Shame-proneness in attempted suicide patients
<p>Abstract</p> <p>Background</p> <p>It has been suggested that shame may be an important feature in suicidal behaviors. The disposition to react with shame, “shame-proneness”, has previously not been investigated in groups of attempted suicide patients. We examined sha...
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doaj-d476d9e7f7b743ca8eb4af6c99f7d48d2020-11-25T00:25:19ZengBMCBMC Psychiatry1471-244X2012-05-011215010.1186/1471-244X-12-50Shame-proneness in attempted suicide patientsWiklander MariaSamuelsson MatsJokinen JussiNilsonne ÅsaWilczek AlexanderRylander GunnarÅsberg Marie<p>Abstract</p> <p>Background</p> <p>It has been suggested that shame may be an important feature in suicidal behaviors. The disposition to react with shame, “shame-proneness”, has previously not been investigated in groups of attempted suicide patients. We examined shame-proneness in two groups of attempted suicide patients, one group of non-suicidal patients and one group of healthy controls. We hypothesized that the attempted suicide patients would be more shame-prone than non-suicidal patients and healthy controls.</p> <p>Methods</p> <p>The Test of Self-Conscious Affect (TOSCA), which is the most used measure of shame-proneness, was completed by attempted suicide patients (n = 175: 105 women and 3 men with borderline personality disorder [BPD], 45 women and 22 men without BPD), non-suicidal psychiatric patients (n = 162), and healthy controls (n = 161). The participants were convenience samples, with patients from three clinical research projects and healthy controls from a fourth research project. The relationship between shame-proneness and attempted suicide was studied with group comparisons and multiple regressions. Men and women were analyzed separately.</p> <p>Results</p> <p>Women were generally more shame-prone than men of the same participant group. Female suicide attempters with BPD were significantly more shame-prone than both female suicide attempters without BPD and female non-suicidal patients and controls. Male suicide attempters without BPD were significantly less shame-prone than non-suicidal male patients. In multiple regressions, shame-proneness was predicted by level of depression and BPD (but not by attempted suicide) in female patients, and level of depression and non-suicidality in male patients.</p> <p>Conclusions</p> <p>Contrary to our hypothesis and related previous research, there was no general relationship between shame-proneness and attempted suicide. Shame-proneness was differentially related to attempted suicide in different groups of suicide attempters, with significantly high shame-proneness among female suicide attempters with BPD and a negative relationship between shame-proneness and attempted suicide among male patients. More research on state and trait shame in different groups of suicidal individuals seems clinically relevant.</p> http://www.biomedcentral.com/1471-244X/12/50Attempted suicideShameBorderline personality disorderAffective disorders |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wiklander Maria Samuelsson Mats Jokinen Jussi Nilsonne Åsa Wilczek Alexander Rylander Gunnar Åsberg Marie |
spellingShingle |
Wiklander Maria Samuelsson Mats Jokinen Jussi Nilsonne Åsa Wilczek Alexander Rylander Gunnar Åsberg Marie Shame-proneness in attempted suicide patients BMC Psychiatry Attempted suicide Shame Borderline personality disorder Affective disorders |
author_facet |
Wiklander Maria Samuelsson Mats Jokinen Jussi Nilsonne Åsa Wilczek Alexander Rylander Gunnar Åsberg Marie |
author_sort |
Wiklander Maria |
title |
Shame-proneness in attempted suicide patients |
title_short |
Shame-proneness in attempted suicide patients |
title_full |
Shame-proneness in attempted suicide patients |
title_fullStr |
Shame-proneness in attempted suicide patients |
title_full_unstemmed |
Shame-proneness in attempted suicide patients |
title_sort |
shame-proneness in attempted suicide patients |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2012-05-01 |
description |
<p>Abstract</p> <p>Background</p> <p>It has been suggested that shame may be an important feature in suicidal behaviors. The disposition to react with shame, “shame-proneness”, has previously not been investigated in groups of attempted suicide patients. We examined shame-proneness in two groups of attempted suicide patients, one group of non-suicidal patients and one group of healthy controls. We hypothesized that the attempted suicide patients would be more shame-prone than non-suicidal patients and healthy controls.</p> <p>Methods</p> <p>The Test of Self-Conscious Affect (TOSCA), which is the most used measure of shame-proneness, was completed by attempted suicide patients (n = 175: 105 women and 3 men with borderline personality disorder [BPD], 45 women and 22 men without BPD), non-suicidal psychiatric patients (n = 162), and healthy controls (n = 161). The participants were convenience samples, with patients from three clinical research projects and healthy controls from a fourth research project. The relationship between shame-proneness and attempted suicide was studied with group comparisons and multiple regressions. Men and women were analyzed separately.</p> <p>Results</p> <p>Women were generally more shame-prone than men of the same participant group. Female suicide attempters with BPD were significantly more shame-prone than both female suicide attempters without BPD and female non-suicidal patients and controls. Male suicide attempters without BPD were significantly less shame-prone than non-suicidal male patients. In multiple regressions, shame-proneness was predicted by level of depression and BPD (but not by attempted suicide) in female patients, and level of depression and non-suicidality in male patients.</p> <p>Conclusions</p> <p>Contrary to our hypothesis and related previous research, there was no general relationship between shame-proneness and attempted suicide. Shame-proneness was differentially related to attempted suicide in different groups of suicide attempters, with significantly high shame-proneness among female suicide attempters with BPD and a negative relationship between shame-proneness and attempted suicide among male patients. More research on state and trait shame in different groups of suicidal individuals seems clinically relevant.</p> |
topic |
Attempted suicide Shame Borderline personality disorder Affective disorders |
url |
http://www.biomedcentral.com/1471-244X/12/50 |
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