Abstract
Suicide is a critical public health issue in the United States, recognized as the tenth leading cause of death across all age groups (Centers for Disease Control and Prevention, 2020). Despite the Islamic prohibition on suicide, suicidal ideation and suicide mortality persist among Muslim populations. Recent data suggest that U.S. Muslim adults are particularly vulnerable, with a higher attempt history compared to respondents from other faith traditions. While the underlying reasons for this vulnerability are unclear, it is evident that culturally and religiously congruent mental health services can be utilized to steer suicide prevention, intervention, and postvention in Muslim communities across the United States. However, the development of Suicide Response toolkits specific to Muslim populations is currently limited. As a result, Muslim communities lack a detailed framework to appropriately respond in the event of a suicide tragedy. This paper aims to fill this gap in the literature by providing structured guidelines for the formation of a Crisis Response Team (CRT) through an Islamic lens. The CRT comprises of a group of individuals who are strategically positioned to respond to a suicide tragedy. Ideally, the team will include religious leaders, mental health professionals, healthcare providers, social workers, and community leaders. The proposed guidelines are designed to be culturally and religiously congruent and take into account the unique cultural and religious factors that influence Muslim communities' responses to suicide. By equipping key personnel in Muslim communities with the resources to intervene in an emergent situation, provide support to those affected, and mobilize community members to assist in prevention efforts, this model can help save lives and prevent future suicide tragedies in Muslim communities across the United States.
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References
Abu-Ras, W., Gheith, A., & Cournos, F. (2008). The imam’s role in mental health promotion: A study at 22 mosques in New York City’s Muslim community. Journal of Muslim Mental Health, 3(2), 155–176. https://doi.org/10.1080/15564900802487576
Ahmad, F., AlZeben, F., Kattan, W., Alyahyawi, H. Y., & Hassan, A. N. (2023). Prevalence, correlates, and impact of psychiatric disorders and treatment utilization among Muslims in the United States: Results from the national epidemiological survey of alcohol and related conditions. Community Mental Health Journal, 59(8), 1568–1577. https://doi.org/10.1007/s10597-023-01145-7
Ali, O. M. (2016). The imam and the mental health of Muslims: Learning from research with other clergy. Journal of Muslim Mental Health, 10(1), 65–73. https://doi.org/10.3998/jmmh.10381607.0010.106
Ali, O. M., & Milstein, G. (2012). Mental illness recognition and referral practices among imams in the United States. Journal of Muslim Mental Health, 6(2), 3–13. https://doi.org/10.3998/jmmh.10381607.0006.202
Al-Kernawi, A., & Graham, J. R. (2000). Culturally sensitive social work practice with Arab clients in mental health settings. Health & Social Work, 25(1), 9–22. https://doi.org/10.1093/hsw/25.1.9
Almutari, W., Seven, M., Poudel-Tandukar, K., & VanKim, N. (2022). Mental health disorders among Middle Eastern immigrant women living in the United States: A scoping review. Perspectives in Psychiatric Care, 58(4), 3079–3102. https://doi.org/10.1111/ppc.13088
Aloud, N., & Rathur, A. (2009). Factors affecting attitudes toward seeking and using formal mental health and psychological services among Arab Muslim populations. Journal of Muslim Mental Health, 4(2), 79–103. https://doi.org/10.1080/15564900802487675
Institute for Social Policy and Understanding. (2019, April 29). American Muslim poll 2019: Full report. https://www.ispu.org/american-muslim-poll-2019-full-report/
Awaad, R. (2017). A Muslim graduate student from Sudan trapped by the travel ban. American Journal of Psychiatry, 174(10), 925–926. https://doi.org/10.1176/appi.ajp.2017.17060700
