Citation

Stip E, Caron J, Tousignant M, Lecomte Y. Can. J. Psychiatry 2017; 62(10): 726-734.

Copyright

(Copyright © 2017, Canadian Psychiatric Association, Publisher SAGE Publications)

DOI

10.1177/0706743717715207

PMID

28673099

PMCID

PMC5638189

Abstract

OBJECTIVE: To predict suicidal ideation in people with schizophrenia, certain studies have measured its relationship with the variables of defeat and entrapment. The relationships are positive, but their interactions remain undefined. To further their understanding, this research sought to measure the relationship between suicidal ideation with the variables of loss, entrapment, and humiliation.
METHOD: The convenience sample included 30 patients with schizophrenia spectrum disorders. The study was prospective (3 measurement times) during a 6-month period.

RESULTS were analyzed by stepwise multiple regression.
RESULTS: The contribution of the 3 variables to the variance of suicidal ideation was not significant at any of the 3 times (T1: 16.2%, P = 0.056; T2: 19.9%, P = 0.117; T3: 11.2%, P = 0.109). Further analyses measured the relationship between the variables of stigmatization, perceived cognitive dysfunction, symptoms, depression, self-esteem, reason to live, spirituality, social provision, and suicidal ideation. Stepwise multiple regression demonstrated that the contribution of the variables of stigmatization and perceived cognitive dysfunction to the variance of suicidal ideation was significant at all 3 times (T1: 41.7.5%, P = 0.000; T2: 35.2%, P = 0.001; T3: 21.5%, P = 0.012). Yet, over time, the individual contribution of the variables changed: T1, stigmatization (β = 0.518; P = 0.002); T2, stigmatization (β = 0.394; P = 0.025) and perceived cognitive dysfunction (β = 0.349; P = 0.046). Then, at T3, only perceived cognitive dysfunction contributed significantly to suicidal ideation (β = 0.438; P = 0.016).
CONCLUSION: The results highlight the importance of the contribution of the variables of perceived cognitive dysfunction and stigmatization in the onset of suicidal ideation in people with schizophrenia spectrum disorders.

Language: en

Keywords

Humans; Adult; Female; Male; Middle Aged; Self Concept; Prospective Studies; Young Adult; Social Stigma; Suicidal Ideation; Schizophrenia; suicidal ideation; schizophrenia; Schizophrenic Psychology; loss; stigmatization; entrapment; humiliation; Cognitive Dysfunction; perceived cognitive dysfunction