Abstract
This study examines whether adverse childhood experiences are associated with passive suicidal ideation in later life and whether religious attendance moderates this association among U.S. older adults. To this end, logistic regression analyses were conducted using data from the 2016 Health and Retirement Study. The results show that poor childhood health, lack of parental affection, and childhood trauma are all positively associated with passive suicidal ideation in later life. However, religious attendance modifies the association between childhood health and passive suicidal ideation. For instance, poor childhood health is associated with greater odds of passive suicidal ideation only for older adults who never attend religious services, while this is not the case for those who attend religious services. Yet, the associations of parental affection and childhood trauma with passive suicidal ideation do not appear to differ by religious attendance. We discuss the theoretical implications of these findings for views about childhood adversity, religion, and suicide risk in later life.
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References
Assari, S., Lankarani, M. M., & Moazen, B. (2012). Religious beliefs may reduce the negative effect of psychiatric disorders on age of onset of suicidal ideation among Blacks in the United States. International Journal of Preventive Medicine, 3(5), 358–364.
Baca-Garcia, E., Perez-Rodriguez, M. M., Oquendo, M. A., Keyes, K. M., Hasin, D. S., Grant, B. F., & Blanco, C. (2011). Estimating risk for suicide attempt: Are we asking the right questions? Passive suicidal ideation as a marker for suicidal behavior. Journal of Affective Disorders, 134(1–3), 327–332. https://doi.org/10.1016/j.jad.2011.06.026
Barry, L. C. (2019). Passive suicidal ideation in older adults: Implications for suicide prevention. The American Journal of Geriatric Psychiatry, 27(12), 1411–1413. https://doi.org/10.1016/j.jagp.2019.08.003
Beach, V. L., Brown, S. L., & Cukrowicz, K. C. (2021). Examining the relations between hopelessness, thwarted interpersonal needs, and passive suicidal ideation among older adults: Does meaning in life matter? Aging & Mental Health, 25(9), 1759–1767. https://doi.org/10.1080/13607863.2020.1855102
Berkman, L., Glass, T., Brisette, I., & Seeman, T. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51, 843–857. https://doi.org/10.1016/S0277-9536(00)00065-4
Bierman, A. (2005). The effects of childhood maltreatment on adult religiosity and spirituality: Rejecting God the father because of abusive fathers? Journal for the Scientific Study of Religion, 44, 349–359. https://doi.org/10.1111/j.1468-5906.2005.00290.x
Bierman, A., Lee, Y., & Schieman, S. (2018). Chronic discrimination and sleep problems in late life: Religious involvement as buffer. Research on Aging, 40, 933–955. https://doi.org/10.1177/0164027518766422
Blackwell, D. L., Hayward, M. D., & Crimmins, E. M. (2001). Does childhood health affect chronic morbidity in later life? Social Science & Medicine, 52(8), 1269–1284. https://doi.org/10.1016/S0277-9536(00)00230-6
Blosnich, J. R., Garfin, D. R., Maguen, S., Vogt, D., Dichter, M. E., Hoffmire, C. A., Bernhard, P. A., & Schneiderman, A. (2021). Differences in childhood adversity, suicidal ideation, and suicide attempt among veterans and nonveterans. American Psychologist, 76(2), 284–299. https://doi.org/10.1037/amp0000755
Bradshaw, M., & Ellison, C. G. (2010). Financial hardship and psychological distress: Exploring the buffering effects of religion. Social Science & Medicine, 71(1), 196–204. https://doi.org/10.1016/j.socscimed.2010.03.015
Chang, Q., Chan, C. H., & Yip, P. S. F. (2017). A meta-analytic review on social relationships and suicidal ideation among older adults. Social Science & Medicine, 191, 65–76. https://doi.org/10.1016/j.socscimed.2017.09.003
Chatters, L. M., Taylor, R. J., Lincoln, K. D., Nguyen, A., & Joe, S. (2011). Church-based social support and suicidality among African Americans and Black Caribbeans. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 15(4), 337–353. https://doi.org/10.1080/13811118.2011.615703
Chou, K.-L. (2012). Childhood sexual abuse and psychiatric disorders in middle-aged and older adults: Evidence from the 2007 adult psychiatric morbidity survey. The Journal of Clinical Psychiatry, 73(11), e1365-1371. https://doi.org/10.4088/JCP.12m07946
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357. https://doi.org/10.1037/0033-2909.98.2.310
Conwell, Y. (2014). Suicide later in life: Challenges and priorities for prevention. American Journal of Preventive Medicine, 47(3), S244–S250. https://doi.org/10.1016/j.amepre.2014.05.040
Crosby, A. E., Ortega, L., & Melanson, C. (2011). Self-directed violence surveillance: Uniform definitions and recommended data elements. Center for Disease Control and Prevention.
