Making Meaning of Religious Values in Preventing a Fatal Suicide Act of a Bisexual Youth with Borderline Personality Disorder: A Qualitative Study

https://doi.org/10.22146/jpsi.56713

Tience Debora Valentina(1*), Carla R Marchira(2), Tina Afiatin(3), Noor R Hadjam(4)

(1) Faculty of Psychology, Universitas Gadjah Mada and Departments of Psychology, Faculty of Medicine, Universitas Udayana
(2) Faculty of Medicine, Universitas Gadjah Mada
(3) Faculty of Psychology, Universitas Gadjah Mada
(4) Faculty of Psychology, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Male adolescents of sexual minority groups often present mental health problems and suicidal behaviors. This qualitative study was conducted to explore how a bisexual youth with borderline personality disorder and multiple suicide attempts coped with his intention to die. Analysis was done using the Grounded Theory approach resulted in several themes. First, the pathway to suicidal behaviors; depicting the conflict between parents and the history of mother’s suicide attempts made him felt disconnected with the family. Second, the feeling of not deserving loved although having the need to be loved and to love. Third, the ambivalence of his sexual orientations as he had strong desire to be with a man yet felt happy dating a girl. Fourth, the interpretation of religious values for preventing fatal suicidal act. He perceived that his suicide attempts failed because God wants him to stay alive. The discussion addresses the aspect of religiosity that obstructs suicidal behaviors in bisexual youths

Keywords


bisexual; borderline personality disorder; qualitative study; religious values; suicidal behavior

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References

Aguirre, B. (2014). Borderline personality disorder in adolescent. What to do when your teen has BPD (2nd ed.). Fair Winds Press.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders-5 (5th edition). American Psychiatric Publishing.

Arora, A. B. (2017). Member checks. In J. Matthes, C. S. Davis, & R. F. Potter (Eds.), The international encyclopedia of communication research methods (pp. 1–3). John Wiley & Sons, Inc.

Astuti, D. A., & Kurniati, N. (2018). Factors influencing stigma to lesbian, gay, bisexual, and transgender (LGBT) among teenagers at Ngaran Village, Gamping, Sleman, Indonesia. Global Health Management Journal, 2(2), 19–24.

Badgett, M., Hasenbush, A., & Luhur, W. (2017). LGBT exclusion in Indonesia and its economic effects. The Williams Institute. https://williamsinstitute.law.ucla.edu/wp-content/uploads/LGBT-Exclusion-in-Indonesia-and-Its-Economic-Effects-March-2017.pdf

Biskin, R. S., & Paris, J. (2012). Diagnosing borderline personality disorder. Canadian Medical Association Journal, 184(16), 1789–1794. https://doi.org/10.1503/cmaj.090618

Björkenstam, C., Kosidou, K., Björkenstam, E., Dalman, C., Andersson, G., & Cochran, S. (2016). Self-reported suicide ideation and attempts, and medical care for intentional self-harm in lesbians, gays and bisexuals in Sweden. Journal of Epidemiology and Community Health, 70(9), 895-901. http://dx.doi.org/10.1136/jech-2015-206884

Blosnich, J., & Bossarte, R. (2012). Drivers of disparity: Differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. Journal of American College Health, 60(2), 141–149. https://doi.org/10.1080/07448481.2011.623332

Bolton, S.-L., & Sareen, J. (2011). Sexual orientation and its relation to mental disorders and suicide attempts: Findings from a nationally representative sample. Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie, 56(1), 35–43. https://doi.org/10.1177/070674371105600107

Brickman, L. J., Ammerman, B. A., Look, A. E., Berman, M. E., & McCloskey, M. S. (2014). The relationship between non-suicidal self-injury and borderline personality disorder symptoms in a college sample. Borderline Personality Disorder and Emotion Dysregulation, 1(1), 14. https://doi.org/10.1186/2051-6673-1-14

