Suicídio e Espiritualidade
Bases teóricas
DOI:
https://doi.org/10.34019/1982-8047.2018.v44.16978Palavras-chave:
Espiritualidade, Suicídio, Ideação SuicidaResumo
A religiosidade/espiritualidade (R/E) é um tema de grande interesse na atualidade, principalmente no que concerne à sua relação com a saúde mental. De fato, o efeito benéfico dessa associação tem sido descrito com níveis de bem-estar maiores, redução do uso de drogas, menores taxas de depressão e ansiedade, além de se apresentar como um fator protetor ao comportamento suicida (CS). Contudo, os mecanismos que possam explicar esses resultados ainda não foram adequadamente esclarecidos. Da mesma forma, existem muitas dificuldades em transpor esse conhecimento para a prática clínica, sendo este um dos maiores desafios deste campo de pesquisa. Assim, diante da relevância deste tópico, este artigo objetiva fazer uma atualização sobre as conexões entre R/E e CS, visando discutir não só os aspectos positivos, mas também os possíveis elementos negativos envolvidos nessa relação. Para tal, foi realizada uma revisão da literatura com ênfase em artigos publicados nas últimas duas décadas.
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AMIT, B. H. et al. Religiosity is a protective factor against self-injurious thoughts and behaviors in Jewish adolescents: Findings from a nationally representative survey. European psychiatry, [s.l.], v. 29, n. 8, p. 509-513, Oct. 2014.
AZORIN, J. M. et al. Religious involvement in major depression: protective or risky behavior? The relevance of bipolar spectrum. Journal of affective disorders, [s.l.], v. 150, n. 3, p. 753-759, Sep. 2013.
BEST M., BUTOW P., OLVER I. Do patients want doctors to talk about spirituality? a systematic literature review. Patient education counseling, v. 98, n 11, p. 1320-1328 2015, Nov. 2015.
BONELLI, R. M.; KOENIG, H. G. Mental disorders, religion and spirituality 1990 to 2010: a systematic evidence-based review. Journal of religion and health, [s.l.], v. 52, n. 2, p. 657-673, Feb. 2013.
BURSHTEIN, S. et al. Religiosity as a protective factor against suicidal behaviour. Acta psychiatrica scandinavica, [s.l.], v. 133, n. 6, p. 481-488, Apr. 2016.
CARIBÉ, A. C. et al. Religiosity as a protective factor in suicidal behavior. The journal of nervous and mental disease, [s.l.], v. 200, n. 10, p. 863-867, Oct. 2012.
_____. Is religiosity a protective factor against suicidal behavior in bipolar I outpatients? Journal of affective disorders, [s.l.], v. 186, p. 156-161, Nov. 2015.
_____. Religiosity and impulsivity in mental health. The journal of nervous and mental disease, [s.l.], v. 203, n. 7, p. 551-554, Jul. 2015.
COLUCCI, E.; MARTIN, G. Religion and spirituality along the suicidal path. Suicide and life-threatening behavior, [s.l.], v. 38, n. 2, p. 229-244, Apr. 2008.
CORYELL, W. et al. Aggression, impulsivity and inflammatory markers as risk factors for suicidal behavior. Journal of psychiatric research, [s.l.], v. 106, p. 38-42, Nov. 2018.
DEIN, S. Against the stream: religion and mental health: the case for the inclusion of religion and spirituality into psychiatric care. Bjpsych bulletin, [s.l.], v. 42, n. 03, p. 127-129, May. 2018.
DERVIC, K. et al. Moral or religious objections to suicide may protect against suicidal behavior in bipolar disorder. The journal of clinical psychiatry, [s.l.], v. 72, n. 10, p. 1390-1396, Feb. 2011.
DURKHEIM, É. O suicídio: estudo de sociologia. São Paulo: Martins Fontes, 2000.
GONÇALVES, J. P. B. et al. Religious and spiritual interventions in mental health care: a systematic review and meta-analysis of randomized controlled clinical trials. Psychological medicine, [s.l.], v. 45, n. 14, p. 2937-2949, Jul. 2015.