Dong, L., Kalesnikava, V., Gonzalez, R., & Mezuk, B. (2019). Beyond depression: Estimating 12-months prevalence of passive suicidal ideation in mid- and late-life in the Health and Retirement Study. The American Journal of Geriatric Psychiatry, 27(12), 1399–1410. https://doi.org/10.1016/j.jagp.2019.06.015
Durkheim, E. (1897). Suicide: A study in sociology. Routledge.
Dyslin, C. W., & Thomsen, C. J. (2011). Religiosity of young adults: Does childhood maltreatment make a difference? Mental Health, Religion & Culture, 14(7), 625–631. https://doi.org/10.1080/13674676.2010.501504
Ehlman, D. C., Yard, E., Stone, D. M., Jones, C. M., & Mack, K. A. (2022). Changes in suicide rates—United States, 2019 and 2020. Morbidity and Mortality Weekly Report, 71(8), 306–312. https://doi.org/10.15585/mmwr.mm7108a5
Elder, G. H. J. (1974). Children of the great depression: Social change in life experience. University of Chicago Press.
Ellison, C., & George, L. (1994). Religious involvement, social ties, and social support in a Southeastern community. Journal for the Scientific Study of Religion, 33, 46–61. https://doi.org/10.2307/1386636
Ellison, C. G., & Lee, J. (2010). Spiritual struggles and psychological distress: Is there a dark side of religion? Social Indicators Research, 98, 501–517. https://doi.org/10.1007/s11205-009-9553-3
Ferraro, K. F., Schafer, M. H., & Wilkinson, L. R. (2016). Childhood disadvantage and health problems in middle and later life: Early imprints on physical health? American Sociological Review, 81(1), 107–133. https://doi.org/10.1177/0003122415619617
Fortuna, L. R., Perez, D. J., Canino, G., Sribney, W., & Alegria, M. (2007). Prevalence and correlates of lifetime suicidal ideation and suicide attempts among Latino subgroups in the United States. The Journal of Clinical Psychiatry, 68(4), 572–581. https://doi.org/10.4088/jcp.v68n0413
Friestad, C., Ase-Bente, R., & Kjelsberg, E. (2014). Adverse childhood experiences among women prisoners: Relationships to suicide attempts and drug abuse. International Journal of Social Psychiatry, 60(1), 40–46. https://doi.org/10.1177/00207640124612
Gall, T. L., Basque, V., Damasceno-Scott, M., & Vardy, G. (2007). Spirituality and the current adjustment of adult survivors of childhood sexual abuse. Journal for the Scientific Study of Religion, 46(1), 101–117. https://doi.org/10.1111/j.1468-5906.2007.00343.x
Gearing, R. E., & Alonzo, D. (2018). Religion and suicide: New findings. Journal of Religion and Health, 57, 2478–2499. https://doi.org/10.1007/s10943-018-0629-8
Gottlieb, B. H. (1997). Conceptual and measurement issues in the study of coping with chronic stress. In B. H. Gottlieb (Ed.), coping with chronic stress (pp. 3–40). Springer. https://doi.org/10.1007/978-1-4757-9862-3_1
Greenfield, E. A., & Marks, N. F. (2010). Identifying experiences of physical and psychological violence in childhood that jeopardize mental health in adulthood. Child Abuse & Neglect, 34, 161–171. https://doi.org/10.1016/j.chiabu.2009.08.012
Harford, T. C., Yi, H., & Grant, B. (2014). Associations between childhood abuse and interpersonal aggression and suicide attempts among U.S. adults in a national study. Child Abuse & Neglect, 38(8), 1389–1398. https://doi.org/10.1016/j.chiabu.2014.02.011
Haslam, S. A., Jetten, J., Postmes, T., & Haslam, C. (2009). Social identity, health and well-being: An emerging agenda for applied psychology. Applied Psychology, 58, 1–23. https://doi.org/10.1111/j.1464-0597.2008.00379.x
Heckhausen, J. (1997). Developmental regulation across adulthood: Primary and secondary control of age-related challenges. Developmental Psychology, 33(1), 176–187. https://doi.org/10.1037//0012-1649.33.1.176
