Cited by 96Suicide and Self-Harm StudiesMental Health Treatment and AccessGrief, Bereavement, and Mental Health

Stigma of Suicide Attempt (STOSA) scale and Stigma of Suicide and Suicide Survivor (STOSASS) scale: Two new assessment tools

Scocco, Paolo, Castriotta, Cristina, Toffol, Elena, Preti, Antonio·2012·Psychiatry Research

Abstract

This study aimed at validating two new assessment tools, the Stigma of Suicide Attempt (STOSA) scale and the Stigma of Suicide and Suicide Survivor (STOSASS) scale. The Devaluation-Discrimination scale of Link et al. was translated into Italian and adapted to measure stigma towards suicidal behavior. Both scales were administered to a mixed sample including members of the general population (n=282), patients with a mental disorder (n=113), suicide attempters (n=57) and people who had lost a significant other to suicide (n=75). Reliability of the scales was good in terms of both internal coherence and test-retest stability. Factor analysis produced an acceptable solution for the STOSA-scale. Items were distributed into two factors, one grouping items to measure supportive, respectful and caring attitudes, the other factor grouping items oriented towards stigmatizing attitudes and beliefs. The clinical populations were more inclined towards stigmatization of suicide than were people from the general population, who might be less aware of the stigma attached to suicide. The two scales may be helpful to quantify stigma at individual level in order to provide targeted supportive interventions, and at population level to measure changes in the beliefs and attitudes of the general population.

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Crossref · 10.1016/j.psychres.2012.06.033

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  • Seven studies examined associations of stigma with grief difficulties and sociodemographic variables.

    “Seven studies examined the associations of stigma with grief difficulties and sociodemographic variables [1,15,35–37,43,44].”
  • Female participants were at a higher risk of experiencing stigma.

    “Female participants were at a higher risk of experiencing stigma [1,35,37].”
  • In Scocco et al., stigma scores did not differ between the general population, psychiatric patients, and suicide survivors.

    “Analysis of responses revealed that stigma scores did not differ between the groups, with participants generally expressing moderately negative attitudes towards suicide survivors.”
  • In Scocco et al., participants generally expressed moderately negative attitudes towards suicide survivors.

    “Analysis of responses revealed that stigma scores did not differ between the groups, with participants generally expressing moderately negative attitudes towards suicide survivors.”
  • Only one study met inclusion criteria with results indicating that stigmatizing attitudes are indeed common among the general population.

    “Only one study met inclusion criteria with results indicating that stigmatizing attitudes are indeed common among the general population.”

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Authors
Scocco, P., Castriotta, C., Toffol, E., & Preti, A.
Affiliations
  • University of Padua (IT)
  • University of Helsinki (FI)
  • University of Cagliari (IT)
Corresponding author
Scocco, Paolo
Venue
Psychiatry Research
Publisher
Elsevier BV
Published
2012-12
Volume
200
Issue
2-3
Pages
872-878
ISSN
0165-1781 (ISSN-L)
OpenAlex
W2117773283
Cited by
96
References
49
Citations by year
2026: 3 · 2025: 10 · 2024: 4 · 2023: 8 · 2022: 8 · 2021: 8 · 2020: 7 · 2019: 6 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 4
FWCI
6.16
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatry Research (publishedVersion)
  • PubMed (publishedVersion)
  • UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • WOS
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords
suicide stigma, suicide survivors, stigma measurement, scale validation, Italian translation, mental illness, attitudes toward suicide, test-retest reliability, factor structure
MeSH terms
Adult, Aged, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Stereotyping, Suicide, Attempted, Reproducibility of Results, Survivors, Social Stigma

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