Psychology of Religion and Spirituality (Jun 14, 2018): No Pagination Specified Growing evidence for the salubrious association of spirituality with physical and mental health related outcomes has led to the consideration of spirituality as a protective factor against suicidal behavior. Although support for this basic association is robust, particularly in the context of religious belief and attendance, spirituality has yet to be explored as it relates to psychache—intense, unrelenting psychological pain. Additionally, self-forgiveness has emerged as an important protective factor against suicidal behavior, but has not been explored in the context of psychache.. To read the full article, log in using your NHS OpenAthens details.