Race Moderates the Relation between Internalized Stigma and Suicidal Thoughts and Behaviors in Youth with Psychosis-Risk Syndromes and Early Psychosis
- PMID: 37034268
- PMCID: PMC10081150
- DOI: 10.1037/sah0000417
Race Moderates the Relation between Internalized Stigma and Suicidal Thoughts and Behaviors in Youth with Psychosis-Risk Syndromes and Early Psychosis
Abstract
Suicide is a leading cause of death among youth on the psychosis spectrum. Internalized mental health stigma is one risk factor for suicide that may be particularly salient for youth with psychosis-risk syndromes and early psychosis. Among this population, Black youth may face exposure to racism-related stressors that may exacerbate the negative effects of internalized stigma. This study examined whether internalized stigma and race interact to predict suicidal thoughts and behaviors (STB) in a help-seeking sample of Black and White adolescents with psychosis-risk syndromes and early psychosis. Findings suggest that Black youth with early psychosis spectrum disorders may be particularly vulnerable to the negative effects of internalized stigma as they pertain to STB. Internalized stigma may therefore represent an important treatment target in suicide prevention efforts among this population.
Keywords: clinical high risk; early psychosis spectrum; internalized stigma; race; suicidal thoughts and behaviors.
Conflict of interest statement
Conflict of Interest All authors declare that they have no conflicts of interest.
Similar articles
-
Suicidal thoughts and behavior (STB) and psychosis-risk symptoms among psychiatrically hospitalized adolescents.Schizophr Res. 2020 Apr;218:240-246. doi: 10.1016/j.schres.2019.12.037. Epub 2020 Jan 13. Schizophr Res. 2020. PMID: 31948902 Free PMC article.
-
Predictors of internalized mental health stigma in a help-seeking sample of youth: The roles of psychosis-spectrum symptoms and family functioning.J Abnorm Psychol. 2021 Aug;130(6):587-593. doi: 10.1037/abn0000679. J Abnorm Psychol. 2021. PMID: 34553954 Free PMC article.
-
Perceived and Internalized Stigma Towards Suicide and Their Roles in Suicidal Thoughts and Behaviors Among Chinese College Students.Omega (Westport). 2024 Aug 13:302228241272648. doi: 10.1177/00302228241272648. Online ahead of print. Omega (Westport). 2024. PMID: 39136367
-
Relationships between internalized stigma and depression and suicide risk among queer youth in the United States: a systematic review and meta-analysis.Front Psychiatry. 2023 Jul 20;14:1205581. doi: 10.3389/fpsyt.2023.1205581. eCollection 2023. Front Psychiatry. 2023. PMID: 37547195 Free PMC article.
-
The Reciprocal Relationship between Suicidality and Stigma.Front Psychiatry. 2017 Mar 8;8:35. doi: 10.3389/fpsyt.2017.00035. eCollection 2017. Front Psychiatry. 2017. PMID: 28337154 Free PMC article. Review.
Cited by
-
Examining the integrated model of the interpersonal-psychological theory of suicide and intersectionality theory among Black male adolescents.Suicide Life Threat Behav. 2025 Feb;55(1):e13066. doi: 10.1111/sltb.13066. Epub 2024 Feb 27. Suicide Life Threat Behav. 2025. PMID: 38411036 Free PMC article.
-
Perceptions of stigma in youth at clinical high risk for psychosis and depressive symptomatology.Schizophr Res. 2024 Jul;269:79-85. doi: 10.1016/j.schres.2024.04.023. Epub 2024 May 15. Schizophr Res. 2024. PMID: 38754312 Free PMC article.
References
-
- Anglin DM, Ereshefsky S, Klaunig MJ, Bridgwater MA, Niendam TA, Ellman LM, DeVylder J, Thayer G, Bolden K, Musket CW, Grattan RE, Lincoln SH, Schiffman J, Lipner E, Bachman P, Corcoran CM, Mota NB, & van der Ven E (2021). From womb to neighborhood: A racial analysis of social determinants of psychosis in the United States. The American Journal of Psychiatry, 178(7), 599–610. 10.1176/appi.ajp.2020.20071091 - DOI - PMC - PubMed
-
- Baiden P, LaBrenz CA, Asiedua-Baiden G, & Muehlenkamp JJ (2020). Examining the intersection of race/ethnicity and sexual orientation on suicidal ideation and suicide attempt among adolescents: Findings from the 2017 Youth Risk Behavior Survey. Journal of Psychiatric Research, 125, 13–20. 10.1016/j.jpsychires.2020.02.029 - DOI - PubMed