Abstrakt
Suicide is a global phenomenon and one of the leading causes of death worldwide. The analysis covers suicidal risk factors (depression, psychological pain, fascination with death) and protective factors (spirituality, religiosity) in the population of healthy people in the SARS-CoV-2 pandemic and the relationship between recent stressful events and suicide risk factors. In the period from October 2020 to March 2021, 260 people aged 18-63 were surveyed electronically, using the own questionnaire and Polish adaptations of research tools to assess: depression, mental pain, anxiety and fascination with death, spirituality and religiosity and the AUDIT screening test. 38.8% of the respondents achieved the result indicating the presence of symptoms of depression and the need for specialist consultation. Women achieved higher results compared to men (Z = -2.424; p = 0.015). In the measurement of religiosity and spiritual transcendence, the lowest score was noted on the following scales: religious commitment, religious crisis and fulfillment in prayer, while the highest score in the sense of attachment scale. Among the maximum results, the lowest was recorded in the measurement of transcendence and the highest in religious commitment. In the subscale of religious commitment, the respondents achieved the lowest average intensity, and slightly higher in the measurement of the religious crisis. However, the feeling of fulfillment in prayer and universality were the most intense. Statistical significance was demonstrated between depression and fascination with death (ρ = 0.399; p <0.001) and depression and psychological pain (ρ = 0.677; p <0.001). As the religious crisis intensified, the following also intensified: depression (ρ = 0.290; p <0.001), psychological pain (ρ = 0.279; p <0.001) and fascination with death (ρ = 0.224; p <0.001). A positive correlation was found between the number of stressful events and depression (ρ = 0.259; p <0.001) and psychological pain (ρ = 0.295; p <0.001). Statistical significance was demonstrated in the analysis of the impact of recent stressors on suicide risk factors. Psychological pain is the strongest predictor of the "S" sample, and the religious crisis is associated with a greater severity of suicide risk factors. Depressiveness correlates with the intensity of mental pain and fascination with death in people with a high level of spiritual transcendence and religiosity. Increased depression and psychological pain are more common in women and in people experiencing recent stressful situations in life.
Bibliografia
Berardelli, I., Sarubbi, S., Spagnoli, A., Fina, C., Rogante, E., Erbuto, D., Innamorati, M., Lester, D., Pompili, M. (2020). Projective Technique Testing Approach to the Understanding of Psychological Pain in Suicidal and Non-Suicidal Psychiatric Inpatients, International Journal of Environmental Research and Public Health, 17 (1), 284, 1–7, https://doi.org/10.3390/ijerph17010284.
Chodkiewicz, J., Miniszewska, J. (2016). Męska depresja – koncepcja, metody pomiaru i związki z zachowaniami samobójczymi, Psychiatria i Psychologia Kliniczna, 16 (1), 33– 37.
Chodkiewicz, J., Miniszewska, J. (2016). Męska depresja – koncepcja, metody pomiaru i związki z zachowaniami samobójczymi, Psychiatria i Psychologia Kliniczna, 16(1), 33– 37, https://doi.org/10.15557/PiPK.2016.0006.
Dong, M., Wang, S.B., Xu, D.D., Ungvari, G.S., Ng, C.H., Chow, I.H.I., Xiang, Y.T. (2018). Prevalence of suicidal behaviors in patients with major depressive disorder in China: A comprehensive meta-analysis, Journal of Affective Disorders, 225, 32–39, https://doi.org/10.1016/j.jad.2017.07.043.
Dong, M., Zeng, L.N., Lu, L., Li, X. H., Ungvari, G.S., Ng, C.H., Chow, I.H.I., Zhang, L., Zhou, Y., Xiang, Y. T. (2019). Prevalence of suicide attempt in individuals with major depressive disorder: a meta-analysis of observational surveys, Psychological Medicine, 49 (10), 1691–1704, https://doi.org/10.1017/S0033291718002301.
Ducasse, D., Holden, R.R., Boyer, L., Artéro, S., Calati, R., Guillaume, S., Courtet, P., Olié, E. (2018). Psychological Pain in Suicidality: A Meta-Analysis, Journal of Clinical Psychiatry, 79 (3), https://doi.org/10.4088/JCP.16r10732.
Durkheim, É. (2006). Samobójstwo. Studium z socjologii. Warszawa: Oficyna Naukowa.
