The experience of spirituality in coping and suicide prevention among patients with psychiatric disorders

Authors

DOI:

https://doi.org/10.33448/rsd-v14i11.50075

Keywords:

Spirituality, Suicide, Mental health.

Abstract

Introduction: Evidence indicates that religiosity and spirituality (R&S) influence mental health and suicide risk, acting either as protection (hope, sense of purpose) or as risk factors (guilt, negative religious coping). There are still gaps regarding how psychiatric patients experience spirituality in coping with and preventing suicide. Objectives: To analyze how spirituality impacts coping and suicide prevention in patients with psychiatric disorders, exploring mechanisms, relationships with well-being, and gaps to guide future interventions. Methodology: Integrative review based on PRISMA and PICO adaptations. Databases: PubMed, BVS, and LILACS (2014–2024). Quantitative, qualitative, and theoretical studies were included; duplicates, out-of-scope, or incomplete texts were excluded. Results: A total of 86 records (11/18/2024–04/30/2025) were identified; after screening, 14 studies were included. Findings showed that spirituality, regular religious practice, life purpose, social support, and self-forgiveness were associated with lower suicidal ideation and behavior, while rigid beliefs, guilt, and perception of divine punishment increased vulnerability. Personal spirituality proved more relevant than institutional religiosity. Conclusion: R&S exert a multifaceted influence on suicide risk, acting as protection or risk depending on individual experience and context. Elements such as hope, purpose, and resilience reduce suffering and strengthen coping. Integrating the spiritual dimension into mental health care may promote a more holistic approach, although longitudinal studies are still needed to clarify mechanisms and support effective clinical strategies.

References

Braam, A. W., & Koenig, H. G. (2019). Religion, spirituality and depression in prospective studies: A systematic review. Journal of Affective Disorders, 257, 428–438.

Brito, M. A., et al. (2021). Religiosity and prevalence of suicide, psychiatric disorders and psychotic symptoms in the French general population. European Archives of Psychiatry and Clinical Neuroscience.

Crossetti, M. G. O. (2012). Revisão intergrativa de pesquisa na enfermagem: o rigor científico que lhe é exigido. Rev Gaúcha Enferm 33 (2):08-13. https://seer.ufrgs.br/index.php/rgenf/article/view/31430

Dervic, K., et al. (2016). Protective factors against suicidal behavior in depressed adults reporting childhood abuse. The Journal of Nervous and Mental Disease, 194(12), 971–974.

Esan, O., & Lawal, K. (2021). Spirituality and suicidality among patients with schizophrenia: A cross-sectional study from Nigeria. Journal of Religion and Health.

Grover, S., Dua, D., & Padhy, S. (2021). Comparison of religiosity and spirituality in patients of depression with and without suicidal attempts. Indian Journal of Psychiatry, 63(3), 258.

Heidari, M., Borujeni, M. G., & Rafiei, H. (2017). The assessment effect of spiritual care on hopelessness and depression in suicide attempts. Journal of Religion and Health, 58(4), 1453–1461.

Jun, W. H., Lee, E. J., & Park, J. S. (2013). Effects of a suicide prevention programme for hospitalised patients with mental illness in South Korea. Journal of Clinical Nursing, 23(13–14), 1845–1856.

Kassem, M., et al. (2020). Impact of spirituality and religiosity on suicidal risk among a sample of Lebanese psychiatric inpatients. International Journal of Psychiatry in Clinical Practice, 1–8.

Kobayashi, D., et al. (2020). Association of self-reported religiosity with the development of major depression in multireligious country Japan. Psychiatry and Clinical Neurosciences, 74(10), 535–541.

Kopacz, M. S., et al. (2018). Religious coping and suicide risk in a sample of recently returned veterans. Archives of Suicide Research, 22(4), 615–627.

Lucchetti, G., Koenig, H. G., & Lucchetti, A. L. G. (2021). Spirituality, religiousness, and mental health: A review of the current scientific evidence. World Journal of Clinical Cases, 9(26), 7620–7631.

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2015). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine, 6(7), e1000097.

Moreira-Almeida, A., et al. (2016). WPA position statement on spirituality and religion in psychiatry. World Psychiatry, 15(1), 87–88.

Moreira-Almeida, A., Koenig, H. G., & Lucchetti, G. (2014). Clinical implications of spirituality to mental health: Review of evidence and practical guidelines. Revista Brasileira de Psiquiatria, 36(2), 176–182.

Panczak, R., et al. (2013). Religion and suicide in patients with mental illness or cancer. Suicide and Life-Threatening Behavior, 43(2), 213–222.

Pereira, A. S. et al. (2018). Metodologia da pesquisa científica. [free ebook]. Santa Maria. Editora da UFSM.

Plöderl, M., Kunrath, S., & Fartacek, C. (2019). God bless you? The association of religion and spirituality with reduction of suicide ideation and length of hospital stay among psychiatric patients at risk for suicide. Suicide and Life-Threatening Behavior.

Religiosity, spirituality, suicide risk and remission of depressive symptoms: A 6-month prospective study of tertiary care Brazilian patients. (2021). Journal of Affective Disorders, 279, 434–442.

Snider, A.-M., & McPhedran, S. (2014). Religiosity, spirituality, mental health, and mental health treatment outcomes in Australia: A systematic literature review. Mental Health, Religion & Culture, 17(6), 568–581.

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research. 104, 333-9. Doi: https://doi.org/10.1016/j.jbusres.2019.07.039.

Stefa-Missagli, S., et al. (2019). Influence of spiritual dimensions on suicide risk: The role of regional differences. Archives of Suicide Research, 24(4), 534–553.

Talib, M. A., & Abdollahi, A. (2015). Spirituality moderates hopelessness, depression, and suicidal behavior among Malaysian adolescents. Journal of Religion and Health, 56(3), 784–795.

Published

2025-11-17

Issue

Section

Health Sciences

How to Cite

The experience of spirituality in coping and suicide prevention among patients with psychiatric disorders. Research, Society and Development, [S. l.], v. 14, n. 11, p. e132141150075, 2025. DOI: 10.33448/rsd-v14i11.50075. Disponível em: https://rsdjournal.org/rsd/article/view/50075. Acesso em: 5 dec. 2025.