HOFFMAN, S.; MARSIGLIA, F. F. The impact of religiosity on suicidal ideation among youth in central Mexico. Journal of religion and health, [s.l.], v. 53, n. 1, p. 255-266, Oct. 2012.
JACOB, L.; HARO, J. M.; KOYANAGI, A. The association of religiosity with suicidal ideation and suicide attempts in the United Kingdom. Acta psychiatrica scandinavica, [s.l.], p. 1-10, Oct. 2018.
KELLY, J. F. et al. Spirituality in recovery: a lagged mediational analysis of alcoholics anonymous’ principal theoretical mechanism of behavior change. Alcoholism: clinical and experimental research, [s.l.], v. 35, n. 3, p. 454-463, Dec. 2010.
KOENIG H. G.; KING D. E.; CARSON V. B. Handbook of religion and health. 2. ed. New York: Oxford University Press, 2012.
KOSZYCKI, D. et al. A multifaith spiritually based intervention versus supportive therapy for generalized anxiety disorder: a pilot randomized controlled trial. Journal of clinical psychology, [s.l.], v. 70, n. 6, p. 489-509, Oct. 2013.
KRAUSE, N.; IRONSON, G.; HILL, P. Religious involvement and happiness: assessing the mediating role of compassion and helping others. The journal of social psychology, [s.l.], v. 158, n. 2, p. 256-270, Aug. 2017.
LARGE, M. et al. Meta-analysis of longitudinal Cohort studies of suicide risk assessment among psychiatric patients: heterogeneity in results and lack of improvement over time. Plos one, [s.l.], v. 11, n. 6, p. 1-17, Jun. 2016.
LAWRENCE, R. E. et al. Religion as a risk factor for suicide attempt and suicide ideation among depressed patients. The journal of nervous and mental disease, [s.l.], v. 204, n. 11, p. 845-850, Nov. 2016.
LI, D. et al. Gratitude and suicidal ideation and suicide attempts among Chinese adolescents: direct, mediated, and moderated effects. Journal of adolescence, [s.l.], v. 35, n. 1, p. 55-66, Feb. 2012.
LUCCHETTI, A. et al. Spirituality in geriatric psychiatry. Current opinion in psychiatry, [s.l.], v. 31, n. 4, p. 373-377, Jul. 2018.
MCCLATCHEY, K. et al. Protective factors of suicide and suicidal behaviour relevant to emergency healthcare settings: a systematic review and narrative synthesis of post-2007 reviews. Archives of suicide research, [s.l.], p. 1-32, Jul. 2018.
MOREIRA-ALMEIDA, A.; KOENIG, H. G.; LUCCHETTI, G. Clinical implications of spirituality to mental health: review of evidence and practical guidelines. Revista brasileira de psiquiatria, [s.l.], v. 36, n. 2, p. 176-182, abr. 2014.
MOREIRA-ALMEIDA, A. et al. WPA Position statement on spirituality and religion in psychiatry. World psychiatry, [s.l.], v. 15, n. 1, p. 87-88, Feb. 2016.
MOREIRA-ALMEIDA, A.; LOTUFO NETO, F.; KOENIG, H. G. Religiousness and mental health: a review. Revista brasileira de psiquiatria, [s.l.], v. 28, n. 3, p. 242-250, ago. 2006.
MOREIRA-ALMEIDA, A.; LOTUFO NETO, F. Religião e comportamento suicida: a cultura da morte. In: MELEIRO, A. M. A. S.; TENG, C. T.; WANG, Y. P. Suicídio: estudos fundamentais. São Paulo: Segmento Farma, 2004, p. 53-60.
MOSQUEIRO, B. P.; ROCHA, N. S.; FLECK, M. P. A. Intrinsic religiosity, resilience, quality of life, and suicide risk in depressed inpatients. Journal of affective disorders, [s.l.], v. 179, p. 128-133, Jul. 2015.
