Suicide literacy mediates the path from religiosity to suicide stigma among Muslim community adults: Cross-sectional data from four Arab countries.
Journal: The International journal of social psychiatry
Volume: 69
Issue: 7
Year of Publication: 2023
Affiliated Institutions:
Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
School of Medicine, Keele University, Staffordshire, UK.
Department of Psychology, Kuwait University, Kuwait.
Psychology Department, College of Education, Sultan Qaboos University, Muscat, Oman.
Department of Psychology, Fayoum University, Faiyum, Egypt.
Psychiatry Department, IBN HASSAN Hospital, HASSAN II University Hospital Center, Fès, Morocco.
Department of Biology, Faculty of Science, Islamic University of Gaza, Palestine.
Clinical Sciences Department, College of Medicine, Sulaiman AlRajhi University, Bukariyah, Al-Qassim, Saudi Arabia.
Nursing Department, Faculty of Health Sciences, Beirut Arab University, Lebanon.
Faculty of Medicine and Pharmacy, Laboratory of Epidemiology and Research in Health Sciences, Fez, Morocco.
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Byblos, Lebanon.
Department of Psychiatry, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia.
Faculty of Medicine and Health Sciences, Behavioral Sciences Dep. A, Aden, Yemen.
The National Centre of Research in Social and Cultural Anthropology, Oran, Algeria.
Department of Nutrition and Food Technology, Faculty of Agriculture and Veterinary Medicine, An-Najah National University, Nablus, Palestine.
School of Nursing, The University of Jordan, Amman, Jordan.
Department of Psychology, College of Natural and Health Sciences, Zayed University, Dubai, UAE.
Department of Psychiatry, University of Khartoum, Sudan.
Psychology Department, Sanaa University, Yemen.
Behavioural Medicine, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman.
Sebha Psychiatry Center, Libya.
Laboratorio de Neurociencias (LIM ), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Brazil.
School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.
Abstract summary
The majority of research attention has been devoted to the link between religiosity and suicide risk, and a considerable amount of studies has been carried out on how stigma impacts individuals with mental health problems of different kinds. However, the interplay between religiosity, suicide literacy and suicide stigma has seldom been empirically researched, especially quantitatively. We sought through this study to redress the imbalance of research attention by examining the relationship between religiosity and suicide stigma; and the indirect and moderating effects of suicide literacy on this relationship.A cross-sectional web-based survey was conducted among Arab-Muslim adults originating from four Arab countries (Egypt: = 1029, Kuwait: = 2182, Lebanon = 781, Tunisia = 2343; Total sample: = 6335). The outcome measures included the Arabic Religiosity Scale which taps into variation in the degree of religiosity, the Stigma of Suicide Scale-short form to the solicit degree of stigma related to suicide, and the Literacy of Suicide Scale explores knowledge and understanding of suicide.Our Mediation analyses findings showed that literacy of suicide partially mediated the association between religiosity and stigmatizing attitude toward suicide. Higher religiosity was significantly associated with less literacy of suicide; higher literacy of suicide was significantly associated with less stigma of suicide. Finally, higher religiosity was directly and significantly associated with more stigmatization attitude toward suicide.We contribute the literature by showing, for the first time, that suicide literacy plays a mediating role in the association between religiosity and suicide stigma in a sample of Arab-Muslim community adults. This preliminarily suggests that the effects of religiosity on suicide stigma can be modifiable through improving suicide literacy. This implies that interventions targeting highly religious individuals should pay dual attention to increasing suicide literacy and lowering suicide stigma.
Authors & Co-authors:
Fekih-Romdhane Feten F
Daher-Nashif Suhad S
Stambouli Manel M
Alhuwailah Amthal A
Helmy Mai M
Shuwiekh Hanaa Ahmed Mohamed HAM
Mohamed Lemine Cheikh Mohamed Fadel CMF
Radwan Eqbal E
Saquib Juliann J
Saquib Nazmus N
Fawaz Mirna M
Zarrouq Btissame B
Naser Abdallah Y AY
Obeid Sahar S
Saleh Maan M
Haider Sanad S
Miloud Lahmer L
Badrasawi Manal M
Hamdan-Mansour Ayman A
Barbato Mariapaola M
Bakhiet Aisha A
Sayem Najat N
Adawi Samir S
Grein Fatheya F
Loch Alexandre Andrade AA
Cheour Majda M
Hallit Souheil S
Study Outcome
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