Ferrari, A.J., Somerville, A.J., Baxter, A.J., Norman, R., Patten, S.B., Vos, T., Whiteford, H.A. (2013). Global variation in the prevalence and incidence of major depressive disorder: a systematic review of the epidemiological literaturę, Psychological Medicine, 43 (3), 471–481, https://doi.org/10.1017/S0033291712001511.
Francis, B., Gill, J.S.,Han, N.Y.,Petrus, C.F., Azhar, F.L., Sabki, Z.A., Said, M.A., Hui, K.O., Guan, N.C., Sulaiman, A.H. (2019). Religious Coping, Religiosity, Depression and Anxiety among Medical Studenrs in a Multi-Religious Setting, International Journal of Environmental Research and Public Health, 16 (2), 259, 1–13, https://doi.org/10.3390/ijerph16020259.
Gmitrowicz, A. (2020). Dlaczego i jak monitorowane są zachowania samobójcze? II Kongres Suicydologiczny, Łódź.
Golan, Z. (2006). Pojęcie religijności, (w:) S. Głaz (red.), Podstawowe zagadnienia psychologii religii, 71–79, Kraków: Wydawnictwo WAM.
Grzywa, A., Kucmin, A., Kucmin, T. (2009). Samobójstwa – epidemiologia, czynniki, motywy i zapobieganie. Część I, Polski Merkuriusz Lekarski, 27 (161), 432–436.
Hill, P. C., Pargament, K.I., Hood, R.W., Jr., McCullough, M.E., Swyers, J.P., Larson, D.B., Zinnbauer, B.J. (2000). Conceptualizing religion and spirituality: Points of commonality, points of departure, Journal for the Theory of Social Behaviour, 30 (1), 51– 77, https://doi.org/10.1111/1468-5914.00119.
Hołyst, B. (2018). Zapobieganie samobójstwom. Imperatyw ogólnoświatowy, Warszawa: Instytut Psychiatrii i Neurologii.
Ibrahim, N., Che Din, N., Ahmad, M., Amit, N., Ghazali, S.E., Wahab, S., Abdul Kadir, N.B., Halim, F. W., Mohd Radzi Tarmizi, A. Halim, M. R. T. (2019). The role of social suport and spirituals wellbeing in predicting suicidal ideation among marginalized adolescents in Malaysia, BMC Public Health, 19 (4), 553, 1–8, https://pdf.manuscriptpro.com/search/Author-Suzaily-Wahab/1/0552aba9.
Isometsä, E. (2014). Suicidal behaviour in mood disorders – who, when, and why? The Canadian Journal of Psychiatry, 59 (3), 120–130, https://doi.org/10.1177/070674371405900303.
Jarema, M. (2018). Czy można ocenić ryzyko samobójstwa? Psychiatria Polska, 52 (1), 7–19, https://doi.org/10.12740/PP/74161.
Kapała, M. (2017). Duchowość jako niedoceniany aspekt psyche. Propozycja nowego ujęcia duchowości w psychologii – kategoria wrażliwości duchowej, Annales Universitatis Mariae Curie-Skłodowska Sectio Paedagogia-Psychologia, 30 (1), 7–37 https://journals.umcs.pl/j/article/view/3478.
Koenig, H.G. (2009). Research on Religion, Spirituality, and MentalHealth: A Review, The Canadian Journal of Psychiatry, 54 (5), 283–291, https://doi.org/10.1177/070674370905400502.
Koziara, K. (2016). Ocena depresyjności w populacji. Psychometryczna ocena polskiej wersji skali CESD-R, Psychiatria Polska, 50 (6), 1109–1117, https://doi.org/10.12740/PP/61614.
Lawrence, R.E., Brent, D., Mann, J.J., Burke, A.K., Grunebaum, M.F., Galfalvy, H.C., Oquendo, M.A. (2016). Religion as a riskfactor for suicide attempt and suicide ideation among depressed patients, Journal of Nervous and MentalDisease, 204 (11), 845–850, https://doi.org/10.1097/NMD.0000000000000484.
Lee, S.A., Piotrowski, J., Różycka, J., Żemojtel-Piotrowska, M. (2013). Associations Between Death Fascination, Death Anxiety and Religion among Polish College Students, Polish Psychological Bulletin, 44 (4), 439–448, https://doi.org/10.2478/ppb-2013-0047.