Awaad, R., El-Gabalawy, O., Jackson-Shaheed, E., Zia, B., Keshavarzi, H., Mogahed, D., & Altalib, H. (2021). Suicide attempts of Muslims compared with other religious groups in the US. JAMA Psychiatry, 78(9), 1041–1044. https://doi.org/10.1001/jamapsychiatry.2021.1813
Bailey, K., Paquet, S. R., Ray, B. R., Grommon, E., Lowder, E. M., & Sightes, E. (2018). Barriers and facilitators to implementing an urban co-responding police-mental health team. Health and Justice. https://doi.org/10.1186/s40352-018-0079-0
Barnhorst, A., Gonzales, H., & Asif-Sattar, R. (2021). Suicide prevention efforts in the United States and their effectiveness. Current Opinion in Psychiatry, 34(3), 299–305. https://doi.org/10.1097/YCO.0000000000000682
Betancourt, T. S., Newnham, E. A., Birman, D., Lee, R., Ellis, B. H., & Layne, C. M. (2017). Comparing trauma exposure, mental health needs, and service utilization across clinical samples of refugee, immigrant, and U.S.-origin children. Journal of Traumatic Stress, 30(3), 209–218. https://doi.org/10.1002/jts.22186
Campbell, F. R., Cataldie, L., McIntosh, J., & Millet, K. (2004). An active postvention program. Crisis, 25(1), 30–32. https://doi.org/10.1027/0227-5910.25.1.30
Centers for Disease Control and Prevention. (2020). 10 leading causes of death, United States. https://wisqars.cdc.gov/data/lcd/home
Centers for Disease Control and Prevention. (2023, January 11). National center for health statistics mortality data on CDC WONDER. https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html
Cerel, J., Brown, M. M., Maple, M., Singleton, M., van de Venne, J., Moore, M., & Flaherty, C. (2018). How many people are exposed to suicide? Not six. Suicide and Life-Threatening Behavior, 49(2), 529–534. https://doi.org/10.1111/sltb.12450
Cerel, J., Maple, M., van de Venne, J., Moore, M., Flaherty, C., & Brown, M. (2016). Exposure to suicide in the community: Prevalence and correlates in one U.S. state. Public Health Reports, 131(1), 100–107. https://doi.org/10.1177/003335491613100116
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084
Greenfield, B., Larson, C., Hechtman, L., Rousseau, C., & Platt, R. (2002). A rapid-response outpatient model for reducing hospitalization rates among suicidal adolescents. Psychiatric Services, 53(12), 1574–1579. https://doi.org/10.1176/appi.ps.53.12.1574
Hankir, A., Abi Rached, M., & Zaman, R. (2021). Pioneering an innovative intervention to reduce mental health related stigma in Muslim communities: A protocol. Psychiatria Danubina, 33(11), 69–73.
Hogan, M. F., & Goldman, M. L. (2021). New opportunities to improve mental health crisis systems. Psychiatric Services, 72(2), 169–173. https://doi.org/10.1176/appi.ps.202000114
Latimer, E. A., Gariépy, G., & Greenfield, B. (2014). Cost-effectiveness of a rapid response team intervention for suicidal youth presenting at an emergency department. The Canadian Journal of Psychiatry, 59(6), 310–318. https://doi.org/10.1177/070674371405900604
Lipson, S. K., Speer, N., Brunwasser, S., Hahn, E., & Eisenberg, D. (2014). Gatekeeper training and access to mental health care at universities and colleges. Journal of Adolescent Health, 55(5), 612–619. https://doi.org/10.1016/j.jadohealth.2014.05.009
Malone, D., Marriott, S. V. L., Newton-Howes, G., Simmonds, S., & Tyrer, P. (2007). Community mental health teams (CMHTs) for people with severe mental illnesses and disordered personality. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD000270.pub2
Maristan. (n.d.). Muslim community suicide response. https://maristan.org/projects/muslim-community-suicide-response
McCance-Katz, E. F. (2020). SAMHSA: Creating a system of care that meets the needs of people with mental and substance use disorders. Psychiatric Services, 71(5), 416–418. https://doi.org/10.1176/appi.ps.202000075
National Alliance on Mental Illness. (2018). Navigating a mental health crisis. https://www.nami.org/Support-Education/Publications-Reports/Guides/Navigating-a-Mental-Health-Crisis/Navigating-A-Mental-Health-Crisis
Niedzwiedz, C., Haw, C., Hawton, K., & Platt, S. (2014). The definition and epidemiology of clusters of suicidal behavior: A systematic review. Suicide and Life-Threatening Behavior, 44(5), 569–581. https://doi.org/10.1111/sltb.12091
