:Psychotic Disorders / Q000523:psychology*; D057545:Social Stigma; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted; D055815:Young Adult
keywords: At-risk mental state; Stigma stress; Suicidality