Liu, R.T., Miller, I. (2014). Life events and suicidal ideation and behawior: a systematic review, Clinical Psychology Review, 34 ( 3), 181–192, https://doi.org/10.1016/j.cpr.2014.01.006.
Ma, Y.J., Wang, D.F., Yuan, M., Zhang, X.J., Long, J., Chen, S. B., Wu, Q.X., Wang, X.Y., Patel, M., Verrico, C.D., Liu, T.Q., Zhang, X. Y. (2019). The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder, BMC Psychiatry, 19 (1), 144, 1–7 https://doi.org/10.1186/s12888-019-2131-6.
Makara-Studzińska, M. (2013). Przyczyny prób samobójczych u młodzieży w wieku 14– 18 lat, Psychiatria Polska, 10 (2), 76–83, https://journals.viamedica.pl/psychiatria/article/view/35886.
Malczewska-Błaszczyk, A. (2017). Samobójstwa – Polska i świat. Wybrane aspekty zagadnienia. Rzeszów: Pro Carpathia.
Miranda-Mendizabal, A., Castellvi, P., Pares-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M.J., Cebria, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J.A., Rodriguez- Jimenez, T., Rodriguez-Marin, J., Roca, M., Soto-Sanz, V., Vilagut, G., Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and Young adults: systematic review and meta-analysis of longitudinal studies, International Journal of Public Health, 64, 265–283, https://doi.org/10.1007/s00038-018-1196-1.
Młodożeniec, A. (2008). Uwarunkowania kliniczne obecności i nasilenia myśli i tendencji samobójczych u chorych leczonych z powodu schizofrenii paranoidalnej. Rozprawa doktorska, Warszawa: Instytut Psychiatrii i Neurologii.
Pargament, K.I. (1997). The psychology of religion and coping: Theory, research, practice, New York: Guilford Press.
Pawlak, J., Miechowicz, I., Dmitrzak-Węglarz, M., Szczepankiewicz, A., Zaremba, D., Kapelski, P., Rajewska-Rager, A., Czerski, P., Skibińska, M., Hauser, J. (2018). Czy czynniki związane z ryzykiem samobójstwa są specyficzne dla płci? Psychiatria Polska, 52 (1), 21–32, https://doi.org/10.12740/PP/78974.
Piedmont, R.L. (1999). Does spirituality represent the sixth factor of personality? Spiritual transcendence and the five-factor model, Journal of Personality, 67 (6), 985– 1013, https://doi.org/10.1111/1467-6494.00080.
Piedmont, R.L., Werdel, M.B., Fernando, M. (2009). The utility of the assessment of spirituality and religious sentiments (aspires) scale with Christians and Buddhists in Sri Lanka, Research in the Social Scientific Study of Religion, 20, 131-143.
Piotrowski, J., Żemojtel-Piotrowska, M., Piedmont, R.L., Baran, T. (2021). The Assessment of Spirituality and ReligiousSentiments (ASPIRES) scale: Examining a spirituals transcendence nomological net in Polish context, Psychology of Religion and Spirituality, 13 (1), 36–45, https://doi.org/10.1037/rel0000273.
Van Praag, H.M. (2021). The role of religion in suicide prevention, (in:) D. Wasserman, Oxford Textbook of Suicidology and Suicide Prevention, 9–15, Oxford: Oxford University Press, https://doi.org/10.1093/med/9780198570059.001.0001.
Raniszewska-Wyrwa, A. (2010). Problem samobójstw w perspektywie psychiatrycznej i psychologicznej, Acta Universitatis Lodziensis. Folia Psychologica, 14, 45-62, http://hdl.handle.net/11089/4650.
Reist, C., Mee, S., Fujimoto, K., Rajani, V., Bunney, W.E., Bunney, B.G. (2017). Assessment of psychological pain in suicidal veterans, PLOS ONE, 12 (5), e0177974, 1–11, https://doi.org/10.1371/journal.pone.0177974.
Ringel, E. (1987). Gdy życie traci sens. Rozważania o samobójstwie, Szczecin: Glob.
Rodziński, P., Rutkowski, K., Ostachowska, A. (2017). Progresja myśli samobójczych do zachowań samobójczych w świetle wybranych modeli suicydologicznych, Psychiatria Polska, 51 (3), 515–530, https://doi.org/10.12740/PP/63984.