Penny Appeal Canada. (2023, May 2). Project FALAH. https://pennyappeal.ca/project-falah/
Ramchand, R., Franklin, E., Thornton, E., Deland, S., & Rouse, J. (2017). Opportunities to intervene? “Warning signs” for suicide in the days before dying. Death Studies, 41(6), 368–375. https://doi.org/10.1080/07481187.2017.1284956
Rickgarn, R. L. (1987). The death response team: Responding to the forgotten grievers. Journal of Counseling and Development, 66(4), 197–199. https://doi.org/10.1002/j.1556-6676.1987.tb00847.x
Shoib, S., Armiya’u, A. Y., Nahidi, M., Arif, N., & Saeed, F. (2022). Suicide in Muslim world and way forward. Health Science Reports. https://doi.org/10.1002/hsr2.665
Streufert, B. J. (2004). Death on campuses: Common postvention strategies in higher education. Death Studies, 28(2), 151–172. https://doi.org/10.1080/04781180490264745
Substance Abuse and Mental Health Services Administration. (2009). Practice guidelines: Core elements for responding to mental health crises. https://qprinstitute.com/pdfs/Mental_health_crisis_CrisRespCoreElements.pdf
Substance Abuse and Mental Health Services Administration. (2018). Building a community-based suicide crisis response team. https://www.samhsa.gov/sites/default/files/nc-oy1-task-3-building-comm-based-suicide-crisis-respons-team-2018-12-06.pdf
Substance Abuse and Mental Health Services Administration.(n.d.). QPR (Question, persuade, refer) suicide prevention training. https://www.samhsa.gov/resource/dbhis/qpr-question-persuade-refer-suicide-prevention-training
Suicide Prevention Resource Center. (2015). Responding to grief, trauma, and distress after a suicide: U.S. national guidelines. https://theactionalliance.org/sites/default/files/inline-files/NationalGuidelines.pdf
Trader-Leigh, K. (2008). Understanding the role of African American churches and clergy in community crisis response. Joint Center for Political and Economic Studies. https://diversitypreparedness.org/~/media/Files/diversitypreparedness/HPI%20UnderstandingRoleofChurches.ashx?la=en
United Nations Department for Policy Coordination and Sustainable Development. (1996). Prevention of suicide: Guidelines for the formulation and implementation of national strategies. https://digitallibrary.un.org/record/215713
Vogel, D. L., Armstrong, P. I., Tsai, P.-C., Wade, N. G., Hammer, J. H., Efstathiou, G., Holtham, E., Kouvaraki, E., Liao, H. Y., Shechtman, Z., & Topkaya, N. (2013). Cross-cultural validity of the Self-Stigma of Seeking Help (SSOSH) scale: Examination across six nations. Journal of Counseling Psychology, 60(2), 303–310. https://doi.org/10.1037/a0032055
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 40–50. https://doi.org/10.1037/0022-0167.54.1.40
World Health Organization. (2021). Suicide worldwide in 2019: Global health estimates. https://iris.who.int/bitstream/handle/10665/341728/9789240026643-eng.pdf?sequence=1
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RA contributed to the study conception and design. The first draft of the manuscript was written by ZD, YQ, MS, and AH. TK and OE-G contributed to the original suicide response manual from which this paper was derived. All authors except for Osama commented on previous versions of the manuscript. RA, ZD, and SS prepared and edited the final manuscript. All authors read and approved the final manuscript.
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Data collection for this study was reviewed and approved by the institutional review board at Stanford University (IRB-63336). When the data were collected, informed consent was obtained from each participant. No animals were included in the study.
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Awaad, R., Durrani, Z., Quadri, Y. et al. Developing a Suicide Crisis Response Team in America: An Islamic Perspective. J Relig Health 63, 985–1001 (2024). https://doi.org/10.1007/s10943-023-01993-3
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DOI: https://doi.org/10.1007/s10943-023-01993-3