Self-stigma is the adverse effect of internalized prejudice, manifesting in reduced self-esteem, decreased self-efficacy, and a feeling of "why try" or self-deprecation (undervaluing any attempts to get a job, be social, etc., because of lack of self-worth).
[7] It has been glorified in self-immolation as an act of martyrdom as in the case of Thích Quảng Đức who burned himself to death in protest of South Vietnam’s religious policy.
This negative backdrop was seen in Colonial America, where suicides were considered criminal and brought to trial, even if mental illness had been present.
[10] It is stigmatized in the public perception by being associated with weakness, a "cry for attention," shame, and depression, without understanding the contributing factors.
[11] Erving Goffman defined courtesy stigma as the discrimination, prejudice and stereotypes experienced by friends and family as suicide survivors.
[13] Distress and reduced life satisfaction are directly affected by subjective feelings of being devalued and marginalized, which develops into an internalized stigma.
This leads to self-stigmatized emotions, self-deprecation and self-actualization of negative stereotypes, causing further withdrawal, reduction in quality of life and inhibiting access to care.
[13] This emotional stigma also affects suicide survivors–those suffering the loss of a loved one–stirring up guilt, self-blame, isolation, depression and post-traumatic stress.
[15] Subjective experiences of feeling shunned or blamed for an incident can cause those close to the victim to bury the truth of what transpired.
They include: It is important to note, however, that in-depth training is paramount for those involved in any service that looks to the awareness and needs of those touched by suicide.
[19] School can be the best place to implement a suicide education program because it is the pivotal location that brings together the major influences in an adolescent's life.
[citation needed] Pilot programs for awareness, and coping and resiliency training should be put into place for all adolescent school-aged children to combat life stressors and to encourage healthy communication.