Religiosity and self-destructive crises in the institutionalized elderly.

The relationship of religiosity to self-destructive behavior has largely been considered in terms of the impact of religious affiliation, or church membership, on rates of suicide for various geographical populations. This study departs from that approach and focuses instead on the relationship of intensity of religious commitment to the use of indirect life-threatening behavior (ILTB) among elderly, chronically ill hospital patients. A rating scale to measure the occurrence of ILTB was developed and administered to a sample of 58 patients in a Veterans Administration hospital. Findings for this sample indicate that intensity of religious commitment is a potentially more meaningful measure of religiosity than is formal church membership, that intensity of religious commitment tends to vary inversely with the extent of ILTB observed for the patient, and that "stigma avoidance" may play a role in the tendency for certain religious affiliates to make more extensive use of ILTB.