Religious Affiliation and Suicide Attempt

Kanita Dervic · María A. Oquendo · Michael F. Grunebaum · Steve Ellis · Ainsley K. Burke · J. John Mann

449 citations0/0 files storedAmerican Journal of Psychiatry

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Suicide and Self-Harm Studies Religion, Spirituality, and Psychology Homicide, Infanticide, and Child Abuse

Abstract

OBJECTIVE: Few studies have investigated the association between religion and suicide either in terms of Durkheim's social integration hypothesis or the hypothesis of the regulative benefits of religion. The relationship between religion and suicide attempts has received even less attention. METHOD: Depressed inpatients (N=371) who reported belonging to one specific religion or described themselves as having no religious affiliation were compared in terms of their demographic and clinical characteristics. RESULTS: Religiously unaffiliated subjects had significantly more lifetime suicide attempts and more first-degree relatives who committed suicide than subjects who endorsed a religious affiliation. Unaffiliated subjects were younger, less often married, less often had children, and had less contact with family members. Furthermore, subjects with no religious affiliation perceived fewer reasons for living, particularly fewer moral objections to suicide. In terms of clinical characteristics, religiously unaffiliated subjects had more lifetime impulsivity, aggression, and past substance use disorder. No differences in the level of subjective and objective depression, hopelessness, or stressful life events were found. CONCLUSIONS: Religious affiliation is associated with less suicidal behavior in depressed inpatients. After other factors were controlled, it was found that greater moral objections to suicide and lower aggression level in religiously affiliated subjects may function as protective factors against suicide attempts. Further study about the influence of religious affiliation on aggressive behavior and how moral objections can reduce the probability of acting on suicidal thoughts may offer new therapeutic strategies in suicide prevention.

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References

1961An Inventory for Measuring Depression 1960A RATING SCALE FOR DEPRESSION 1962The Brief Psychiatric Rating Scale 1974The measurement of pessimism: The Hopelessness Scale.1976The Global Assessment Scale 1979Assessment of suicidal intention: The Scale for Suicide Ideation.2004Handbook of Religion and Health 1957An inventory for assessing different kinds of hostility.

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