Changing the Meaning of Help: Clinical Approaches to Reducing Stigma among Suicidal Young Adults

Abstract

Reducing stigma associated with mental health concerns is a key objective of suicide prevention policies. Although the primary aim of these efforts is to promote help-seeking, the problem of stigma does not necessarily end when a person crosses the threshold to treatment. Internalized stigma can affect meanings attached to experiencing a problem or needing help, adding to the burden of mental health difficulties. Perceived stigma by others can inhibit positive social connections and exacerbate social isolation. This article draws on cognitive and relational-cultural theories to discuss psychological and interpersonal consequences of mental illness stigma for depressed and suicidal young adults. Clinical approaches to addressing stigma are illustrated with a case vignette of a 19-year-old male college student.

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