@article{ref1,
title="The link between mental health-related discrimination and suicidality: service user perspectives",
journal="Psychological medicine",
year="2015",
author="Farrelly, S. and Jeffery, D. and Rüsch, N. and Williams, P. and Thornicroft, G. and Clément, S.",
volume="45",
number="10",
pages="2013-2022",
abstract="BACKGROUND: Suicide is a major global public health issue. Mental illness is a risk factor for suicide, but as many individuals with a diagnosed mental health problem do not experience suicidal ideation or attempt suicide, other individual and societal factors must be considered. Mental illness-related discrimination is one potential risk factor. <br><br>METHOD: Using mixed methods, the influence of discrimination on suicidality amongst 194 individuals diagnosed with depression, bipolar or schizophrenia spectrum disorders was investigated. Qualitative interviews with a sub-sample of 58 individuals who reported a link between experience of discrimination and suicidality were analysed using framework analysis. Quantitative methods were used to examine the model derived from qualitative analyses. <br><br>RESULTS: Results indicate that the experience of discrimination led 38% of the overall sample of 194 participants, to suicidal feelings and 20% reported that it contributed to making a suicide attempt. The qualitative model derived from interviews with a sub-sample of 58 participants suggested that the experience of discrimination is experienced as a stressor that exceeds coping resources, leading to a negative self-image and a perception of decreased supportive networks/social structure. The anticipation of further negative events and treatment, and the perception of a lack of supportive networks led individuals in this study to feelings of hopelessness and suicidality. Quantitative analyses provided support for the model. <br><br>CONCLUSIONS: These data suggest that both psychological therapies aimed at improving coping skills and population-level anti-stigma interventions that reduce the occurrence of discrimination may provide some protection against suicide amongst individuals with mental health problems.<p /> <p>Language: en</p>",
language="en",
issn="0033-2917",
doi="10.1017/S0033291714003158",
url="http://dx.doi.org/10.1017/S0033291714003158"
}