Measuring Whether Gratitude and Loneliness Mediate the Link Between Non-organizational Religiosity and Suicidal...

Suicides among Black adults in the United States increased nationally during the COVID-19 pandemic, although limited empirical evidence documents the pathways that explain how suicide risk may develop in this population. We examined experiences of non-organizational religious involvement, gratitude, and loneliness and their relation to suicidal ideation among Black adults in the United States.

We analyzed data from a probability-based sample of 995 Black adults in the United States who completed online surveys from April through June 2022. We recruited participants from the AmeriSpeak panel at the National Opinion Research Center. We applied structural equation modeling techniques to measure direct and indirect associations among religiosity, positive psychology, and mental health variables. We tested whether non-organizational religiosity was indirectly associated with suicidal ideation via feelings of gratitude and COVID-19-specific forms of loneliness during the pandemic.

The measurement model demonstrated a good fit to the data. Structural model results indicated that non-organizational religious involvement was positively related to gratitude (β = 0.51; P < .001); in turn, feelings of gratitude were associated with reduced suicidal ideation (β = -0.12; P = .02). Moreover, COVID-19-specific forms of loneliness were positively associated with past-year suicidal ideation (β = 0.11; P = .01). Non-organizational religious involvement, however, was not directly associated with feelings of COVID-19-related loneliness or suicidal ideation.

Public health officials should account for feelings of gratitude and loneliness as mechanisms that can be leveraged to inform the development of evidence-based suicide prevention interventions for Black adults during public health emergencies such as the COVID-19 pandemic and beyond.