Send to:

Choose Destination
See comment in PubMed Commons below
Int J Soc Psychiatry. 2011 Jul;57(4):418-27. doi: 10.1177/0020764010363522. Epub 2010 Mar 30.

Correlates of self-stigma among outpatients with mental illness in Lagos, Nigeria.

Author information

  • 1Department of Behavioural Medicine, Lagos State University College of Medicine, Ikeja, Nigeria.



Studies in this region have all been limited to public stigma whereas little is known about the extent of self-stigma.


To assess the extent, domains and correlates of self-stigma among psychiatric outpatients in Lagos, Nigeria.


Psychiatric outpatients (n = 342) from three centres completed a modified version of the Internalized Stigma of Mental Illness scale (ISMI) as a measure of their self-stigma. They were also evaluated for various sociodemographic and clinical related variables.


A total of 74 (n = 21.6%) patients were classified as having 'high self-stigma'. The correlates of high self-stigma included unemployment (OR 3.85, 95% CI 2.55-7.00), poor social support (OR 10.82, 95% CI 4.85-24.84), longer duration of illness (OR 10.35, 95% CI 4.36-25.78) and having full insight into the illness (OR 4.23, 95% CI 2.16-8.76).


Self-stigma is a common phenomenon in psychiatric outpatients in this environment. The present anti-stigma programmes must extend to regions of sub-Saharan Africa and incorporate self-stigma as a matter of priority.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk