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Existential factors such as loss of meaning play a central role in suicide-related vulnerability, yet most prevention interventions target symptom reduction. We aimed to systematically review the effects of meaning-based interventions on suicide-related outcomes and characterize the mechanisms through which these effects operate.
Methods
A systematic review was conducted following PRISMA 2020 guidelines. Six databases (PubMed, Web of Science, CINAHL, PsycINFO, Research Information Sharing Service, and Korean Studies Information Service System) were searched from inception to April 2026. Studies were included if they evaluated meaning-based interventions and reported suicide-related outcomes. Risk of bias was assessed using RoB 2 for randomized trials and RoBANS for nonrandomized studies. Given heterogeneity across populations, interventions, and outcomes, findings were synthesized narratively by domain.
Results
Ten studies were included (7 randomized controlled trials, 2 quasi-experimental studies, and 1 secondary analysis). Meaning-based interventions most consistently improved existential outcomes, including meaning in life, spiritual well-being, and quality of life. Emotional outcomes showed partial and heterogeneous effects. Suicide-related outcomes, including hopelessness, demoralization, and suicidal ideation, generally showed reductions, although effects varied across studies. Mechanistically, most studies showed patterns of indirect pathways, whereby improvements in existential variables co-occurred with reductions in emotional and suicide-related outcomes.
Significance of results
Meaning-based interventions may reduce suicide-related vulnerability primarily by enhancing existential resources rather than directly targeting symptoms. These findings support integrating meaning-centered approaches into suicide prevention strategies and highlight the need for longitudinal and mediation-based studies to examine causal mechanisms.
The editors introduce the special issue on atheism and the meaning of life, providing an overview of its scope and a concise summary of the contributions included in the issue.
This paper argues that the contemporary shift from the meaning of life to meaning in life reflects not a rejection of transcendence but a transformation in its structure. It distinguishes between absolute transcendence, which locates meaning within a comprehensive horizon beyond the situated subject, and immanent transcendence, which understands transcendence as the inexhaustibility of lived experience and interpretation. The former tends towards a third-person perspective and risks displacing the subject as the locus of meaning. The latter preserves the first-person perspective and grounds meaning in the subject’s relation to experiences, actions, and events that exceed its control. This shift also challenges the primacy of narrative identity: while narratives render actions intelligible, events reveal a more fundamental, pre-reflective dimension of subjectivity, identified here as the minimal self. Drawing on Taoist and Buddhist perspectives, particularly the concept of śūnyatā, the paper argues that meaning in life emerges through participation in a relational reality rather than through the fulfilment of an externally given purpose. Transcendence thus becomes an immanent feature of lived existence.
This chapter explores the relationship between free will and creativity, asking whether genuine creativity – and the praise and blame that often accompany artistic achievement – requires belief in free will. While philosophical discussions of free will have traditionally focused on moral responsibility, the author argues that creativity is another domain where questions of agency, authorship, and desert arise. Drawing on insights from philosophers such as Paul Russell and Robert Kane, the chapter examines the idea that artistic creation involves a unique form of self-expression, one that is often seen as a reflection of the agent’s freedom and self-authorship. Some thinkers argue that creativity demands the ability to be the ultimate originator of one’s work. The author challenges this view, showing that talent development, creative output, and artistic success are all deeply shaped by factors beyond our control – such as genetic endowments, social circumstances, and access to resources. While creative acts can still be meaningful and admirable, the chapter argues that they do not justify basic desert. Instead, creativity is better understood as a flourishing of human potential rather than a ground for moral praise. Free will skepticism, far from diminishing creativity, encourages humility, gratitude, and a more realistic appreciation of the social and biological scaffolding that makes creative achievement possible.
This article develops an original account of the value of authenticity for meaning in life that explains how and when acting authentically enhances meaning in life. I argue that we appropriate meaningful actions by acting authentically, contra Joseph Raz’s (2001) position that appropriation occurs through attachments. Authentic actions are distinctly owned by the individual and the more a meaningful action is appropriated, the more it contributes to the meaning in their life. Considering authenticity as an enhancing factor for a meaningful life refines accounts of meaning in life and strengthens objectivist approaches against objections. The value authenticity holds for meaning in life is furthermore not susceptible to the critique of immoral or self-centered authenticity.
In recent years, a significant number of Farsi-speaking refugees and asylum seekers have sought asylum in Germany. This group often suffers from emotional distress, which can significantly impact their mental health. The present study aimed to assess the general mental health status and emotional distress among Farsi-speaking refugees, while also exploring the relationship between resilience, psychological flexibility, perceived social support, and meaning in life with posttraumatic growth.