Hertzman, C. (1999). The biological embedding of early experience and its effects on health in adulthood. Annals of the New York Academy of Sciences, 896(1), 85–95. https://doi.org/10.1111/j.1749-6632.1999.tb08107.x
Hill, T. D., Burdette, A. M., Ellison, C. G., & Musick, M. A. (2006). Religious attendance and the health behaviors of Texas adults. Preventive Medicine, 42(4), 309–312. https://doi.org/10.1016/j.ypmed.2005.12.005
Hill, T. D., Carr, D. C., Burdette, A. M., & Dowd-Arrow, B. (2020). Life-course religious attendance and cognitive functioning in later life. Research on Aging, 42(7–8), 217–225. https://doi.org/10.1177/0164027520917059
Homan, K. J., & Hollenberger, J. C. (2021). Religious support moderates the long reach of adverse childhood events on physical health in middle to late adulthood. Journal of Religion and Health, 60, 4186–4208. https://doi.org/10.1007/s10943-021-01259-w
Hovey, J. D. (1999). Religion and suicidal ideation in a sample of Latin American immigrants. Psychological Reports, 85(1), 171–177. https://doi.org/10.2466/pr0.1999.85.1.171
Jung, J. H. (2018). Childhood adversity, religion, and change in adult mental health. Research on Aging, 40(2), 155–179. https://doi.org/10.1177/0164027516686662
Jung, J. H., & Olson, D. V. A. (2014). Religion, stress, and suicide acceptability in South Korea. Social Forces, 92(3), 1039–1059. https://doi.org/10.1093/sf/sot129
Kemp, B. R., Ferraro, K. F., Morton, P. M., Mustillo, S. A., Thomas, P. A., & Crimmins, E. M. (2022). Do early-life social, behavioral, and health exposures increase later-life arthritis incidence? Research on Aging, 44(7–8), 479–493. https://doi.org/10.1177/01640275211044979
Kim, S. H. (2016). Suicidal ideation and suicide attempts in older adults: Influences of chronic illness, functional limitations, and pain. Geriatric Nursing, 37(1), 9–12. https://doi.org/10.1016/j.gerinurse.2015.07.006
Kim, S., Ha, J. H., Yu, J., Park, D.-H., & Ryu, S.-H. (2014). Path analysis of suicide ideation in older people. International Psychogeriatrics, 26(3), 509–515. https://doi.org/10.1017/S1041610213002366
Krause, N. (2002). Church-based social support and health in old age: Exploring variations by race. The Journals of Gerontology: Series B, 57(6), S332–S347. https://doi.org/10.1093/geronb/57.6.S332
Krause, N. (2003a). Praying for others, financial strain, and physical health status in late life. Journal for the Scientific Study of Religion, 42(3), 377–391. https://doi.org/10.1111/1468-5906.00189
Krause, N. (2003b). Religious meaning and subjective well-being in late life. The Journals of Gerontology: Series B, 58(3), S160–S170. https://doi.org/10.1093/geronb/58.3.S160
Krause, N. (2010). God-mediated control and change in self-rated health. The International Journal for the Psychology of Religion, 20(4), 267–287. https://doi.org/10.1080/10508619.2010.507695
Krause, N., Hill, P. C., Emmons, R., Pargament, K. I., & Ironson, G. (2017). Assessing the relationship between religious involvement and health behaviors. Health Education & Behavior, 44(2), 278–284. https://doi.org/10.1177/1090198116655314
Kwak, M., & Ahn, S. (2020). Childhood adversity predicted suicidal ideation in older age: Results from a National Survey in Korea. Aging & Mental Health, 24(7), 1141–1148. https://doi.org/10.1080/13607863.2019.1616161
Lawrence, R. E., Brent, D., Mann, J. J., Burke, A. K., Grunebaum, M. F., Galfalvy, H. C., & Oquendo, M. A. (2016a). Religion as a risk factor for suicide attempt and suicide ideation among depressed patients. The Journal of Nervous and Mental Disease, 204(11), 845–850. https://doi.org/10.1097/NMD.0000000000000484