Brodsky, B. S., Groves, S. A., Oquendo, M. A., Mann, J. J., & Stanley, B. (2006). Interpersonal precipitants and suicide attempts in borderline personality disorder. Suicide and Life-Threatening Behavior, 36(3), 313–322. https://doi.org/10.1521/suli.2006.36.3.313

Caribé, A. C., Nunez, R., Montal, D., Ribeiro, L., Sarmento, S., Quarantini, L. C., & Miranda-Scippa, A. (2012). Religiosity as a protective factor in suicidal behavior: A case-control study. The Journal of Nervous and Mental Disease, 200(10), 863–867. https://doi.org/10.1097/NMD.0b013e31826b6d05

Cerel, J., Frey, L. M., Maple, M., & Kinner, D. G. (2016). Parents with suicidal behavior: Parenting is not always protective. Journal of Child and Family Studies, 25(7), 2327–2336. https://doi.org/10.1007/s10826-016-0377-x

Corbin, J. M., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3–21. https://doi.org/10.1007/BF00988593

Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing Grounded Theory (3rd ed.). SAGE Publications, Inc.

Daniel, S. S., & Goldston, D. B. (2012). Hopelessness and lack of connectedness to others as risk factors for suicidal behavior across the lifespan: Implications for cognitive-behavioral treatment. Cognitive and Behavioral Practice, 19(2), 288–300. https://doi.org/10.1016/j.cbpra.2011.05.003

Davidson, C. L., Wingate, L. R., Grant, D. M., Judah, M. R., & Mills, A. C. (2011). Interpersonal suicide risk and ideation: The influence of depression and social anxiety. Journal of Social and Clinical Psychology, 30(8), 842–855. https://doi.org/10.1521/jscp.2011.30.8.842

Diamond, G. M., Shilo, G., Jurgersen, E., D’Augelli, A., Samarova, V., & White, K. (2011). How depressed and suicidal sexual minority adolescents understand the causes of their distress. Journal of Gay & Lesbian Mental Health, 15(2), 130–151. https://doi.org/10.1080/19359705.2010.532668

Gibbs, J. J. (2015). Religious conflict, sexual identity, and suicidal behaviors among LGBT young adults. Archives of Suicide Research : Official Journal of the International Academy for Suicide Research, 19(4), 472–488. https://doi.org/10.1080/13811118.2015.1004476

Glaser, B. G., & Strauss, A. L. (1967). The discovery of Grounded Theory. Strategies for qualitative research. AldineTransaction.

Handley, T. E., Inder, K. J., Kay-Lambkin, F. J., Stain, H. J., Fitzgerald, M., Lewin, T. J., Attia, J. R., & Kelly, B. J. (2012). Contributors to suicidality in rural communities: Beyond the effects of depression. BMC Psychiatry, 12, 105. https://doi.org/10.1186/1471-244X-12-105

Hatzenbuehler, M. L. (2011). The social environment and suicide attempts in lesbian, gay, and bisexual youth. Pediatrics, 127(5), 896–903. https://doi.org/10.1542/peds.2010-3020

Hill, R. M., & Pettit, J. W. (2012). Suicidal ideation and sexual orientation in college students: The roles of perceived burdensomeness, thwarted belongingness, and perceived rejection due to sexual orientation. Suicide and Life-Threatening Behavior, 42(5), 567–579. https://doi.org/10.1111/j.1943-278X.2012.00113.x

Hottes, T. S., Bogaert, L., Rhodes, A. E., Brennan, D. J., & Gesink, D. (2016). Lifetime prevalence of suicide attempts among sexual minority adults by study sampling strategies: A systematic review and meta-analysis. American Journal of Public Health, 106(5), e1-12. https://doi.org/10.2105/AJPH.2016.303088

Ichwan, J. (2014). The influence of religion on the development of heterosexism in Indonesia. Religión e Incidencia Pública, 2, 197–223.

