Table 5.

A summary of the significance of direct and indirect effects in the two models tested in the present study

Path	p value
	Overall QoL	Physical QoL	Psychological QoL	Social QoL	Environment QoL
Direct effect
IMP/ATT_T1 → Self-stigma_T2	0.017*	0.022*	0.022*	0.022*	0.022*
Suicidality_T1 → Self-stigma_T2	0.488	0.466	0.466	0.466	0.466
Self-stigma_T1 → Self-stigma_T2	< 0.001***	< 0.001***	< 0.001***	< 0.001***	< 0.001***
Self-stigma_T2 → QoL_T3	< 0.001***	< 0.001***	< 0.001***	< 0.001***	< 0.001***
Suicidality_T1 → QoL_T3	0.122	0.112	0.109	0.038*	0.046*
QoL_T1 → QoL_T3	< 0.001***	< 0.001***	< 0.001***	< 0.001***	< 0.001***
IMP/ATT_T1 → QoL_T3	0.002**	0.017*	0.017*	0.046*	< 0.001***
Self-stigma_T2 → Psychological distress_T3	< 0.001***	< 0.001***	< 0.001***	< 0.001***	< 0.001***
Suicidality_T1 → Psychological distress_T3	0.002**	0.002**	0.002**	0.002**	0.002**
IMP/ATT_T1 → Psychological distress_T3	0.007**	0.021*	0.021*	0.021*	0.021*
Indirect effect
IMP/ATT_T1 → Self-stigma_T2 → QoL_T3	0.023*	0.030*	0.033*	0.032*	0.046*
Suicidality_T1 → Self-stigma_T2 → QoL_T3	0.484	0.462	0.458	0.470	0.464
Self-stigma_T1 → Self-stigma_T2 → QoL_T3	< 0.001***	< 0.001***	< 0.001***	< 0.001***	< 0.001***

QoL quality of life, IMP/ATT inattention and impulsivity symptoms, Suicidality suicide risk, Psychological distress depression, anxiety, and stress, T1 timepoint 1, T2 timepoint 2, T3 timepoint 3

*p < 0.05, **p < 0.01, ***p < 0.001