Self-Stigma and the Ideation-to-Action Framework of Suicide Among Chinese College Students: A Multi-Wave Study


Suicide stigma is a multifaceted social issue with far-reaching consequences for mental health. While previous research has linked it to suicidal thoughts and behaviors (STBs), the roles of perceived and internalized forms of this stigma in influencing STBs remain unclear. This study investigated the potential diachronic causal relationships between perceived and internalized suicide stigma, hopelessness, unbearable pain, and thwarted connectedness in relation to suicidal thoughts and behaviors (STBs) among 546 Chinese college students (mean age = 20.92 years). A three-wave longitudinal design was employed through structural equation modeling. Structural equation modeling revealed that internalized stigma, in turn, mediated the relationship between baseline perceived stigma and subsequent unbearable pain, hopelessness, and thwarted connectedness at six months, ultimately leading to STBs. These findings support the three-step theory of suicide. This study's findings suggest that perceived and internalized suicide stigma longitudinally predicts STBs within the ideation-to-action framework.

Author Information
Shunyan Lyu, Thompson Rivers University, Canada
Yu Li, Beijing Normal University & Hong Kong Baptist University United International College, China
Zixuan Guo, University of Pennsylvania, United States
Yanan Jiang, Macau University of Science and Technology, Macau

Paper Information
Conference: ACP2024
Stream: Mental Health

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Posted by James Alexander Gordon