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Suicide in narcissism: Can shame-proneness make a difference?

Published online by Cambridge University Press:  13 August 2021

S. Beomonte Zobel ,
V. Mirizio  and
P. Velotti
S. Beomonte Zobel*
Affiliation:
Dynamical And Clinical Psychology, Sapienza Università di Roma, Rome, Italy
V. Mirizio
Affiliation:
Prevention And Early Interventions In Mental Health, Asl Roma1, Rome, Italy
P. Velotti
Affiliation:
Dynamical And Clinical Psychology, Sapienza Università di Roma, Rome, Italy
*
*Corresponding author.

Abstract

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Introduction

Cluster B personality disorders are characterized by a higher prevalence of suicidal ideation and behavior than others, and Narcissistic Personality Disorder is no different. Very intense feelings of shame, intolerable for the individual, are often found in patients with Narcissistic Personality Disorder and may have a role in suicidal behavior.

Objectives

To offer preliminary empirical evidences concerning the relationship between narcissism, shame and suicide ideation.

Methods

We administered Pathological Narcissism Inventory (PNI), Test of Self Conscious Affects (TOSCA) and Beck Scale for Suicidal Ideation (BSI) to a sample of individuals with Suicide ideation (n= 65) and a sample of community participants (n=65).

Results

Controlling for age and gender, in the merged sample we found that BSI scores correlated significantly with the vulnerable dimension of narcissism and with TOSCA Interpersonal Shame subscale. In the clinical sample, Interpersonal shame partially mediates the relationship between vulnerable narcissism and suicidal ideation.

Conclusions

Shame seems to play a key role in the relationship between the vulnerable facet of narcissism and suicidal ideation, although the profound mechanism by which it works remains to be understood. Future directions and clinical implications are discussed.

Keywords

SuicideSuicide ideationshame-pronenessNarcissism
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S586
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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