Faith, Suicide, and the "Sin" of Despair: Navigating Religious Guilt in Therapy
Death will overtake you no matter where you may be, even inside high towers." (Qu’ran 4:78)
I was struck by this verse while reading about Islamic beliefs surrounding death. It is a powerful reminder that death is the great equalizer; no amount of money or power can help us escape it. This speaks volumes to the strength of faith in the Muslim community.
However, this strength of belief can present a complex challenge in the therapy room, particularly regarding suicide.
The Double-Edged Sword
In Islam, as in many religions, suicide is considered a major sin.
The Protective Factor: For many, this belief acts as a guardrail. The fear of spiritual consequence prevents them from acting on suicidal ideations.
The Risk Factor: For those who are suicidal, often due to severe depression or bipolar disorder, this belief can add a crushing layer of shame.
Mental Health America notes that 30% to 70% of suicide victims suffer from major depression or bipolar disorder. These are biological and emotional conditions that impair logical decision-making.
This leaves me with a lingering question: If religious communities fully understood the biological reality of mental illness, would they be more understanding? Would they see that a person in the depths of mania or depression isn't making a "choice" to sin, but is succumbing to an illness?
When the Family Says "Hell"
As a clinician, this dynamic becomes intensely practical. Imagine a scenario where a depressed, suicidal client is told by their caregivers that they will go to hell for their feelings.
My immediate internal reaction might be shock or protectiveness. But Spiritual Competency requires me to manage that countertransference. I cannot simply judge the family. I have to use mindfulness to gather my thoughts and understand that they are operating from a cultural norm and a place of fear.
My role isn't to debate theology; it is to hold space for the client's pain while navigating the reality of their family system. We must address the clinical issue while respecting the weight of the client's beliefs.
