Religious affiliation and suicide attempt
Religious affiliation and suicide attempt
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DOI：
10.1176/appi.ajp.161.12.2303
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发表时间：
2004-12-01
影响因子：
17.7
通讯作者：
Mann, JJ
中科院分区：
文献类型：
--
作者：
Dervic, K;Oquendo, MA;Mann, JJ
目的：无论是从涂尔干的社会整合假说还是宗教的规范益处假说来看，很少有研究探讨宗教与自杀之间的关联。宗教与自杀未遂之间的关系更是鲜有研究关注。
方法：对报告属于某一特定宗教或自称无宗教信仰的抑郁症住院患者（N = 371），就其人口统计学和临床特征进行比较。
结果：无宗教信仰的受试者一生中自杀未遂的次数明显更多，且有一级亲属自杀的情况也比有宗教信仰的受试者更多。无宗教信仰的受试者更年轻，已婚的比例更低，有孩子的比例更低，与家庭成员的联系也更少。此外，无宗教信仰的受试者认为活下去的理由更少，尤其是对自杀的道德异议更少。就临床特征而言，无宗教信仰的受试者一生中更具冲动性、攻击性，且过去有更多的物质使用障碍。在主观和客观抑郁程度、绝望感或应激性生活事件方面未发现差异。
结论：在抑郁症住院患者中，宗教信仰与较少的自杀行为相关。在控制其他因素后，发现有宗教信仰的受试者对自杀有更强的道德异议以及较低的攻击性水平，这可能是预防自杀未遂的保护因素。进一步研究宗教信仰对攻击性行为的影响以及道德异议如何降低依据自杀想法采取行动的可能性，可能会为自杀预防提供新的治疗策略。
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.