Psychosocial indicators of suicidal ideation among acid attack survivors

Purpose This study aims to probe the relationship of facial disfigurement, stigmatization, burdensome, hopelessness and suicidal ideation in acid attack survivors and to scrutinize the mediating role of perceived burdensome and hopelessness in connection between facial disfigurement, social stigmatization and suicidal ideation among acid attack survivors. Design/methodology/approach Data was collected from Holy Family Hospital which is located in Rawalpindi, Pakistan, Acid Survivors Foundation and social media sites. Purposive sampling technique was used to collect the sample. Sample comprised of N = 74 acid attack survivors. English version of discrimination and stigma scale, interpersonal needs questionnaire perceived burdensome scale, suicidal ideation attributes scale, Beck hopelessness scale and observer-rated facial disfigurement scale were used for the assessment. Statistical analysis includes correlation and mediation analysis through process macro. Findings Results indicated significant positive relationship between facial disfigurements, unfair treatment, stopping self and perceived burdensome with suicidal ideation, whereas overcoming stigma, hopelessness and positive treatment present a negative relationship with suicidal ideation. Results of the current study also showed that burdensome and hopelessness appear as significant mediator in association between facial disfigurement, social discrimination and suicidal ideation. This study provides the awareness about how by decreasing the hopelessness and perceived burdensome and resolving social stigmatization can minimize suicidal ideation and risks accompanying it. Originality/value This research covers a topic that violates human rights, it is a topic that never gets old and people are still facing its effects.

[1]  G. Blashki,et al.  Psychological Distress and Suicidal Ideation in Australian Online Help-Seekers: The Mediating Role of Perceived Burdensomeness , 2021, Archives of suicide research : official journal of the International Academy for Suicide Research.

[2]  M. Pompili,et al.  Further Insights Into the Beck Hopelessness Scale (BHS): Unidimensionality Among Psychiatric Inpatients , 2020, Frontiers in Psychiatry.

[3]  Amy M. Brausch,et al.  Social Support Mediates the Association between Disclosure of Suicide Attempt and Depression, Perceived Burdensomeness, and Thwarted Belongingness. , 2020, Suicide & life-threatening behavior.

[4]  Tanvir Akhtar,et al.  Psychosocial correlates of suicidal ideation in acid attack survivors , 2019 .

[5]  D. Visentin,et al.  Acid burn attacks: Looking beneath the surface. , 2018, Journal of advanced nursing.

[6]  Lisbeth Ku,et al.  Indirect Effect of Hopelessness on Depression Symptoms Through Perceived Burdensomeness , 2018, Psychological reports.

[7]  Francisco J Acosta,et al.  Suicidal risk, hopelessness and depression in patients with schizophrenia and internalized stigma. , 2018, Actas espanolas de psiquiatria.

[8]  Renée S. MacPhee,et al.  Suicidal Ideation, Plans, and Attempts Among Public Safety Personnel in Canada , 2018, Canadian Psychology/Psychologie canadienne.

[9]  A. Hadi,et al.  Patriarchy and Gender-Based Violence in Pakistan , 2017 .

[10]  B. Carpiniello,et al.  The Reciprocal Relationship between Suicidality and Stigma , 2017, Front. Psychiatry.

[11]  Lizandro A. Molina-Sabando,et al.  El comportamiento organizacional y su importancia para la administración de empresas , 2016 .

[12]  H. Christensen,et al.  The suicidal ideation attributes scale (SIDAS): Community-based validation study of a new scale for the measurement of suicidal ideation. , 2014, Suicide & life-threatening behavior.

[13]  A. Ghanizadeh,et al.  Effectiveness of Cognitive-Behavioral Therapy in Decreasing Suicidal Ideation and Hopelessness of the Adolescents with Previous Suicidal Attempts , 2013, Iranian journal of pediatrics.

[14]  Nehaluddin Ahmad Weak Laws against Acid Attacks on Women: an Indian Perspective , 2012, The Medico-legal journal.

[15]  Kelly C. Cukrowicz,et al.  Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. , 2012, Psychological assessment.

[16]  G. Thornicroft,et al.  Further development and psychometric validation of the discrimination and stigma scale (DISC-12) , 2011 .

[17]  T. Joiner,et al.  The interpersonal-psychological theory of suicidal behavior: current status and future directions. , 2009, Journal of clinical psychology.

[18]  S. Valente Visual Disfigurement and Depression , 2004, Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses.

[19]  P. Butler,et al.  Cases of chemical assault worldwide: a literature review. , 2007, Burns : journal of the International Society for Burn Injuries.

[20]  P. Gullane,et al.  Psychosocial adjustment in head and neck cancer: The impact of disfigurement, gender and social support , 2003, Head & neck.

[21]  D. Oslin,et al.  Suicidal and death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. , 2002, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[22]  C. Godfrey Emotional Reactions to Disfigurement from Cancer Therapy. , 1963, Canadian Medical Association journal.