Original ArticlesReligion as a Risk Factor for Suicide Attempt and Suicide Ideation Among Depressed PatientsLawrence, Ryan E. MD, MDiv*†; Brent, David MD‡; Mann, J. John MD*§; Burke, Ainsley K. PhD*§; Grunebaum, Michael F. MD*§; Galfalvy, Hanga C. PhD*§; Oquendo, Maria A. MD*§ Author Information *Department of Psychiatry, Columbia University Medical Center and †New York–Presbyterian Hospital, New York, NY; ‡Department of Psychiatry, Western Psychiatric Institute and Clinic, Pittsburgh, PA; and §Department of Psychiatry, New York State Psychiatric Institute, New York, NY. Send reprint requests to Ryan E. Lawrence, MD, MDiv, Department of Psychiatry, Columbia University Medical Center, New York–Presbyterian Hospital, 9 Garden North, 177 Ft Washington Ave, New York, NY 10032. E-mail: [email protected]. The Journal of Nervous and Mental Disease 204(11):p 845-850, November 2016. | DOI: 10.1097/NMD.0000000000000484 Buy Metrics Abstract We aimed to examine the relationship between religion and suicide attempt and ideation. Three hundred twenty-one depressed patients were recruited from mood-disorder research studies at the New York State Psychiatric Institute. Participants were interviewed using the Structured Clinical Interview for DSM Disorders, Columbia University Suicide History form, Scale for Suicide Ideation, and Reasons for Living Inventory. Participants were asked about their religious affiliation, importance of religion, and religious service attendance. We found that past suicide attempts were more common among depressed patients with a religious affiliation (odds ratio, 2.25; p = 0.007). Suicide ideation was greater among depressed patients who considered religion more important (coefficient, 1.18; p = 0.026) and those who attended services more frequently (coefficient, 1.99; p = 0.001). We conclude that the relationship between religion and suicide risk factors is complex and can vary among different patient populations. Physicians should seek deeper understanding of the role of religion in an individual patient’s life in order to understand the person’s suicide risk factors more fully. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.