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宗教维度与抑郁、有宗教信仰患者的自杀企图和自杀意念的关联。

Dimensions of Religion Associated with Suicide Attempt and Suicide Ideation in Depressed, Religiously Affiliated Patients.

机构信息

Eleos - Christian Centre for Mental Health Care, Amersfoort, The Netherlands.

KICG-Centre for Research and Innovation in Christian Mental Health Care, Amersfoort, The Netherlands.

出版信息

Suicide Life Threat Behav. 2019 Apr;49(2):505-519. doi: 10.1111/sltb.12456. Epub 2018 Apr 20.

Abstract

There is substantial evidence to support the claim that religion can protect against suicide ideation, suicide attempts, and completed suicide. There is also evidence that religion does not always protect against suicidality. More insight is needed into the relationship between suicidal parameters and dimensions of religion. A total of 155 in- and outpatients with major depression from a Christian Mental Health Care institution were included. The following religious factors were assessed: religious service attendance, frequency of prayer, religious salience, type of God representation, and moral objections to suicide (MOS). Multiple regression analyses were computed. MOS have a unique and prominent (negative) association with suicide ideation and the lifetime history of suicide attempts, even after controlling for demographic features and severity of depression. The type of God representation is an independent statistical predictor of the severity of suicide ideation. A positive-supportive God representation is negatively correlated with suicide ideation. A passive-distressing God representation has a positive correlation with suicide ideation. High MOS and a positive-supportive God representation in Christian patients with depression are negatively correlated with suicide ideation. Both are likely to be important markers for assessment and further development of therapeutic strategies.

摘要

有大量证据支持宗教可以预防自杀意念、自杀企图和自杀完成的说法。也有证据表明,宗教并不总是能预防自杀倾向。我们需要更深入地了解自杀参数与宗教维度之间的关系。共有 155 名来自基督教心理健康机构的住院和门诊重度抑郁症患者被纳入研究。评估了以下宗教因素:宗教服务出席情况、祈祷频率、宗教显著性、上帝代表类型和对自杀的道德反对意见(MOS)。进行了多元回归分析。即使在控制了人口统计学特征和抑郁严重程度后,MOS 仍与自杀意念和自杀尝试的终身史具有独特且显著的(负)关联。上帝代表的类型是自杀意念严重程度的独立统计学预测因子。积极支持的上帝代表与自杀意念呈负相关。消极困扰的上帝代表与自杀意念呈正相关。在患有抑郁症的基督教患者中,高 MOS 和积极支持的上帝代表与自杀意念呈负相关。两者都可能是评估和进一步制定治疗策略的重要标志物。

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