Autor: |
Austin W. Lemke, Edward B. Davis, Vitaliy L. Voytenko, Richard G. Cowden, Zhou Job Chen, John M. McConnell, Kenneth I. Pargament, Kenneth P. Phillips, Robert Marseilles, Richard P. Wolff |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
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Zdroj: |
Journal of Affective Disorders Reports, Vol 14, Iss , Pp 100640- (2023) |
Druh dokumentu: |
article |
ISSN: |
2666-9153 |
DOI: |
10.1016/j.jadr.2023.100640 |
Popis: |
Background: Initial empirical evidence links religious/spiritual (R/S) struggles to suicide ideation. However, few longitudinal studies have examined the temporal associations of R/S struggles and suicide ideation, and none have focused on treatment-seeking individuals. This study addresses these gaps. Methods: We assessed suicide ideation and six subtypes of R/S struggles in a sample of adult psychiatric outpatients (N = 120) at their initial psychiatry appointment (T1), 6-month follow-up (T2), and 12-month follow-up (T3). Following the analytic template for outcome-wide longitudinal designs, separate linear regression models tested the association of (a) T2 R/S struggle subtypes with T3 suicide ideation and (b) T2 suicide ideation with T3 R/S struggle subtypes. All models adjusted for salient demographics, organizational and nonorganizational religiousness, depression symptoms, T1 suicide ideation, and prior values of all six R/S struggle subtypes. Results: Robust evidence supported a positive bidirectional temporal association between suicide ideation and ultimate-meaning R/S struggles, but not other R/S struggle subtypes. Limitations: We recruited a relatively small sample that was geographically, racially, and socioeconomically homogenous. We also relied solely on self-report data. Conclusions: Findings highlight the importance both of assessing ultimate-meaning R/S struggles as part of suicide risk assessment and of using clinical interventions that nurture adult psychiatric patients’ sense of ultimate meaning. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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