Ineichen, B. (1998). The influence of religion on the suicide rate: Islam and Hinduism compared. Mental Health, Religion & Culture, 1(1), 31–36. https://doi.org/doi:10.1080/13674679808406495

Jeglic, E. L., Pepper, C. M., Vanderhoff, H. A., & Ryabchenko, K. A. (2007). An analysis of suicidal ideation in a college sample. Archives of Suicide Research, 11(1), 41–56. https://doi.org/10.1080/13811110600897176

Khoir, A. B. (2020). LGBT, Muslim, and heterosexism: The experiences of muslim gay in Indonesia. Wawasan: Jurnal Ilmiah Agama Dan Sosial Budaya, 5(1), 1–19. https://doi.org/10.15575/jw.v5i1.8067

Lawrence, R. E., Oquendo, M. A., & Stanley, B. (2016). 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, C., Oliffe, J. L., Kelly, M. T., & Ferlatte, O. (2017). Depression and Suicidality in Gay Men: Implications for Health Care Providers. American Journal of Men’s Health, 11(4), 910–919. https://doi.org/10.1177/1557988316685492

Lester, D. (2006). Suicide and islam. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 10(1), 77–97. https://doi.org/10.1080/13811110500318489

Lewis, R. J., Derlega, V. J., Brown, D., Rose, S., & Henson, J. M. (2009). Sexual minority stress, depressive symptoms, and sexual orientation conflict: Focus on the experiences of bisexuals. Journal of Social and Clinical Psychology, 28(8), 971–992. https://doi.org/10.1521/jscp.2009.28.8.971

Mavhandu-Mudzusi, A. H., & Sandy, P. T. (2015). Religion-related stigma and discrimination experienced by lesbian, gay, bisexual and transgender students at a South African rural-based university. Culture, Health & Sexuality, 17(8), 1049–1056. https://doi.org/10.1080/13691058.2015.1015614

McLean, K. (2007). Hiding in the closet?: Bisexuals, coming out and the disclosure imperative. Journal of Sociology, 43(2), 151–166. https://doi.org/10.1177/1440783307076893

Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674

Miller, E., McCullough, C., & Johnson, J. G. (2012). The association of family risk factors with suicidality among adolescent primary care patients. Journal of Family Violence, 27(6), 523–529. https://doi.org/10.1007/s10896-012-9443-3

Miranda-Mendizábal, A., Castellví, P., Parés-Badell, O., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Roca, M., Rodríguez-Marín, J., Rodríguez-Jiménez, T., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2017). Sexual orientation and suicidal behaviour in adolescents and young adults: Systematic review and meta-analysis. The British Journal of Psychiatry: The Journal of Mental Science, 211(2), 77–87. https://doi.org/10.1192/bjp.bp.116.196345

Mustanski, B., & Liu, R. T. (2013). A Longitudinal Study of Predictors of Suicide Attempts Among Lesbian, Gay, Bisexual, and Transgender Youth. Archives of Sexual Behavior; New York, 42(3), 437–448. http://dx.doi.org/10.1007/s10508-012-0013-9

Page, M. J. L., Lindahl, K. M., & Malik, N. M. (2013). The role of religion and stress in sexual identity and mental health among LGB youth. Journal of Research on Adolescence: The Official Journal of the Society for Research on Adolescence, 23(4). https://doi.org/10.1111/jora.12025

Plöderl, M., Wagenmakers, E., Tremblay, P., Ramsay, R., Kralovec, K., Fartacek, C., & Fartacek, R. (2013). Suicide risk and sexual orientation: A critical review. Archives of Sexual Behavior; New York, 42(5), 715–727. http://dx.doi.org/10.1007/s10508-012-0056-y

Puckett, J. A., Horne, S. G., Surace, F., Carter, A., Noffsinger-Frazier, N., Shulman, J., Detrie, P., Ervin, A., & Mosher, C. (2017). Predictors of sexual minority youth’s reported suicide attempts and mental health. Journal of Homosexuality, 64(6), 697–715. https://doi.org/10.1080/00918369.2016.1196999

