Religion as a Risk Factor for Suicide Attempt and Suicide Ideation Among Depressed Patients

Lawrence, Ryan E.; Brent, David A.; Mann, J. John; Burke, Ainsley K.; Grunebaum, Michael F.; Galfalvy, Hanga; Oquendo, María A.

doi:10.1097/nmd.0000000000000484

Cited by 59 publications

(37 citation statements)

References 59 publications

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“…This is particularly relevant for Judeo-Christian related religions due in part to the conceptualization of several mental illness symptoms as sins (i.e. suicide attempts or drug abuse) [47]. In addition, it can also impact PWSMI's treatment seeking behaviors through the belief that healthcare is not needed in light of their religion [40].…”

Section: Stigma Mental Illness and Culturementioning

confidence: 99%

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

2019

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Background People living with a Serious Mental Illness (SMI) die earlier than the general population due to preventable medical conditions. Latinos living with SMI are a particularly vulnerable population with higher prevalence of chronic medical conditions. Stigma has been identified as a factor that fosters health inequities for Latinos/as with SMI, particularly Puerto Ricans. Although personal and social consequences of stigmatization have been well documented, research regarding the role of cultural factors on healthcare interactions is scarce. Furthermore, little research has focused on addressing stigma from the perspective of healthcare professionals. Methods We investigated this process through a qualitative design using semi-structured individual interviews with 11 healthcare professionals (8 physicians and 3 nurses) in Puerto Rico. We conducted a thematic analysis to analyze the data. Results Following a thematic analysis, we found three main themes and nine sub-themes related to the stigmatization process. Some participants reported perceptions of dangerousness and uneasiness, social distance and inadequate care. Participants also emphasized a lack of medical training regarding SMI within the Puerto Rican context. Conclusions These findings support the need to develop culturally appropriate public health interventions targeting healthcare professionals in order to address stigma and eliminate health disparities among Latinos/as with SMI.

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Section: Stigma Mental Illness and Culturementioning

confidence: 99%

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

2019

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“…However, not all studies on religiosity and suicidality have found a negative association. Specifically, although several authors have found that religiosity is a protective factor against suicidality , other authors have found either a non‐significant or a positive association . For example, the two largest studies on this topic have yielded conflicting results .…”

Section: Introductionmentioning

confidence: 99%

The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom

Jacob

Haro

Koyanagi

2018

Acta Psychiatr Scand

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The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom.Objective: The goal was to analyze the association of religiosity with suicidal ideation and suicide attempts in a UK nationally representative sample.Methods: This study used cross-sectional data from 7403 people who participated in the 2007 Adult Psychiatric Morbidity Survey (APMS). Religion was assessed with the question 'Do you have a specific religion?' with 'yes' and 'no' answer options. Lifetime and past 12month suicidal ideation and suicide attempts were assessed. The association between religiosity and suicidality was studied in multivariable logistic regression models adjusted for sociodemographic, behavioural, and psychopathological factors. Results: Compared to those without a religion, the prevalence of past 12-month suicidal ideation (3.2% vs. 5.4%), past 12-month suicide attempts (0.4% vs. 0.9%), lifetime suicidal ideation (11.2% vs. 16.4%), and lifetime suicide attempts (3.6% vs. 6.0%) was lower among those with a religion. In the fully adjusted model, having a religion was significantly associated with lower odds for all types of suicidality except past 12-month suicide attempts: suicidal ideation (past 12month: OR = 0.71, 95% CI = 0.51-0.99; lifetime: OR = 0.83, 95% CI = 0.69-0.99) and suicide attempts (past 12-month: OR = 0.71, 95% CI = 0.35-1.45; lifetime: OR = 0.69, 95% CI = 0.53-0.90). Conclusion: There is a negative association between religiosity and suicidality in the UK. Future studies should focus on the underlying mechanisms. Significant outcomes• The prevalence of suicidal ideation and suicide attempts was lower in religious people than in non-religious people in the UK.• There was a significant and negative relationship of religiosity with suicidal ideation (past 12-month and lifetime) and suicide attempts (lifetime) after adjustment for sociodemographic, behavioural, and psychopathological factors.• Future studies are needed to gain a better understanding of the underlying mechanisms involved in this association. Limitations• More detailed series of questions on religiosity would have allowed for a better estimation of the religiosity-suicidality relationship.• Suicidality was assessed with self-reports. As suicide is associated with stigma, participants might have responded in a socially desirable manner, potentially leading to an underestimation of the associations.• The design of this study was cross-sectional, and it was thus not possible to determine causality or temporality in the association between religiosity and suicidal ideation or suicide attempt.

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“…Our result showing that males for whom religion/spirituality was 'extremely important' had increased odds of having chronic SI compared to no SI seems to run counter to the dictum that religion/spirituality protect against suicidality. Nonetheless, according to Lawrence et al (2016aLawrence et al ( , 2016b, aspects of religiosity, such as affiliation and service attendance, may protect against suicide attempt but not necessarily against suicidal ideation. For instance, religious or spiritual beliefs may prevent some at-risk individuals from acting out their suicidal tendencies.…”

Section: Discussionmentioning

confidence: 99%

Does Religion/Spirituality Modify the Association of Stressful Life Events and Suicidal Ideation in Australian Men?

et al. 2018

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In a large population cohort of Australian men, we previously observed that stressful life events were associated with increased suicidal ideation (SI). Many stressful life events, such as relationship breakdown and financial difficulties, occur frequently, yet most men who experience them do not have suicidal thoughts. There is some evidence that religious belief may be protective against suicidal behaviour. This study examined if attendance of religious service and/or perceived importance of religion/spirituality to participants modifies the association between stressful life events and suicidal thinking. Our analysis included 10,588 men who were aged 18 years or older who participated in the Australian Longitudinal Study on Male Health (Ten to Men), a national cohort study of Australian males. The study compared demographic, protective and risk factors for four subgroups: No SI, Remitted SI, New SI, and Chronic SI between Wave 1 (October 2013 to July 2014) and Wave 2 (November 2015 to May 2016) of the study and conducted logistic regression for these four outcomes. The study found a protective effect for attendance of religious services for the onset of New SI at Wave 2. Importance of religion/spirituality was positively related to Chronic SI. There were no effects of service attendance or importance for any of the other SI outcomes. We discuss results of the study in relation to social connection and broader contextual factors, such as secularization.

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Religion as a Risk Factor for Suicide Attempt and Suicide Ideation Among Depressed Patients

Cited by 59 publications

References 59 publications

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

“That’s all Fake”: Health professionals stigma and physical healthcare of people living with Serious Mental Illness

The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom

Does Religion/Spirituality Modify the Association of Stressful Life Events and Suicidal Ideation in Australian Men?

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