Impact of spirituality and religiosity on suicidal risk among a sample of lebanese psychiatric in-patients.

Autor: Kassem M; Faculty of Sciences, Lebanese University, Fanar, Lebanon., Haddad C; Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.; Univ. Limoges, UMR 1094, Neuroépidémiologie Tropicale, Institut d'Epidémiologie et de Neurologie Tropicale, GEIST, Limoges, France., Hallit S; Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.; INSPECT-LB, Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon., Kazour F; Faculty of Sciences, Lebanese University, Fanar, Lebanon.; Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.; Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.; Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.
Jazyk: angličtina
Zdroj: International journal of psychiatry in clinical practice [Int J Psychiatry Clin Pract] 2021 Nov; Vol. 25 (4), pp. 336-343. Date of Electronic Publication: 2020 Jul 09.
DOI: 10.1080/13651501.2020.1787453
Abstrakt: Objectives: To evaluate the prevalence of suicidality among the psychiatric inpatients community in Lebanon, and to elucidate the effect of religiosity and spirituality on suicidal thoughts or behaviours.
Methods: A total sample of 159 patient consecutively admitted to a psychiatric hospital was interviewed. The Ask Suicide-screening Questionnaire (ASQ) was used to assess suicidal risk; the Mature Religiosity Scale (MRS) and the Spirituality Index for Well Being (SIWB) scales were used to assess religiosity and spirituality.
Results: We found that 45.6% of the participants screened positively on the ASQ, including 37.5% with acute suicidal ideation. A backward logistic regression, taking the negative/positive screening ASQ as the dependent variable, showed that a positive family history of suicide and depression were significantly associated with higher positive suicidal screening, whereas higher spirituality was significantly associated with lower positive suicidal screening. When forcing the mature religiosity scale as an independent variable, the results remained the same.
Conclusion: Spiritual well-being might be considered an important factor to explore among psychiatric patients. Psychiatric inpatients have a high risk for suicide; the challenge remains for clinicians to identify upon admission patients that are most likely to die from suicide.Key pointsA positive family history of suicide and depression was significantly associated with higher suicidality.Higher spirituality, but not religiosity, was significantly associated with lower suicidality.Spiritual well-being might be considered an important factor to explore among psychiatric patients.The challenge remains for clinicians to identify patients that are most likely to die from suicide upon admission.
Databáze: MEDLINE
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