Lawrence, R. E., Oquendo, M. A., & Stanley, B. (2016b). Religion and suicide risk: A systematic review. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 20(1), 1–21. https://doi.org/10.1080/13811118.2015.1004494
Lee, H. (2019). A life course approach to total tooth loss: Testing the sensitive period, accumulation, and social mobility models in the Health and Retirement Study. Community Dentistry and Oral Epidemiology, 47(4), 333–339. https://doi.org/10.1111/cdoe.12463
Lee, H., Lee, M. W., Warren, J. R., & Ferrie, J. (2022). Childhood lead exposure is associated with lower cognitive functioning at older ages. Science Advances, 8(45), eabn5164. https://doi.org/10.1126/sciadv.abn5164
Lee, H., Ryan, L. H., Ofstedal, M. B., & Smith, J. (2021). Multigenerational households during childhood and trajectories of cognitive functioning among U.S. older adults. The Journals of Gerontology: Series B, 76(6), 1161–1172. https://doi.org/10.1093/geronb/gbaa165
Lee, M. A. (2015). Emotional abuse in childhood and suicidality: The mediating roles of re-victimization and depressive symptoms in adulthood. Child Abuse & Neglect, 44, 130–139. https://doi.org/10.1016/j.chiabu.2015.03.016
Leyhe, T., Müller, S., Milian, M., Eschweiler, G. W., & Saur, R. (2009). Impairment of episodic and semantic autobiographical memory in patients with mild cognitive impairment and early Alzheimer’s disease. Neuropsychologia, 47(12), 2464–2469. https://doi.org/10.1016/j.neuropsychologia.2009.04.018
Liu, R. T., Bettis, A. H., & Burke, T. A. (2020). Characterizing the phenomenology of passive suicidal ideation: A systematic review and meta-analysis of its prevalence, psychiatric comorbidity, correlates, and comparisons with active suicidal ideation. Psychological Medicine, 50(3), 367–383. https://doi.org/10.1017/S003329171900391X
Luo, Y., & Waite, L. J. (2005). The impact of childhood and adult SES on physical, mental, and cognitive well-being in later life. The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences, 60(2), S93–S101. https://doi.org/10.1093/geronb/60.2.s93
Maimon, D., & Kuhl, D. C. (2008). Social control and youth suicidality: Situating Durkheim’s ideas in a multilevel framework. American Sociological Review, 73(6), 921–943. https://doi.org/10.1177/00031224080730060
Mezuk, B., Dang, L., Jurgens, D., & Smith, J. (2022). Work expectations, depressive symptoms, and passive suicidal ideation among older adults: Evidence from the Health and Retirement Study. The Gerontologist, 62(10), 1454–1465. https://doi.org/10.1093/geront/gnac110
Monnat, S. M., & Chandler, R. F. (2015). Long-term physical health consequences of adverse childhood experiences. The Sociological Quarterly, 56(4), 723–752. https://doi.org/10.1111/tsq.12107
Montez, J. K., & Hayward, M. D. (2014). Cumulative childhood adversity, educational attainment, and active life expectancy among U.S. adults. Demography, 51(2), 413–435. https://doi.org/10.1007/s13524-013-0261-x
Morton, P. M. (2022). Childhood disadvantage and adult functional status: Do early-life exposures jeopardize healthy aging? Journal of Aging and Health, 34(6–8), 794–806. https://doi.org/10.1177/08982643211064723
Oquendo, M. A., Currier, D., & Mann, J. J. (2006). Prospective studies of suicidal behavior in major depressive and bipolar disorders: What is the evidence for predictive risk factors? Acta Psychiatrica Scandinavica, 114(3), 151–158. https://doi.org/10.1111/j.1600-0447.2006.00829.x