NEWBERG, A. et al. The measurement of regional cerebral blood flow during the complex cognitive task of meditation: a preliminary SPECT study. Psychiatry research: neuroimaging, [s.l.], v. 106, n. 2, p. 113-122, Apr. 2001.
NORDFJÆRN, T. Religiosity and alcohol use: is religiosity important for abstention and consumption levels in the second half of Life? Substance use & misuse, [s.l.], v. 53, n. 14, p. 2271-2280, Jun. 2018.
O'BRIEN, B. et al. Positive and negative religious coping as predictors of distress among minority older adults. International journal of geriatric psychiatry, [s.l.], v. 34, n. 1, p. 54-59, Oct. 2018.
O'REILLY, D.; ROSATO, M. Religion and the risk of suicide: longitudinal study of over 1 million people. British journal of psychiatry, [s.l.], v. 206, n. 06, p. 466-470, Jun. 2015.
PARK, C. L. Religiousness/spirituality and health: a meaning systems perspective. Journal of behavioral medicine, [s.l.], v. 30, n. 4, p. 319-328, May 2007.
PIRUTINSKY, S. et al. Does negative religious coping accompany, precede, or follow depression among Orthodox Jews? Journal of affective disorders, [s.l.], v. 132, n. 3, p. 401-405, Aug. 2011.
RICKHI, B. et al. A spirituality teaching program for depression: a randomized controlled trial. The international journal of psychiatry in medicine, [s.l.], v. 42, n. 3, p. 315-329, Oct. 2011.
ROBINS, A.; FISKE, A. Explaining the relation between religiousness and reduced suicidal behavior: social support rather than specific beliefs. Suicide and life-threatening behavior, [s.l.], v. 39, n. 4, p. 386-395, Aug. 2009.
SEYBOLD, K. S. Physiological mechanisms involved in religiosity/spirituality and health. Journal of behavioral medicine, [s.l.], v. 30, n. 4, p. 303-309, Jun. 2007.
SHEARER, A. et al. Religion, sexual orientation, and suicide attempts among a sample of suicidal adolescents. Suicide and life-threatening behavior, [s.l.], v. 48, n. 4, p. 431-437, Jul. 2017.
STACK, S.; LAUBEPIN, F. Religiousness as a predictor of suicide: an analysis of 162 European regions. Suicide and life-threatening behavior, [s.l.], p. 1-11, Jan. 2018.
TAYLOR, R. J.; CHATTERS, L. M.; JOE, S. Religious involvement and suicidal behavior among African Americans and black Caribbeans. The journal of nervous and mental disease, [s.l.], v. 199, n. 7, p. 478-486, Jul. 2011.
TOSTES, J. S. R. M.; PINTO, A. R.; MOREIRA-ALMEIDA, A. Religiosidade/espiritualidade na prática clínica: o que o psiquiatra pode fazer? Revista debates em psiquiatria, São Paulo, v. 2, n. 3, p. 20-26, mar. 2013.
TOUSSAINT, L. et al. Religiousness and suicide in a nationally representative sample of Trinidad and Tobago adolescents and young adults. Social psychiatry and psychiatric epidemiology, [s.l.], v. 50, n. 9, p. 1441-1450, Mar. 2015.
TREVINO, K. M. et al. Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer. Psycho-oncology, [s.l.], v. 23, n. 8, p. 936-945, Feb. 2014.
VAN DEN BRINK, B. D; SCHAAP, H.; BRAAM, A. W. Moral objections and fear of hell: an important barrier to suicidality. Journal of religion and health, [s.l.], v. 57, n. 6, p. 2301-2312, Feb. 2018.
VITORINO, L. M. et al. Spiritual religious coping is associated with quality of life in institutionalized older adults. Journal of religion and health, [s.l.], v. 55, n. 2, p. 549-559, Dec. 2015.
WORLD HEALTH ORGANIZATION. Projections of mortality and causes of death, 2016-2060. Geneva, Oct. 2018. Disponível em: https://www.who.int/healthinfo/global_burden_disease/projections/en/. Acesso em: 30 dez. 2018.
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