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

How the Scales are Structured
Who Usually Takes This Test?
See How You Compare
Below is a preview of how scores are typically distributed across each scale.
Example Questions From the Test
- Strongly disagree
- Disagree
- Agree
- Strongly agree
- Strongly disagree
- Disagree
- Agree
- Strongly agree
- Strongly disagree
- Disagree
- Agree
- Strongly agree
Internalized Stigma of Mental Illness Scale (ISMI-9) Test - Description and methodology of the test
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.
- 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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