Who Comes Out With Their Mental Illness and How Does It Help?

The Journal of Nervous and Mental Disease
Patrick W CorriganMaya Al-Khouja

Abstract

Coming out with mental illness may be an effective strategy for reducing self-stigma. This study examined predictors and consequences of coming out. Participants (N = 106) with severe mental illness who reported being out (n = 79) or not out (n = 27) endorsed benefits of being out (BBOs) and reasons for staying in. Predictors from baseline measures were self-stigma, insight, and psychiatric diagnosis. Three outcome measures-basic psychological needs, care engagement, and depression-were also completed at baseline and 1-month follow-up. Among participants already out, BBOs and reasons for staying in were significantly and independently associated with self-stigma, insight, and lifetime affective diagnoses. In terms of consequences, BBOs were associated with cross-sectional and 1-month measures of engagement for those already out, but not for closeted participants. Among closeted participants, BBOs were associated with baseline and 1-month measures of basic psychological needs. Implications for strategies meant to promote disclosure in order to decrease self-stigma are considered.

Citations

Jan 12, 2017·Epidemiology and Psychiatric Sciences·N J ReavleyA F Jorm
Nov 13, 2018·The International Journal of Social Psychiatry·Eilish M BurkeAnthony P Morrison
Nov 7, 2019·The Journal of Nervous and Mental Disease·Patrick W Corrigan, Maya A Al-Khouja
Apr 18, 2020·Language, Speech, and Hearing Services in Schools·Greg SnyderPaul Blanchet
Feb 14, 2021·Community Mental Health Journal·Genesis LindstromTom Riley

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