The Stigma of Suicide Scale
Psychometric Properties and Correlates of the Stigma of Suicide
Abstract
Background: There are presently no validated scales to adequately measure the stigma of suicide in the community. The Stigma of Suicide Scale (SOSS) is a new scale containing 58 descriptors of a “typical” person who completes suicide. Aims: To validate the SOSS as a tool for assessing stigma toward suicide, to examine the scale’s factor structure, and to assess correlates of stigmatizing attitudes. Method: In March 2010, 676 staff and students at the Australian National University completed the scale in an online survey. The construct validity of the SOSS was assessed by comparing its factors with factors extracted from the Suicide Opinion Questionnaire (SOQ). Results: Three factors were identified: stigma, isolation/depression, and glorification/normalization. Each factor had high internal consistency and strong concurrent validity with the Suicide Opinion Questionnaire. More than 25% of respondents agreed that people who suicided were “weak,” “reckless,” or “selfish.” Respondents who were female, who had a psychology degree, or who spoke only English at home were less stigmatizing. A 16-item version of the scale also demonstrated robust psychometric properties. Conclusions: The SOSS is the first attitudes scale designed to directly measure the stigma of suicide in the community. Results suggest that psychoeducation may successfully reduce stigma.
References
(2008). A psychometric investigation of the Suicide Opinion Questionnaire. Death Studies, 32, 924–936.
. (2006). 2006 Census QuickStats: Australian capital territory. Retrieved from www.censusdata.abs.gov.au
. (2008). 2007 National Survey of Mental Health and Wellbeing: Summary of results. Canberra, Australia: Author.
. (2011). 3303.0: Causes of death, Australia 2009. Canberra, Australia: Author.
(2010). Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health Surveys. Journal of Clinical Psychiatry, 71, 1617–1628.
(2005). Nursing personnel attitudes toward suicide: The development of a measure scale. Revista Brasileira de Psiquiatria, 27, 315–318.
. (2010). The hidden toll: Suicide in Australia. Canberra, Australia: Senate Printing Unit.
(1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54, 765–776.
(2000). Public attitudes toward euthanasia and suicide for terminally ill persons: 1977 and 1996. Social Biology, 47, 264–276.
(1989). Attitudes toward suicide: The development of a suicide-attitude questionnaire (SUIATT). In , Suicide and its prevention: The role of attitude and limitation (pp. 91–107). Leiden: E. J. Brill.
(1989). Attitudes toward suicide: A comparison of Canadian and U. S. college students. Suicide and Life-Threatening Behavior, 19, 160–172.
(1988). Collegiate attitudes toward suicide: New Zealand and United States. Omega: Journal of Death and Dying, 19, 351–364.
(1982). Attitudes toward suicide: A factor analytic approach. Journal of Clinical Psychology, 38, 257–262.
(2003). Sociocultural determinants of suicide ideation: A comparison between American and Ghanaian college samples. Suicide and Life-Threatening Behavior, 33, 165–171.
(2010). Baseline factors predictive of serious suicidality at follow-up: Findings focusing on age and gender from a community-based study. BMC Psychiatry, 10, 41.
(1987). The aftermath of suicide: Attitudes of those bereaved by suicide, of social workers, and of a community sample. Journal of Community Psychology, 15, 141–148.
(2008). Predictors of depression stigma. BMC Psychiatry, 8, 25.
(2000). The construction of the SEDAS: A new suicide-attitude questionnaire. Acta Psychiatrica Scandinavica, 102, 139–146.
(2011). A systematic review of scales that measure attitudes toward suicide. International Journal of Social Psychiatry, 57, 338–361.
(2006). Stigma and its public health implications. Lancet, 367, 528–529.
(2002). Contact with mental health and primary care providers before suicide: A review of the evidence. American Journal of Psychiatry, 159, 909–916.
(1993). Behavior and attitudes. In , Social psychology (4th ed.). New York: McGraw-Hill.
(1992). A reliability investigation of the eight clinical scales of the Suicide Opinion Questionnaire. Suicide and Life-Threatening Behavior, 22, 428–441.
(1995). Cross-validation of the five-factor interpretive model of the Suicide Opinion Questionnaire. Suicide and Life-Threatening Behavior, 25, 305–309.
(1997). Self-reported suicide attempts by adolescents. Annals of Clinical Psychiatry, 9, 263–269.
(1987). Public attitudes toward suicide: Demographic and ideological correlates. Public Opinion Quarterly, 51(1), 92–101.
(1986). Public approval of suicide: A situational analysis. Suicide and Life-Threatening Behavior, 16, 409–418.
(1998). The association between attitudes toward suicide and suicidal ideation in adolescents. Acta Psychiatrica Scandinavica, 97, 195–201.
(1984). The Suicide Attitude Vignette Experience: A method for measuring adolescent attitudes toward suicide. Death Education, 8(Suppl.), 65–79.
(1996). Determinants of suicide ideation: A comparison of Chinese and American college students. Adolescence, 31, 451–467.