Methods
The study involved 230 Farsi-speaking refugees living in refugee camps in Berlin and Brandenburg, Germany. Participants completed several questionnaires, including the RHS-15 screening questionnaire, the Connor-Davidson Resilience Scale (CD-RISC), the Acceptance and Action Questionnaire (AAQ-2), the Multidimensional Scale of Perceived Social Support (MSPSS), the Meaning in Life Questionnaire (MLQ), and the Posttraumatic Growth Inventory (PTGI). Data collection took place from August to November 2022. Data analysis was conducted using descriptive methods and linear regression.
Results
The study revealed high levels of emotional distress among Farsi-speaking refugees. More than two-thirds of refugees (n = 159, 69.13%) were at high risk for depression, anxiety, and PTSD symptoms. In addition, there were potential factors that were strongly linked to posttraumatic growth.
Conclusions
The findings emphasize the importance of providing psychosocial care in refugee camps after resettlement and, at the same time, focusing on posttraumatic growth by clinicians.
This study examines how multiple dimensions of socio-emotional well-being relate to cognitive functioning in older adults, and whether the associations vary by cognitive status, depression, and socio-demographic factors.
Methods:
Data from the Harmonized Cognitive Assessment Protocol of the Survey of Health, Ageing and Retirement in Europe (n = 2,650; mean age = 76; 54.5% females) were used to test associations between life satisfaction, meaning in life, social connectedness, and loneliness with global, domain-specific cognitive performance, and informant-rated cognitive decline.
Results:
Linear mixed models, with individuals nested within five countries, found that higher life satisfaction, meaning in life, and social connectedness were associated with better cognitive outcomes, whereas greater loneliness was associated with worse performance and greater informant-rated decline. The largest effect sizes were observed for meaning in life (median β = .10) and loneliness (median β = −.09) across cognitive measures. The associations generally remained significant adjusting for well-known clinical (e.g., diabetes), behavioral (e.g., physical inactivity), and psychological (depressive symptomatology) risk factors for dementia. Moderation and sensitivity analyses suggested that associations with global cognition hinged on the inclusion of participants classified with cognitive impairment, while some domain-specific associations (e.g., loneliness and episodic memory) were observed only in individuals without cognitive impairment. Overall, evidence for moderation by cognitive status, depression and age was limited, and no moderation was observed for sex or education.
Conclusions:
The results underscore the importance of socio-emotional well-being in cognitive aging and highlight the need for longitudinal research to clarify mechanistic pathways and inform targeted interventions.
The paper aims to test why people from the general population intend to volunteer in the future. Our study tests empathy (affective and cognitive) as the intrinsic antecedent, satisfaction with life and meaning in life as the endocentric antecedents, and social value orientation as the ipsocentric antecedent of the intention to engage in volunteering. The paper is based on a 2-wave longitudinal online, questionnaire-based study (N = 566) performed on a general sample of Polish residents in May 2022 and May 2023. Results of structural equation modeling indicated that empathy at time 1 of the study predicted subsequent volunteering intention (when controlling for other variables in the model). Moreover, the volunteering intention at time 1 predicted social value orientation at time 2, and endocentric antecedents at time 1 negatively predicted empathy at time 2. The results suggest that concern for others and their welfare is the strongest factor associated with intentions to volunteer in the general population. Practitioners should consider that people with higher dispositional empathy might be the best targets for volunteer recruitment.
Living in a nursing home can provide essential support for older adults, yet may also give rise to existential challenges that may contribute to the elevated prevalence of depressive symptoms among nursing home residents (NHRs). Existing research largely emphasizes bio-psycho-social risk factors, paying comparatively limited attention to existential concerns relating to depressive symptoms – and whether they represent meaningful targets for mental health interventions in nursing homes. This study examined the longitudinal associations between two existential concerns – meaning in life (MIL) and existential loneliness (EL) – and depressive symptoms in 243 residents from 22 Belgian nursing homes assessed annually over three years. Random intercept cross-lagged panel models were used to disentangle between-person and within-person effects. At the between-person level, residents with higher MIL and lower EL reported fewer depressive symptoms. At the within-person level, associations were more complex and reversed: depending on the model, increases in EL predicted fewer depressive symptoms over time, and higher depressive symptoms predicted subsequent increases in MIL. These findings diverged from conclusions based on classical cross-lagged models, indicating that existential concerns relate to depressive symptoms among NHRs differently depending on analysis level. While the between-person findings suggest the existence of a vulnerable subgroup of residents with persistently elevated existential concerns and concurrent depressive symptoms, it remains unclear whether changes in existential concerns will consistently translate into reductions in depressive symptoms within individuals over time. This highlights the need for further research on within-person existential dynamics, potentially on shorter timescales, to inform evidence-based intervention development in nursing homes.
