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Wang C, Tong Y, Tang T, Wang X, Fang L, Wen X, Su P, Wang J, Wang G. Association between adolescent depression and adult suicidal behavior: A systematic review and meta-analysis. Asian J Psychiatr 2024; 100:104185. [PMID: 39106588 DOI: 10.1016/j.ajp.2024.104185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 05/29/2024] [Accepted: 07/27/2024] [Indexed: 08/09/2024]
Abstract
This meta-analysis aims to estimate the association between adolescent depression and adult suicidal behavior, while systematically evaluating gender differences reported in literature. A random-effects model was used to determine the pooled association, reporting odds ratios (ORs) with corresponding 95 % confidence intervals (CIs). Nine articles comprising over 6084 adolescents together showed that people with a history of depression in adolescence are more likely to gain suicidal behaviors during adulthood (OR = 3.97, 95 % Cl: 2.79, 5.63). Sex-specific analysis indicated that males who experienced depression in adolescence developed a higher incidence of suicidal behavior in adulthood compared to females with a similar history (Males: OR = 3.61, 95 % Cl: 1.02, 12.78; Females: OR = 3.56, 95 % Cl: 1.71, 7.43). Furthermore, suicide attempts emerged as the predominant outcome among various suicidal behaviors (OR = 3.43, 95 % Cl: 1.75, 6.71). This meta-analysis provides robust evidence that depression in adolescence significantly increases the risk of suicidal behavior in adulthood.
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Affiliation(s)
- Cong Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Yingying Tong
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Ting Tang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Xinhui Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Lulu Fang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Xue Wen
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China
| | - Puyu Su
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei, Anhui 230032, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei, Anhui 230032, China
| | - Jun Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei, Anhui 230032, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei, Anhui 230032, China.
| | - Gengfu Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei, Anhui 230032, China; Key Laboratory of Population Health Across Life Cycle (Anhui Medical University), Ministry of Education of the People's Republic of China, No 81 Meishan Road, Hefei, Anhui 230032, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei, Anhui 230032, China.
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Adamiak S, Dohnalik J. The Prohibition of Suicide and Its Theological Rationale in Catholic Moral and Canonical Tradition: Origins and Development. JOURNAL OF RELIGION AND HEALTH 2023; 62:3820-3833. [PMID: 37642766 PMCID: PMC10682050 DOI: 10.1007/s10943-023-01900-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/14/2023] [Indexed: 08/31/2023]
Abstract
This paper analyzes the nuances of the Roman Catholic Church's opposition to suicide. First, we analyze biblical suicide cases, showing that these were not usually met with clear condemnation. Next, we show the development of the Roman Catholic Church's moral teachings, with special attention to Augustine. The canon law of the Middle Ages still made some distinctions regarding motivation, but at this point, Roman Catholic funerals started to be refused to those having committed suicide as discouragement to others. This was maintained by the Council of Trent. In the twentieth century, the Roman Catholic Church followed modern psychiatry in attributing suicide to mental illness, and the ban on Roman Catholic funerals was lifted. Currently, the Roman Catholic Church tries to discourage suicide while accompanying people in need.
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Affiliation(s)
- Stanisław Adamiak
- Faculty of Theology, Nicolaus Copernicus University, Pl. Bł. Frelichowskiego 1, 87-100, Toruń, Poland.
| | - Jan Dohnalik
- Faculty of Canon Law, Cardinal Stefan Wyszyński University, Warsaw, Poland
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Petrarca YM, Tedrus GMAS. Risk of suicide and religious or spiritual beliefs in Brazilian adult patients with epilepsy. Epilepsy Behav 2023; 147:109414. [PMID: 37716329 DOI: 10.1016/j.yebeh.2023.109414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Revised: 08/13/2023] [Accepted: 08/19/2023] [Indexed: 09/18/2023]
Abstract
In epilepsy, suicidal behavior is higher compared with the general population. OBJECTIVE To assess the relationship between suicide risk, religiosity or spirituality, and clinical variables in adult patients with epilepsy (PWE). METHODOLOGY The data from the suicide module of the Mini International Neuropsychiatric Interview (MINI) were related to scores on the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS-P) and the Hospital Anxiety and Depression Scale (HADS), as well as clinical variables in 96 adults PWE, with a significance level of p < 0.05. RESULTS The study included 49 patients with temporal lobe epilepsy with hippocampal sclerosis (TLE-HS) and 47 cases of other epilepsies. The presence of suicide risk in the MINI was observed in 43 (44.7%) cases. Suicide risk was associated with an earlier age of epilepsy onset, higher seizure frequency, neurological abnormalities, and higher scores on the HADS-A and HADS-D scales. Suicide risk was low in 33 (76.7%) cases and moderate or high in 10 (23.2%) cases. Higher suicide risk was associated with higher education levels, focal structural epilepsy, use of ≥2 antiseizure medications, neurological abnormalities, anxiety, and dimensions such as daily spiritual experiences, religious or spiritual coping, organizational religiousness, and total score in the BMMRS-P. DISCUSSION A high number of patients with epilepsy exhibited suicide risk, with epilepsy-related variables, the presence of anxiety, and perceived lower belongingness and social support from religiosity or spirituality anxiety being associated with a higher risk. The social support provided by religiosity/spirituality may be a non-clinical factor associated with suicidal behavior. Suicide in epilepsy is associated with a complex interaction of multidimensional factors.