Różycka, J., Skrzypińska, K. (2011). Perspektywa noetyczna w psychologicznym funkcjonowaniu człowieka, Roczniki Psychologiczne, 14 (2), 101-120, https://www.kul.pl/files/1024/Roczniki_Psychologiczne/2011/2/RocznikiPsychologiczne_14_2011_nr2_B5_s101-121.pdf.
Salk, R.H., Hyde, J.S., Abramson, L.Y. (2017). GenderDifferences in Depression in Representative National Samples: Meta-Analyses of Diagnoses and Symptoms, Psychological Bulletin, 143 (8), 783–822, https://doi.org/10.1037/bul0000102.
Shelef, L., Fruchter, E., Hassidim, A., Zalsman, G. (2015). Emotional regulation of mental pain as moderator of suicidal ideation in military settings, European Psychiatry, 30 (6), 765–769, https://doi.org/10.1016/j.eurpsy.2014.12.004.
Shneidman, E.S. (1996). The suicidal mind, New York: Oxford University Press.
Shneidman, E.S. (1998). Perspectives on suicidology. Further reflections on suicide and psychache, (in:) E.S. Schneidman, S. Edwin (eds.), Suicide and Life-Threatening Behavior, New York: American Association Suicidology.
Skrzypińska, K. (2012). Granice duchowości – perspektywa pierwsza, Roczniki Psychologiczne, 15 (1), 75–96, https://ojs.tnkul.pl/index.php/rpsych.
Socha, P.M. (2014). Przemiana duchowa jako kluczowe pojęcie psychologii rozwoju człowieka, Psychologia Rozwojowa, 19 (3), 9–22, https://www.ejournals.eu/Psychologia-Rozwojowa/Tom-19-2014/Numer-3-2014/art/3620/.
Tae, H., Chae, J.H. (2021). Factors related to suicide attempts: the roles of childhood abuse and spirituality, Frontiers in Psychiatry, 12, 565358, 1–12, https://doi.org/10.3389/fpsyt.2021.565358.
Trevino, K.M., Balboni, M., Zollfrank, A., Balboni, T., Prigerson, H.G. (2014). Negativereligiouscoping as a correlate of suicidalideation in patients with advancedcancer, Psycho-Oncology, 23 (8), 936–945, https://doi.org/10.1002/pon.3505.
Tripp, D. A., Mihajlovic, V., Fretz, K., Fervaha, G., Izard, J., Corby, R., Siemens, D.R. (2020). Quality of life, depression, and psychosocialmechanisms of suiciderisk in prostatę cancer, Canadian Urological Association Journal, 14(10), E487–E492, https://doi.org/10.5489/cuaj.6310.
Troister, T., Holden, R.R. (2010). Comparing psychache, depression and hopelessness in their associations with suicidality: A test of Shneidman’stheory of suicide, Personality and Individual Differences, 49 (7), 689–693, https://doi.org/10.1016/j.paid.2010.06.006.
Trzebińska, E. (2008). Psychologia pozytywna. Warszawa: Wydawnictwa Akademickie i Profesjonalne.
Wassermen, D., Thanh, H.T.T., Minh, D.P.T., Goldstein, M., Nordenskiold, A., Wasserman, C. (2020). Suicidal process, suicidal communication and psychosocial situation of young suicide attempters in a rural Vietnamese community, World Psychiatry, 7, 47–53, https://doi.org/10.1002/j.2051-5545.2008.tb00152.x.
World Health Organization (2019). Suicide in the world: Global Health Estimates, World Health Organization.
Wu, A., Wang, J.Y., Jia, C.X. (2015). Religion and Completed Suicide: a Meta-Analysis, PLOS ONE, 10 (6), e0131715, https://doi.org/10.1371/journal.pone.0131715.
Zinnbauer, B.J., Pargament, K.I. (2005). Religiousness and spirituality. W: R. F. Paloutzian, C.L. Park, Handbook of the psychology of religion and spirituality, 21–42, New York: Guilford Press.
Żemojtel-Piotrowska, M., Piotrowski, J. (2009). Skala lęku i fascynacji śmiercią, Polskie Forum Psychologiczne, 14 (1), 90–109, bwmeta1.element.psjd-655b80b7-faaf-4ddc-8271- b2a29e6fa03c.