A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia

Sharaf, Amira Y.; Ossman, Laila H.; Lachine, Ola A.

doi:10.1016/j.ijnurstu.2012.08.006

Cited by 71 publications

(62 citation statements)

References 47 publications

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“…In keeping with previous literature concerning suicide and psychosis, in our sample we also replicated the association between suicidality and being single (Balhara et al, 2012) and unemployed (Sharaf et al, 2012). Similarly, previous studies had reported social isolation to be related to suicide risk (Pješčić et al, 2014).…”

Section: Predictors Of Suicidalitysupporting

confidence: 91%

“…However, several limitations of our study should be considered when , 2015), family history of self-harm Balhara et., al 2012;Pluck et al, 2013) and internalized stigma (Sharaf et al, 2012;Belvederi et al, 2015) may contribute to suicidality in psychosis. However, in our study these variables could not be included because they either had not been electronically recorded prior to the patient's assessment (e.g.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Therefore, the association of insight dimensions with suicidality may change over the course of the illness (Barrett et al, 2015). Third, a specific scale to assess suicidality may have been more sensitive in detecting subtle differences in suicidal ideation (Sharaf et al, 2012). Finally, further differences may not have been detected due to insufficient statistical power.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Interestingly, while the three cross-sectional studies (Flanagan et al, 2012, Sharaf et al, 2012Lopez-Moriñigo et al, 2014) revealed positive associations of insight with suicidality, a 3-year follow-up FEP study failed to replicate such associations (AyesaArriola et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Insight and suicidality in psychosis: A cross-sectional study

Massons

López-Moriñigo

Pousa

et al. 2017

Psychiatry Research

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Insight and suicidality in psychosis: A crosssectional study, Psychiatry Research, http://dx.doi.org/10.1016Research, http://dx.doi.org/10. /j.psychres.2017 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Insight scale total score and two specific domains (awareness of "disturbed thinking and loss of control over the situation" and "having a vague feeling that something is wrong") were related to suicidality. However, no insight dimensions survived the multivariable regression model, which found depression and previous suicidal behaviour to predict suicidality. Conclusions: Suicidality in psychosis was linked with some insight dimensions: awareness of mental illness and awareness of social consequences, but not compliance. Depression and previous suicidal behaviour mediated the associations with insight; thus, predicting suicidality.

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Section: Predictors Of Suicidalitysupporting

confidence: 91%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Insight and suicidality in psychosis: A cross-sectional study

Massons

López-Moriñigo

Pousa

et al. 2017

Psychiatry Research

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“…Improved insight has been linked to emotional distress and suicidality in both early and prolonged phases of the illness [20,100,101]. Paradoxically, with greater insight persons have been found to have higher levels of depression [102,103,48], lowered self-esteem [104], and decreased quality of life [105][106][107].…”

Section: Paradoxical Distress and The Contribution Of Stigmamentioning

confidence: 99%

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Vohs

George

Leonhardt

et al. 2016

Expert Review of Neurotherapeutics

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Introduction: Poor insight, or unawareness of some major aspect of mental illness, is a major barrier to wellness when it interferes with persons seeking out treatment or forming their own understanding of the challenges they face. One barrier to addressing impaired insight is the absence of a comprehensive model of how poor insight develops. Areas covered: To explore this issue we review how poor insight is the result of multiple phenomena which interfere with the construction of narrative accounts of psychiatric challenges, rather than a single social or biological cause.Expert Commentary: We propose an integrative model of poor insight in schizophrenia which involves the interaction of symptoms, deficits in neurocognition, social cognition, metacognition, and stigma. Emerging treatments for poor insight including therapies which focus on the development of metacognition are discussed.

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Schizophrenia, Other Psychotic Disorders, and Suicidal Behavior

McGirr

Turecki

2016

The International Handbook of Suicide Prevention

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A cross-sectional study of the relationships between illness insight, internalized stigma, and suicide risk in individuals with schizophrenia

Cited by 71 publications

References 47 publications

Insight and suicidality in psychosis: A cross-sectional study

Insight and suicidality in psychosis: A cross-sectional study

An integrative model of the impairments in insight in schizophrenia: emerging research on causal factors and treatments

Schizophrenia, Other Psychotic Disorders, and Suicidal Behavior

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