Dignity Therapy (DT) helps reframe and give meaning to the illness process of the terminally ill individual. This study aims to evaluate the effect of DT on meaning in life scores and, additionally, to assess how much DT can alleviate physical and emotional symptoms in cancer patients undergoing palliative care.
Methods
This was a before-and-after clinical trial, involving the recruitment of 30 patients hospitalized in a palliative care unit, who filled out the Edmonton Symptom Assessment Scale (ESAS) and the Meaning in Life Scale (MiLS) both before and after the implementation of DT.
Results
Of the 40 patients invited to participate in the study, DT was completed by 30 (75%) participants: 22 (73%) women and 8 (27%) men. Eighteen (60%) patients died during hospitalization, while 12 (40%) were discharged. When analyzing the factors correlated with the MiLS scores, a positive association was identified between the emotional and physical domains of the ESAS, and a negative association with the total ESAS score, spiritual ESAS score, male gender, higher educational level, and a cancer diagnosis duration (>6 years).
Significance of results
DT contributed to clinically relevant improvement, albeit not statistically significant, observed in emotional and spiritual well-being, as well as in the meaning of life. This underscores the importance of considering DT for palliative care patients nearing death.
This article develops a novel argument that God’s existence would greatly increase our prospects for meaning in life. The key idea is that if God exists, He stands in certain relations to the world that would confer value upon it. For instance, God would be its creator and sustainer. The world would thus gain value in much the way that relics gain value by their links with historical persons and events. And crucially, as a result of this infusion of value, our lives go better because the things we engage with matter more.
Objectivist naturalists about life's meaning regard it as implicating no world but the natural one, and yet as deriving from more than just subjective attitudes or interests. Such naturalists must obviously deny prominent religious conceptions of meaning. But must they further deny that it can be found in religious pursuits? In this article, I defend a negative answer by arguing that, contrary to a prima facie plausible consideration in support of a positive answer, and by many objectivist naturalists’ own lights, the meaning of life can be found in pursuits predicated on false belief.
Positively experienced relationships with family, partners and friends are the most important source of meaning in life for older persons. At the same time, Western countries are confronted with a growing number of socially isolated older adults who lack those relationships. This study aims to explore whether and how older adults who live in social isolation experience meaning in life. Data were collected via in-depth, semi-structured interviews with 24 socially isolated older adults, ranging in age from 62 to 94, all living in Rotterdam, The Netherlands. The criterion-based sampling of participants took place in close consultation with social workers of a mentoring project for socially isolated older adults. Follow-up interviews with 22 participants improved the credibility of findings and contributed to the breadth and depth of the researched casuistry. Data were analysed using an analytical framework based on seven needs of meaning identified by Baumeister (purpose, values, efficacy, self-worth) and Derkx (coherence, excitement, connectedness). The study demonstrates that isolated older adults may find anchors for meaning in life, although not all needs for meaning are satisfied, and there can also be tension between different needs. The needs-based model provides concrete distinctions for enabling care-givers to recognise elements of meaning.
Kierkegaard’s aesthete, named only as A, continually laments the lack of meaning in his life. He suffers through passions that flare up and quickly die away, leaving him in a melancholic state. His mode of being is on display in the Diapsalmata, the fragmentary writings at the start of Either/Or. In this chapter, we examine why he avoids becoming consistently engaged in the world and remains trapped within his alienated melancholia. We offer a general account of melancholy, arguing that melancholia is an existential condition that must be understood in terms of the metaphysics of possibility. We also provide a sympathetic interpretation of A’s melancholy, rather than placing blame upon him, because melancholia attunes us to certain aspects of the world and of human existence. The aesthetic life has epistemic, moral, and aesthetic worth on its own terms, so a person may legitimately decide to remain melancholic. This avoids compromising our possibilities, makes us receptive to the suffering of others, and may inspire creative activity such as writing poetical fragments.