Pargament, K. I., Koenig, H. G., & Perez, L. M. (2000). The many methods of religious coping: Development and initial validation of the RCOPE. Journal of Clinical Psychology, 56(4), 519–543. https://doi.org/10.1002/(SICI)1097-4679(200004)56:4%3c519::AID-CLP6%3e3.0.CO;2-1
Pearlin, L. I. (1989). The sociological study of stress. Journal of Health and Social Behavior, 30, 241–256. https://doi.org/10.2307/2136956
Pfaff, J. J., & Almeida, O. P. (2004). Identifying suicidal ideation among older adults in a general practice setting. Journal of Affective Disorders, 83, 73–77. https://doi.org/10.1016/j.jad.2004.03.006
Polson, E. C. (2016). Putting civic participation in context: Examining the effects of congregational structure and culture. Review of Religious Research, 58(1), 75–100. https://doi.org/10.1007/s13644-015-0223-4
Putnam, R. D., & Campbell, D. E. (2010). American Grace: How religion divides and unites us. Simon & Schuster.
Rasic, D. T., Belik, S.-L., Elias, B., Katz, L. Y., Enns, M., & Sareen, J. (2009). Spirituality, religion and suicidal behavior in a nationally representative sample. Journal of Affective Disorders, 114, 32–40. https://doi.org/10.1016/j.jad.2008.08.007
Raue, P. J., Morales, K. H., Post, E. P., Bogner, H. R., Have, T. T., & Bruce, M. L. (2010). The wish to die and 5-year mortality in elderly primary care patients. The American Journal of Geriatric Psychiatry, 18, 341–350. https://doi.org/10.1097/JGP.0b013e3181c37cfe
Reinert, D. F., & Edwards, C. E. (2009). Attachment theory, childhood mistreatment, and religiosity. Psychology of Religion and Spirituality, 1(1), 25–34. https://doi.org/10.1037/a0014894
Robinson, J. A., Bolton, J. M., Rasic, D., & Sareen, J. (2012). Exploring the relationship between religious service attendance, mental disorders, and suicidality among different ethnic groups: Results from a nationally representative survey. Depression and Anxiety, 29(11), 983–990. https://doi.org/10.1002/da21978
Rushing, N. C., Corsentino, E., Hames, J. L., Sachs-Ericsson, N., & Steffens, D. C. (2013). The relationship of religious involvement indicators and social support to current and past suicidality among depressed older adults. Aging & Mental Health, 17(3), 366–374. https://doi.org/10.1080/13607863.2012.738414
Sachs-Ericsson, N., Corsentino, E., Rushing, N. C., & Sheffler, J. (2013). Early childhood abuse and late-life suicidal ideation. Aging & Mental Health, 17(4), 489–494. https://doi.org/10.1080/13607863.2012.758236
Schafer, M. H., Wilkinson, L. R., & Ferraro, K. F. (2013). Childhood (mis)fortune, educational attainment, and adult health: Contingent benefits of a college degree? Social Forces, 91(3), 1007–1034. https://doi.org/10.1093/sf/sos192
Schieman, S., & Meersman, S. C. (2004). Neighborhood problems and health among older adults: Received and donated social support and the sense of mastery as effect modifiers. The Journals of Gerontology: Series B, 59(2), S89–S97. https://doi.org/10.1093/geronb/59.2.S89
Silva, C., Douglas, N., & Van Orden, K. (2022). Neighborhood belonging and thoughts of death among Hispanics in the United States. Archives of Suicide Research. https://doi.org/10.1080/13811118.2022.2029784
Sonnega, A., Faul, J. D., Ofstedal, M. B., Langa, K. M., Phillips, J. W., & Weir, D. R. (2014). Cohort profile: The health and retirement study (HRS). International Journal of Epidemiology, 43(2), 576–585. https://doi.org/10.1093/ije/dyu067
Stansfeld, S., Clark, C., Smuk, M., Power, C., Davidson, T., & Rodgers, B. (2017). Childhood adversity and midlife suicidal ideation. Psychological Medicine, 47(2), 327–340. https://doi.org/10.1017/S0033291716002336
Stark, R., & Finke, R. (2000). Acts of faith: Explaining the human side of religion. University of California Press.
