Making Sense of the Public Stigma of Suicide.
BACKGROUND
Research suggests that stigma is a barrier to care for individuals who have attempted suicide. While extensive work has examined the stigma of mental illness, less research has focused on the public stigma of suicide. Existing measures of suicide stigma have lacked a conceptual foundation or have failed to include the perspectives of suicide stakeholders.


OBJECTIVE
This research draws on previous qualitative research with suicide stakeholders to create a measure of public suicide stigma.


METHODS
This study used a community-based participatory research (CBPR) approach to define a factor structure for suicide stigma. The CBPR team used focus groups to generate items for each component of stigma (stereotypes, prejudice, and discrimination). Two online surveys (N = 372; N = 243) asked members of the public to rate candidate items for stereotypes, prejudice, and discrimination.


RESULTS
Analyses revealed three factors for stereotypes (weak, crazy, distressed), two factors for prejudice (fear/distrust, anger), and three for discrimination (avoidance, disdain, coercion).


CONCLUSIONS
Results should be confirmed in other samples and further evidence gathered on convergent, divergent, and discriminant validity.


CONCLUSIONS
The resulting 44-item Suicide Stigma Assessment Scale (SSAS) can be further validated and used to measure efficacy of stigma change interventions.
1 Illinois Institute of Technology, Chicago, IL, USA.
Patrick W
PW
Corrigan
1 Illinois Institute of Technology, Chicago, IL, USA.
Lindsay
L
Sheehan
1 Illinois Institute of Technology, Chicago, IL, USA.
Maya A
MA
Al-Khouja
1 Illinois Institute of Technology, Chicago, IL, USA.
D000328:Adult; D000367:Age Factors; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D011287:Prejudice; D044469:Racial Groups / Q000523:psychology / Q000706:statistics & numerical data; D012737:Sex Factors; D057545:Social Stigma; D013240:Stereotyping; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires
discrimination; prejudice; stereotypes; stigma; suicide