ArticleBMC psychiatry2026
Effectiveness of a tailored psycho-educational program in reducing self-loathing, dissociation, and suicidal behavior among patients with psychiatric disorders.
Article in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundSuicidal behavior is not the result of a single cause or event, but rather reflects interacting clinical and psychosocial factors. Potential facilitators include dissociation and self-hate. This study assessed the association between a tailored psychoeducational program and changes in self-loathing, dissociation, and suicidal behavior among patients with psychiatric disorders.
methodsA quasi-experimental, non-randomized controlled design was utilized (study and control groups with follow-up). The study was conducted at the Psychiatric Health Hospital and Addiction Treatment, Benha City, Qalubia Governorate. A purposive sample of 60 patients was recruited. Data were collected using a structured sociodemographic and clinical questionnaire, a self-loathing scale, the Dissociative Experiences Scale (DES), and a suicidal behavior scale.
resultsTotal dissociation scores in the study group decreased from baseline (2.20 ± 0.71) to post-intervention (1.60 ± 0.67) and remained unchanged at follow-up (1.60 ± 0.67), whereas the control group remained stable across assessments (2.30 ± 0.70). Mixed repeated-measures ANOVA showed a significant group × time interaction for total dissociation (F = 43.50, p < 0.001, η²p = 0.60). Significant group × time interactions were also observed across all dissociation dimensions (all p < 0.001). In addition, self-loathing and suicidal behavior improved significantly in the study group across post-intervention and follow-up assessments compared with the control group (p < 0.001).
conclusionsThe psychoeducational program was associated with improved self-loathing, dissociation, and suicidal behavior outcomes over time among psychiatric patients in this setting. Given the non-randomized design, causal inference should be made cautiously, and further studies using stronger designs and longer follow-up are recommended. CLINICAL TRIAL NUMBER: Not applicable.
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