Prospective prediction of suicide in a nationally representative sample: religious service attendance as a protective factor
Open accessAbstract
Background: Previous research into religious service attendance as a protective factor against suicide has been conducted only retrospectively, with psychological autopsy studies using proxy informants of completed suicide, rather than prospectively, with completed suicide as a dependent variable. Aims: To determine whether individuals who frequently attended religious services were less likely to die by suicide than those who did not attend so frequently. Method: We analysed data from a nationally representative sample (n = 20 014), collected in the USA between 1988 and 1994, and follow-up mortality data from baseline to the end of 2006. Results: Cox proportional hazard regression analysis indicated that those who frequently attended religious services were less likely to die by suicide than those who did not attend, after accounting for the effects of other relevant risk factors. Conclusions: Frequent religious service attendance is a long-term protective factor against suicide.
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Prospective cohort studies of suicide mortality in the general population tend to report more conservative risks for sociodemographic factors, adverse life events, family history of mental disorder, and depression.
“In contrast, prospective cohort studies of suicide mortality in the general population—which allow for a more reliable measurement of exposures—tend to report more conservative risks for sociodemographic factors, adverse life events, family history of mental disorder, and depression.26–28”
From Risk factors for suicide in adults: systematic review and meta-analysis of psychological autopsy studies (2022) · cites this paper as [28]
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- Authors
- Kleiman, E. M., & Liu, R. T.
- Affiliations
- George Mason University (US)
- Brown University (US)
- Corresponding author
- Kleiman, Evan M.
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2014-04
- Volume
- 204
- Issue
- 4
- Pages
- 262-266
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2150358747
- Cited by
- 188
- References
- 31
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 9 · 2023: 63 · 2022: 12 · 2021: 10 · 2020: 11 · 2019: 9 · 2018: 18 · 2017: 8 · 2016: 12 · 2015: 8 · 2014: 13
- FWCI
- 12.22
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Sociology and Political Science › Religion and Society Interactions
- Keywords
- suicide, religious service attendance, religiosity, protective factors, prospective prediction, mortality, risk factors, psychological autopsy
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Nutrition Surveys, Prospective Studies, Religion, Religion and Psychology, Risk Factors, Social Class, Suicide, United States, Young Adult
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