McLean Hospital, Belmont, Massachusetts, USA.
Queen's University, Kingston, Ontario, Canada.
Suicide Life Threat Behav. 2024 Jun;54(3):575-583. doi: 10.1111/sltb.13069. Epub 2024 Feb 27.
Religion is a salient aspect of patient background in treatment (The psychology of religion and coping: Theory, research, practice; Guilford Press). However, research investigating the role of religion in suicide is lacking and inconsistent (Journal of Religion and Health, 57, 2478-2499). The current study (1) clarifies the association between religious identity and fearlessness about death in a psychiatric sample and (2) tests whether religious identity moderates the association between fearlessness about death and suicidal ideation.
Participants were 155 patients seeking treatment in a partial hospital program. Religious identity was assessed using the Identities in Treatment Scale (The Behavior Therapist). Fearlessness about death was assessed with two relevant items from the acquired capability with rehearsal for suicide scale (Psychological Assessment, 28, 1452-1464), as in prior studies (Suicide & Le-Threatening Behavior, 50, 1230-1240; Journal of Affective Disorders Reports, 12, 100492).
Fearlessness about death interacted with religious identity to predict suicidal ideation, b = 0.47, 95% C.I. [0.02, 0.91], p = 0.042. Conditional effects showed that greater fearlessness about death was associated with greater suicidal ideation among non-religious patients, b = -0.56, 95% C.I. [-0.88, -0.24], p = 0.001, but not in religious patients, b = -0.09, 95% C.I. [-0.41, 0.22], p = 0.559.
Our results suggest that fearlessness about death is a risk factor for suicidal ideation, but only among those who do not identify as religious. Results from this study inform theories of suicide and elucidate the influence of religious identity on links among suicide risk factors and suicide-related outcomes.
宗教是患者治疗背景中的一个重要方面（《宗教与应对心理学：理论、研究、实践》； Guilford Press）。然而，关于宗教在自杀中的作用的研究却很缺乏且不一致（《宗教与健康杂志》，第 57 卷，第 2478-2499 页）。本研究（1）在精神科样本中阐明宗教认同与对死亡的无畏之间的关联，（2）检验宗教认同是否调节对死亡的无畏与自杀意念之间的关联。
参与者为 155 名在部分医院计划中寻求治疗的患者。使用治疗身份量表（Identities in Treatment Scale）评估宗教身份（《行为治疗师》）。采用自杀 rehearsal 习得能力量表（Suicide & Le-Threatening Behavior，50，1230-1240；《情感障碍报告杂志》，第 12 卷，第 100492 号）中的两个相关项目评估对死亡的无畏程度。
对死亡的无畏程度与宗教身份相互作用，预测自杀意念，b=0.47，95%置信区间[0.02，0.91]，p=0.042。条件效应显示，在非宗教患者中，对死亡的无畏程度越大，自杀意念越强，b=-0.56，95%置信区间[-0.88，-0.24]，p=0.001，而在宗教患者中，b=-0.09，95%置信区间[-0.41，0.22]，p=0.559。
我们的结果表明，对死亡的无畏是自杀意念的一个风险因素，但仅在那些不认为自己有宗教信仰的人中是这样。本研究的结果为自杀理论提供了信息，并阐明了宗教认同对自杀风险因素与自杀相关结果之间联系的影响。
