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Cited by 75Bipolar Disorder and TreatmentSuicide and Self-Harm StudiesReligion, Spirituality, and Psychology

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Is religiosity a protective factor against suicidal behavior in bipolar I outpatients?

Caribé, André C., Studart, Paula, Bezerra-Filho, Severino, Brietzke, Elisa, Nunes Noto, Mariane, Vianna-Sulzbach, Mireia, Kapczinski, Flavio, Silva Neves, Fernando, Correa, Humberto, Miranda-Scippa, Ângela·2015·Journal of Affective Disorders
DOI 10.1016/j.jad.2015.07.024
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Abstract

Background Several risk factors have been associated with suicidal behavior (SB) in bipolar disorder (BD), but little is known regarding possible protective factors. Religiosity has been related to favorable outcomes in mental health and to a reduction in the risk of SB, although the relation between BD, religiosity and SB remains under-investigated. The objective of this study was to evaluate the association between religiosity and SB in euthymic bipolar I outpatients. Method In this study, 164 outpatients with BD type I with and without a history of suicide attempts were assessed and compared using a questionnaire to collect clinical and sociodemographic characteristics, the Structured Clinical Interview for DSM-IV, the Hamilton Depression Rating Scale, the Young Mania Rating Scale, the Duke Religious Index, and the Barratt Impulsivity Scale. Results The suicide attempters (SA) group had more psychiatric comorbidity (p=0.007), more rapid cycling (p=0.004), higher levels of impulsivity in all domains (p=0.000), and less religious affiliation (p=0.006) compared with the non-SA group. In the multivariate analysis, after controlling for covariates, non-organizational religious activities (OR, 0.66; 95% CI, 0.50-0.86) and intrinsic religiosity (OR, 0.70; 95% CI, 0.60-0.81) were associated with less SB. Limitations A small sample size, the cross-sectional design that precluded the possibility of assessing cause and effect relationships, and the infeasibility of determining the ti…

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Authors
Caribé, A. C., Studart, P., Bezerra-Filho, S., Brietzke, E., Nunes Noto, M., Vianna-Sulzbach, M., Kapczinski, F., Silva Neves, F., Correa, H., & Miranda-Scippa, Â.
Affiliations
  • Universidade Federal da Bahia (BR)
  • Universidade Federal de São Paulo (BR)
Corresponding author
Caribé, André C.
ORCID
Brietzke, Elisa
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2015-11
Volume
186
Pages
156-161
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2015.07.024
OpenAlex
W1846420923
Cited by
75
References
0
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 46 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 2 · 2016: 2
FWCI
2.17
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Health › Religion, Spirituality, and Psychology
Keywords
religiosity, suicidal behavior, bipolar I disorder, suicide attempts, protective factors, intrinsic religiosity, impulsivity, rapid cycling, psychiatric comorbidity
MeSH terms
Adult, Bipolar Disorder, Brazil, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Outpatients, Surveys and Questionnaires, Religion and Psychology, Suicide, Attempted, Comorbidity, Spirituality, Protective Factors

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