A longitudinal evaluation of religiosity and psychosocial determinants of suicidal behaviors among a population-based sample in the United States

被引:38
作者
Nkansah-Amankra, Stephen [1 ]
Diedhiou, Abdoulaye [2 ,7 ]
Agbanu, Samuel Kwami [3 ]
Agbanu, Harry L. K. [4 ]
Opoku-Adomako, Nana Serwaa [5 ]
Twumasi-Ankrah, Philip [6 ]
机构
[1] Cent Michigan Univ, Sch Hlth Sci, Community Hlth Div, Mt Pleasant, MI 48859 USA
[2] IntraHlth Int, USAID Funded Hlth Serv Improvement Project, Dakar, Senegal
[3] Somerset Christian Coll, Dept Org Leadership, Somerset, NJ 08890 USA
[4] Univ Ghana, Dept Study Relig, Legon, Accra, Ghana
[5] Cent Michigan Univ, Sch Hlth Adm, Mt Pleasant, MI 48859 USA
[6] Univ Kansas, Med Ctr, Wichita, KS 67214 USA
[7] Univ S Carolina, Publ Hlth Consortium, Columbia, SC 29208 USA
关键词
Public religiosity; Private religiosity; Spirituality; Suicidal behaviors; OLDER DUTCH CITIZENS; AMERICAN ADOLESCENTS; DEVELOPMENTAL-TRENDS; GENDER-DIFFERENCES; YOUNG ADULTHOOD; MENTAL-HEALTH; SELF-ESTEEM; DEPRESSION; SPIRITUALITY; INVOLVEMENT;
D O I
10.1016/j.jad.2011.12.027
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Relationships among religiosity and other psychosocial factors in determining suicidal behaviors in adolescence and in emerging adulthood have been inconclusive. We sought to investigate prospective relationships among religiosity, psychosocial factors and suicidal behaviors using a nationally representative sample of adolescents emerging into adulthood. Method: Analysis was based on 9412 respondents from four waves of National Longitudinal Study of Adolescent Health. A Generalized Estimating Equation (GEE) procedure was used to fit a series of models on the response variable (suicidal behaviors) and a set of psychosocial and religiosity predictors taking into account the correlated structure of the datasets. Results: Analyses showed that adolescent suicidality and religious activity participation showed significant declines over time. Using multinomial logistic regression we found that females showed statistically significant risks of suicidal behaviors, but this effect declined in adulthood. In adjusted models, baseline attendance of a church weekly was associated with 42% reduction (95% Confidence Interval: 0.35-0.98) of suicide ideation in Wave III. Across all waves, low support from fathers (compared with mothers) consistently explained variability in suicidal behaviors among genders emerging into adulthood. Limitations: Accurate measurement of religiosity is psychometrically challenging. Conclusions: The findings of the study indicate that religious activity participation is associated with reduced suicidal behaviors among adolescents but this effect declines during emerging adulthood. Psychosocial supports particularly from fathers' have an enduring impact on reduced suicidal behaviors among adolescents and emerging adults. Prevention, identification and evaluation of disorders of suicidality need a careful assessment of underlying mental pain (psyache) to reduce the likelihood of aggravated suicide. Published by Elsevier B.V.
引用
收藏
页码:40 / 51
页数:12
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