The relationship of religious involvement indicators and social support to current and past suicidality among depressed older adults.
The relationship of religious involvement indicators and social support to current and past suicidality among depressed older adults.
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DOI：
10.1080/13607863.2012.738414
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发表时间：
2013
影响因子：
3.4
通讯作者：
Steffens DC
中科院分区：
文献类型：
--
作者：
Rushing NC;Corsentino E;Hames JL;Sachs-Ericsson N;Steffens DC
老年人，尤其是患有重度抑郁症的老年人，比其他年龄段的人自杀风险最高。宗教参与与一系列健康结果相关，包括降低自杀死亡几率。然而，人们对宗教参与对老年人自杀意念的影响以及宗教信仰的哪些方面是有益的知之甚少。目前的研究探讨了宗教参与的各种概念化（超出社会支持的保护作用）对抑郁老年人当前和过去自杀的相对影响。参与者是 248 名 59 岁及以上的抑郁症患者，参加了老年人抑郁症的神经认知结果 (NCODE) 研究。精神科医生使用蒙哥马利-阿斯伯格抑郁量表 (MADRS) 中的自杀想法项目评估了当前的自杀想法。通过自我报告评估既往自杀未遂史、四项宗教参与指标、社会支持指标和控制变量。除了宗教、私人宗教活动和社会支持的重要性之外，参加教堂礼拜也与较少的自杀意念有关；感知到的社会支持部分调节了这种关系。当前的宗教习俗并不能预测过去自杀未遂的回顾性报告。参加教堂礼拜，而不是其他宗教参与指标，与当前的自杀意念有着最密切的关系。临床医生在评估其他已知的自杀风险和保护因素以及制定治疗计划时，应考虑公共宗教活动模式和感知的社会支持。
Elderly people, particularly those with major depression, are at the highest risk for suicide than any other age group. Religious involvement is associated with a range of health outcomes including lower odds of death by suicide. However, not much is known about the effects of religious involvement on suicidal ideation in the elderly or which aspects of religiosity are beneficial. The current study examined the relative influence of various conceptualizations of religious involvement, above and beyond the protective effects of social support, on current and past suicidality among depressed older adults. Participants were 248 depressed patients 59 years and older enrolled in the Neurocognitive Outcomes of Depression in the Elderly (NCODE) study. A psychiatrist assessed current suicidal ideation using the suicidal thoughts item from the Montgomery-Asberg depression rating scale (MADRS). Past history of suicide attempts, four religious involvement indicators, social support indicators, and control variables were assessed via self-report. Church attendance, above and beyond importance of religion, private religious practices and social support, was associated with less suicidal ideation; perceived social support partially mediated this relationship. Current religious practices were not predictive of retrospective reports of past suicide attempts. Church attendance, rather than other religious involvement indicators, has the strongest relationship to current suicidal ideation. Clinicians should consider public religious activity patterns and perceived social support when assessing for other known risk and protective factors for suicide and in developing treatment plans.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
3.1
作者：
LANDERMAN, R;GEORGE, LK;BLAZER, DG
通讯作者：
BLAZER, DG
影响因子：
3.4
作者：
KOENIG, HG;WESTLUND, RE;HYBELS, C
通讯作者：
HYBELS, C
DOI：
10.1093/geronb/52b.6.s306
发表时间：
1997-11-01
影响因子：
6.2
作者：
Idler, EL;Kasl, SV
通讯作者：
Kasl, SV
影响因子：
5.3
作者：
Fortuna, Lisa R.;Perez, Debra Joy;Alegria, Margarita
通讯作者：
Alegria, Margarita