Rajalin, M., Hirvikoski, T., Renberg, E. S., Åsberg, M., & Jokinen, J. (2017). Family history of suicide and interpersonal functioning in suicide attempters. Psychiatry Research, 247, 310–314. https://doi.org/10.1016/j.psychres.2016.11.029

Reich, D. B., & Zanarini, M. C. (2008). Sexual orientation and relationship choice in borderline personality disorder over Ten years of prospective follow-up. Journal of Personality Disorders, 22(6), 564–572. https://doi.org/10.1521/pedi.2008.22.6.564

Reuter, T. R., Sharp, C., Kalpakci, A. H., Choi, H. J., & Temple, J. R. (2016). Sexual orientation and borderline personality disorder features in a community sample of adolescents. Journal of Personality Disorders, 30(5), 694–707. https://doi.org/10.1521/pedi_2015_29_224

Rodriguez-Seijas, C., Morgan, T. A., & Zimmerman, M. (2020). Is there a bias in the diagnosis of borderline personality disorder among lesbian, gay, and bisexual patients? Assessment, 1073191120961833. https://doi.org/10.1177/1073191120961833

Rosario, M., Schrimshaw, E. W., & Hunter, J. (2005). Psychological distress following suicidality among gay, lesbian, and bisexual youths: Role of social relationships. Journal of Youth and Adolescence, 34(2), 149–161.

Runeson, B., & Åsberg, M. (2003). Family history of suicide among suicide victims. American Journal of Psychiatry, 160(8), 1525–1526. https://doi.org/10.1176/appi.ajp.160.8.1525

Saroh, Y., & Relawati, M. (2017). Indonesian youth’s perspective towards LGBT. Humanus, XVI(1), 71–82. https://doi.org/10.24036/jh.v16i1.7323

Schuck, K. D., & Liddle, B. J. (2001). Religious conflicts experienced by lesbian, gay, and bisexual individuals. Journal of Gay & Lesbian Psychotherapy, 5(2), 63–82. https://doi.org/10.1300/J236v05n02_07

Sisask, M., Varnik, A., Kolves, K., Bertolote, J. M., Bolhari, J., Botega, N. J., Fleischmann, A., Vijayakumar, L., & Wasserman, D. (2010). Is religiosity a protective factor against attempted suicide: A cross-cultural case-control study. Archives of Suicide Research: Official Journal of the International Academy for Suicide Research, 14(1), 44–55. https://doi.org/10.1080/13811110903479052

Soloff, P. H., & Chiappetta, L. (2012). Prospective predictors of suicidal behavior in borderline personality disorder at 6-year follow-up. American Journal of Psychiatry, 169(5), 484–490. https://doi.org/10.1176/appi.ajp.2011.11091378

Stone, D. M., Luo, F., Ouyang, L., Lippy, C., Hertz, M. F., & Crosby, A. E. (2014). Sexual orientation and suicide ideation, plans, attempts, and medically serious attempts: Evidence from local Youth Risk Behavior Surveys, 2001-2009. American Journal of Public Health; Washington, 104(2), 262–271.

Terzi, L., Martino, F., Berardi, D., Bortolotti, B., Sasdelli, A., & Menchetti, M. (2017). Aggressive behavior and self-harm in borderline personality disorder: The role of impulsivity and emotion dysregulation in a sample of outpatients. Psychiatry Research, 249, 321–326. https://doi.org/10.1016/j.psychres.2017.01.011

The Jakarta Post. (2017, January 28). “Indonesia is a religious country”: TNI commander. The Jakarta Post. https://www.thejakartapost.com/news/2017/01/28/indonesia-is-a-religious-country-tni-commander.html

USAID, & UNDP. (2014). Being LGBT in Asia: Indonesia Country report (Indonesian Language).



DOI: https://doi.org/10.22146/jpsi.56713

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