Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study
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 ga...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Journal of Affective Disorders Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666915323001786 |
| _version_ | 1797526203119173632 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Austin W. Lemke |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T09:25:55Z |
| format | Article |
| id | doaj.art-a7749e0a1f6649dca5f2371d1b1b8b71 |
| institution | Directory Open Access Journal |
| issn | 2666-9153 |
| language | English |
| last_indexed | 2024-03-10T09:25:55Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Affective Disorders Reports |
| spelling | doaj.art-a7749e0a1f6649dca5f2371d1b1b8b712023-11-22T04:49:02ZengElsevierJournal of Affective Disorders Reports2666-91532023-12-0114100640Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal StudyAustin W. Lemke0Edward B. Davis1Vitaliy L. Voytenko2Richard G. Cowden3Zhou Job Chen4John M. McConnell5Kenneth I. Pargament6Kenneth P. Phillips7Robert Marseilles8Richard P. Wolff9Wheaton College, School of Psychology, Counseling and Family Therapy, USA; Corresponding author: Billy Graham Hall, Mezzanine Level, 501 College Avenue, Wheaton, IL 60187, USA.Wheaton College, School of Psychology, Counseling and Family Therapy, USA; Alliance Clinical Associates, Wheaton, Illinois, USAAlliance Clinical Associates, Wheaton, Illinois, USA; Western Michigan University Homer Stryker M.D. School of Medicine, Department of Psychiatry & Department of Medical Ethics, Humanities and Law, USA; Michigan State University College of Human Medicine, Division of Psychiatry and Behavioral Medicine, USAHarvard University, Human Flourishing Program, Institute for Quantitative Social Science, USAUniversity of North Carolina at Charlotte, School of Nursing, USAWheaton College, School of Psychology, Counseling and Family Therapy, USABowling Green State University, Department of Psychology, USAAlliance Clinical Associates, Wheaton, Illinois, USAAlliance Clinical Associates, Wheaton, Illinois, USAAlliance Clinical Associates, Wheaton, Illinois, USABackground: 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.http://www.sciencedirect.com/science/article/pii/S2666915323001786religionspiritualityreligious/spiritual strugglessuicidemeaning |
| spellingShingle | 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 Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study Journal of Affective Disorders Reports religion spirituality religious/spiritual struggles suicide meaning |
| title | Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study |
| title_full | Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study |
| title_fullStr | Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study |
| title_full_unstemmed | Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study |
| title_short | Religious/Spiritual Struggles and Suicide Ideation Among Adult Psychiatric Outpatients: A 12-Month Longitudinal Study |
| title_sort | religious spiritual struggles and suicide ideation among adult psychiatric outpatients a 12 month longitudinal study |
| topic | religion spirituality religious/spiritual struggles suicide meaning |
| url | http://www.sciencedirect.com/science/article/pii/S2666915323001786 |
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