I aim to more fully develop a theory of meaning in life based on the concept of life force that is important to a substantial number of Africans in the sub-Sahara region. While life force implies a large invisible ontology, Thaddeus Metz has recently developed an entirely naturalistic version of it known as liveliness. However, he also offers two objections that hinge on the idea that life force cannot accommodate intuitions that certain types of knowledge and progress are valuable for their own sakes. I respond by noting that elsewhere Metz has developed a defense of the intrinsic value of knowledge by appealing to the idea that meeting a person's existential needs can be important for self-realization and hence for their meaning. If this is right, then the community ought to support such a person in their pursuit of knowledge even if doing so leads to no useful outcomes.
There is a lively discussion in contemporary philosophy that explores the meaning of life or, more modestly, meaning in life. Philosophers, for the most part, assume that religion has little to contribute to this inquiry. They believe that the Western religions, such as Judaism, have doctrinaire beliefs which have become implausible and can no longer satisfy the search for meaning. In this book, Alan L. Mittleman argues that this view is misconceived. He offers a presentation of core Jewish beliefs by using classical and contemporary texts that address the question of the meaning of life in a philosophical spirit. That spirit includes profound self-questioning and self-criticism. Such beliefs are not doctrinaire: Jewish sources, such as the biblical Book of Ecclesiastes, are, in fact, open to an absurdist reading. Mittleman demonstrates that both philosophy and Judaism are prone to ineliminable doubts and perplexities. Far from pre-empting a conversation, they promote honest dialogue.
Contemporary analytic treatments of meaning in life in the English-speaking Anglo-American-Australasian tradition have largely proceeded from the atheistic and naturalistic assumptions common to the sciences. With the recent publication of Seachris and Goetz's God and Meaning (2016), T. J. Mawson's God and the Meanings of Life (2016), and Thaddeus Metz's God, Soul and the Meaning of Life (2019), more analytic philosophers might be drawn to (re)examining what role, if any, God might play in life's meaning. But the focus tends to be on ‘God’ as understood in the Abrahamic faiths. Examining meaning in the light of another concept of God, familiar to billions of individuals in various Eastern religions and intellectual traditions, might offer useful insights. I have two principle aims in this article. First, I describe an ancient Indian concept of ‘God’, showing how it radically differs from the concept of God currently under examination by philosophers of meaning. Second, I offer a novel case for why and how this concept of ‘God’ could fruitfully contribute to analytic discussions on God's possible role in life's meaning.
Meaninglessness is one of the most common psychological problems in cancer patients, which can lead to anxiety, depression and psychological distress, and diminished quality of life. Recent evidence indicates that meaning-centered group psychotherapy (MCGP) effectively enhances the meaning in life among cancer patients. This study aimed to evaluate the impact of MCGP on the meaning in life, post-traumatic growth, psychological distress, and fear of recurrence among Chinese cancer patients with a favorable prognosis.
Methods
Sixty-six cancer patients were randomly assigned to either the MCGP group (n = 33) or the control group (n = 33). Participants in the MCGP group underwent a 4-week, 8-session MCGP, while those in the control group received usual care. Meaning in life, post-traumatic growth, psychological distress, and fear of recurrence were assessed at both baseline and postintervention to evaluate the impact of the intervention. The intervention outcomes were analyzed using paired t-tests or analysis of covariance, as appropriate.
Results
Patients in the MCGP group demonstrated significant improvements in meaning in life, post-traumatic growth, and fear of recurrence from baseline to postintervention. In comparison to the control group, the MCGP group displayed positive effects on meaning in life and post-traumatic growth following the intervention. However, no significant effects were observed in terms of psychological distress and fear of recurrence.
Significance of results
Our research offers evidence supporting the effectiveness of MCGP in enhancing meaning in life and post-traumatic growth among Chinese cancer patients with a favorable prognosis.
Career wellbeing is one of the major differentiators that helps people live into their 90s. Planning for the future. When plans don’t plan out the way you hope, though, that’s when you turn the page and make a new list. Developed Bob’s Red Mill, Healthy Foods. There are great benefits of keeping working. Important to help others. Search for something important to you, something you believe in. Even after significant setbacks and losses, keep believing. Never give up.
Many philosophers now see meaning in life as a key evaluative category that stands alongside well-being and moral goodness. Our lives are assessed not only by how well they go for us and how morally good they are, but also by their meaningfulness. In this article, I raise a challenge to this view. Theories of meaning in life closely resemble theories of well-being, and there is a suspicion that the former collapse into the latter. I develop this challenge showing that it is formidable. I then answer it by offering a novel account of what meaning in life is and how it differs from well-being. The account I offer is able to resist the strongest form of the challenge while also having much intuitive appeal.