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Hill RM, Hussain Z, Vieyra B, Gallagher A. Reporting Ethical Procedures in Suicide Prevention Research: Current Status and Recommendations. Arch Suicide Res 2023; 27:1373-1390. [PMID: 36415164 DOI: 10.1080/13811118.2022.2131493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE Ethical concerns frequently arise in suicide prevention research regarding participant safety and confidentiality. Despite a substantial literature on managing and navigating ethical concerns in suicide research, little attention has been paid to the reporting of ethical procedures. Furthermore, standard procedures for reporting ethical risk management procedures have not been developed. METHOD A review of the current literature was performed to examine the current state of reporting of ethical procedures within suicide research. Articles published in 2020 (N = 263) from three suicide-focused publications were screened and then coded (n = 131) to identify reporting of procedures for the ethical conduct of research and suicide risk management steps taken by the research teams. RESULTS The majority of articles reported ethical review or approval (84.7%) and reported the use of an informed consent process (77.9%). Only 28.2% included risk mitigation procedures. Of those 29.7% of those articles reported conducting risk evaluation, 66.7% reported resource dissemination, and 51.4% reported an intervention. CONCLUSION As empirical support for brief interventions accrues, suicide prevention researchers should consider establishing standards for the reporting of procedures to ensure the safety of participants with suicidal risk.HighlightsReporting suicide safety protocols helps ensure high ethical standards in research.Fewer than 1/3 of articles reviewed reported risk mitigation procedures in 2020.Standard procedures for reporting safety protocols in suicide research are needed.
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Zhang J, Dong S, Lester D. Religion and Suicide among Chinese Rural Youths. Ment Health Relig Cult 2022; 25:132-143. [PMID: 35783019 PMCID: PMC9248371 DOI: 10.1080/13674676.2021.2015307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
In this research we used data collected with psychological autopsy method to compare 392 suicides with 416 living controls among adolescents and young adults in rural China. Informants were asked whether the subjects in the study believed in a religion (and which religion) and whether they believed in a life after death. For the suicides, 7.8% believed in a religion compared to 5.8% of the living controls. For the suicides, 11.2% believed in a life after death compared to 8.4% of the controls. Suicide was predicted by the presence of a mental illness, a history of suicide in the family, poor social support, low status (power) in the family, and less education. Belief in a life after death did not contribute to the prediction of suicide in men or in women, but belief in a religion did predict suicide for the men. The relatively uncommon belief in a religion meant that the impact of Christianity versus Buddhism is less likely to be studied. Suggestions were made for future research.
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Affiliation(s)
- Jie Zhang
- Central University of Finance and Economics, Beijing, China
| | - Shuo Dong
- Central University of Finance and Economics, Beijing, China
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Saiz J, Ayllón-Alonso E, Sánchez-Iglesias I, Chopra D, Mills PJ. Religiosity and Suicide: A Large-Scale International and Individual Analysis Considering the Effects of Different Religious Beliefs. JOURNAL OF RELIGION AND HEALTH 2021; 60:2503-2526. [PMID: 33387189 DOI: 10.1007/s10943-020-01137-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 11/17/2020] [Indexed: 06/12/2023]
Abstract
In a cohort of 82,898 participants from 60 countries, this study examined attitudes towards suicide among five religions (Buddhism, Christianity, Hinduism, Islam, and other non-specific religions), while simultaneously considering two different dimensions of religiosity: subjective religiosity and religious practices. At the national level, religiosity was an important negative predictor variable for suicide rates and an important positive predictor variable for negative attitudes towards suicide. At the individual level, however, attitudes towards suicide were found to vary significantly across the different religions. The findings emphasize the importance of considering religion perspectives and religiosity, along with its practices and subjective dimensions, in prevention and attention programmes to suicidal behaviour.
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Affiliation(s)
- Jesús Saiz
- Department of Social, Work and Differential Psychology, Faculty of Psychology, Complutense University of Madrid, Somosaguas Campus, Mail box 274, 28223, Pozuelo de Alarcón, Madrid, Spain.
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, USA.
| | - Elena Ayllón-Alonso
- Department of Social, Work and Differential Psychology, Faculty of Psychology, Complutense University of Madrid, Somosaguas Campus, Mail box 274, 28223, Pozuelo de Alarcón, Madrid, Spain
| | - Iván Sánchez-Iglesias
- Department of Psychobiology and Behavioural Sciences Methods, Complutense University of Madrid, Madrid, Spain
| | - Deepak Chopra
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, USA
| | - Paul J Mills
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, USA
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