Abstract
Depression and suicidality are typically treated with a combination of medication and cognitive-behavioral therapy. However, for many individuals, especially those dealing with trauma or a loss of meaning, these approaches may not fully address the deeper layers of distress. Emerging research points to the potential value of incorporating spiritual and meaning-centered practices into psychiatric care. This case report describes a 24-year-old mixed-race woman who presented with suicidality following a sexual assault and long-standing feelings of purposelessness. After stabilization, she was referred to spiritually integrated therapy by her outpatient psychiatrist and also received support from her spiritual community. Her treatment centered on developing spiritual qualities, building a sense of purpose, and engaging in acts of service. Over time, she showed significant emotional and psychological improvement. Her case highlights how meaning-focused and spiritually informed care can support long-term healing, especially in individuals facing existential challenges.