| Sumario: | Suicide remains a critical global health concern, with rising interest in the role of spiritual factors in prevention. This qualitative study explores how spiritual beliefs and practices influence suicide ideation (SI) and suicide attempts (SA). Through in-depth interviews with individuals who experienced SI or SA, thematic analysis revealed five key themes: atheism, aimlessness, low-quality human relationships, lack of dignity, and burden of sin/shame. Findings highlight the dual role of spirituality, showing that while it can foster resilience and meaning, certain spiritual experiences may intensify vulnerability to suicidal behaviours. Importantly, the study distinguishes between spiritual and religious influences. While organised religious participation often provides existential meaning and social support, personal spirituality may act as both a protective and risk factor. These insights underscore the need to integrate spiritual dimensions into intervention strategies to effectively address suicide ideation and behaviours, paving the way for more nuanced and comprehensive prevention efforts.
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