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psychopathology

Internalized Stigma of Mental Illness Scale (ISMI-9) Test

Take the online Internalized Stigma of Mental Illness Scale (ISMI-9) Test - AI psychologist FreudlyYou can take Internalized Stigma of Mental Illness Scale (ISMI-9) Test here. Online version of a simple and accurate psychological test with interpretation.en
Completed in about two minutes, the Internalized Stigma of Mental Illness Scale (ISMI-9) Test presents nine statements about how mental illness-related stereotypes may affect self-perception, belonging, and expectations. Your result highlights the apparent severity of this experience, offering a focused starting point for personal reflection.
Questions: 92 minutes
Internalized Stigma of Mental Illness: agreement scale card
October 2, 2025October 2, 2025Material has been updatedOctober 2, 2025Material has been published
25,027 views
2,017 completions
1,666 likes
Daniel HallPsychologist · Test reviewer
1,666 likes
Scale Explorer

How the Scales are Structured

Severity of Self-StigmaSoSS
Measures the severity of internalized self-stigma related to one’s mental or neurological condition.
example score2/4
2/4None/Minimalexample score
1 – 2None/Minimal
2.01 – 3Low–Moderate
3.01 – 4Pronounced
A score of 2 indicates none to minimal self-stigmatization on this scale.
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DATA-BASED USER COHORTS

Who Usually Takes This Test?

People with mental health diagnoses
44%OF USERS
They want to understand how much shame, self-blame, or fear of judgment about their condition affects daily life and recovery.
People with neurological conditions
33%OF USERS
They use it to check whether their diagnosis has led to self-stigma, withdrawal, or a drop in confidence.
Therapy and clinic clients
23%OF USERS
They take it at the request of a clinician to quickly pinpoint internalized stigma and choose the right focus for support.
BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.
Benchmarking

See How You Compare

Once you complete the test, your results are compared with real-world data from people in your country.
Below is a preview of how scores are typically distributed across each scale.
Shaded area — where most people score
Dot — the average
You — your score lands on each curve after the test— your score, after the test
Degree of self-stigmatizationDos
You?
Average2.3
Typical rangeTypical1.8 – 2.8
Possible1 – 4
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SAMPLE QUESTIONS

Example Questions From the Test

In this questionnaire, the term “mental illness” will be used; however, it may be understood in whatever terms are most appropriate for you. For each item, please select the response option that best reflects the extent to which you agree with the statement.
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
    • Strongly disagree
    • Disagree
    • Agree
    • Strongly agree
WHAT THE TEST MEASURES

Internalized Stigma of Mental Illness Scale (ISMI-9) Test - Description and methodology of the test

psychopathology
stigmatization

People who want to understand whether mental-illness stereotypes have become part of their self-view may find the Internalized Stigma of Mental Illness Scale (ISMI-9) Test useful as a focused reflection tool. This internalized mental illness stigma test examines beliefs about belonging, difference, social expectations, and hope for a satisfying life. The result offers a concise picture of the tendency reflected in these responses.

What This Assessment Explores

This ISMI-9 questionnaire examines the psychological impact that can arise when negative stereotypes about mental illness are adopted and directed toward oneself. Statements cover feeling different, isolated, misunderstood, unable to contribute, or unlikely to be accepted, alongside beliefs about autonomy and a fulfilling life. The result describes apparent self-stigmatization in these situations, not a diagnosis.

These dimensions are represented in the response pattern:

  • Severity of Self-Stigma ranges from 1-4; higher values indicate more severe self-stigmatization, with None/Minimal at 1-2, Low-Moderate at 2.01-3, and Pronounced at 3.01-4.
  • Stereotype adoption shows how strongly negative beliefs are applied to the self.
  • Belonging and agency reflect perceived distance from others and confidence in living, contributing, and connecting meaningfully.

The individual answers can prompt reflection on which beliefs resonate, while the displayed score summarizes overall severity.

Methodology and Scientific Basis

Each statement uses a four-point agreement format, from Strongly disagree to Strongly agree. The items combine experiences of exclusion with beliefs that preserve autonomy or hope, so interpretation depends on the overall response pattern rather than one isolated answer. The questionnaire reports one severity result; no item-level weighting rule is stated.

The published ISMI-9 study examined the short form’s internal structure and reliability alongside longer ISMI versions in Americans with depression. Its construct is also consistent with the original ISMI work by Ritsher, Otilingam, and Grajales. This online questionnaire is conceptually consistent with those measures, but it should not be treated as identical to their research instruments, samples, or validation procedures.

As a self-stigma assessment, it depends on candid self-report and can be influenced by current mood, recent experiences, self-awareness, and response style. Published findings support the relevance of the short-form construct, while the online presentation itself does not establish population norms or diagnostic cutoffs. Read the result as a structured indication of internalized stigma that can guide reflection and discussion.

Author: David L. Penn, Patrick W. Corrigan
Literature:
  • Hammer JH, Toland MD. Internal structure and reliability of the Internalized Stigma of Mental Illness Scale (ISMI-29) and brief versions (ISMI-10, ISMI-9) among Americans with depression. Stigma and Health. 2017;2(3):159-174. 10.1037/sah0000049
  • Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research. 2003;121(1):31-49. 10.1016/j.psychres.2003.08.008

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