Stolz, E., Fux, B., Mayerl, H., Rásky, É., & Freidl, W. (2016). Passive suicidal ideation among older adults in Europe: A multilevel regression analysis of individual and societal determinants in 12 countries (SHARE). The Journals of Gerontology: Series B, 71(5), 947–958. https://doi.org/10.1093/geronb/gbw041
Thomas, P. A., Williams-Farrelly, M. M., Sauerteig, M. R., & Ferraro, K. F. (2022). Childhood stressors, relationship quality, and cognitive health in later life. The Journals of Gerontology: Series B, 77(7), 1361–1371. https://doi.org/10.1093/geronb/gbac007
Thompson, R. A. (2022). Buffering the stigma? On the racialization of religious attendance and health among formerly incarcerated persons. Sociological Inquiry, 92(1), 34–63. https://doi.org/10.1111/soin.12415
Upenieks, L. (2021a). Resilience in the aftermath of childhood abuse? Changes in religiosity and adulthood psychological distress. Journal of Religion and Health, 60, 2677–2701. https://doi.org/10.1007/s10943-020-01155-9
Upenieks, L. (2021b). “The assurance of things hoped for, the conviction of things not seen”: Racial differences in the effects of changes in religiosity and hope in later life. Journal of Religion, Spirituality & Aging,. https://doi.org/10.1080/15528030.2021.1998817
Upenieks, L., Ford-Robertson, J., & Robertson, J. E. (2022). Trust in God and/or science: Sociodemographic differences in the effects of beliefs in an engaged God and mistrust of the COVID-19 vaccine. Journal of Religion and Health, 61, 657–686. https://doi.org/10.1007/s10943-021-01466-5
Van Orden, K. A., O’Riley, A. A., Simning, A., Podgorski, C., Richardson, T. M., & Conwell, Y. (2015). Passive suicidal ideation: An indicator of risk among older adults seeking aging services? The Gerontologist, 55(6), 972–980. https://doi.org/10.1093/geront/gnu026
Whitehead, A. L., & Perry, S. L. (2020). How culture wars delay herd immunity: Christian Nationalism and anti-vaccine attitudes. Socius. https://doi.org/10.1177/2378023120977727
Whitehead, B. R., & Bergeman, C. S. (2020). Daily religious coping buffers the stress–affect relationship and benefits overall metabolic health in older adults. Psychology of Religion and Spirituality, 12(4), 393–399. https://doi.org/10.1037/rel0000251
Yip, P. S., Chi, I., Chiu, H., Wai, K. C., Conwell, Y., & Caine, E. (2003). A prevalence study of suicide ideation among older adults in Hong Kong SAR. International Journal of Geriatric Psychiatry, 18, 1056–1062. https://doi.org/10.1002/gps.1014
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Jung, J.H., Lee, H. Childhood Adversity and Passive Suicidal Ideation in Later Life in the United States: Does Religious Attendance Matter?. J Relig Health 62, 3739–3759 (2023). https://doi.org/10.1007/s10943-023-01917-1
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DOI: https://doi.org/10.1007/s10943-023-01917-1