The Mental Health Benefits of the Local Church
Content from How Church Could (Literally) Save Your Life by Rebecca McLaughlin, ©2025. Used with permission from Crossway, a publishing ministry of Good News Publishers.
Yesterday, I took a young friend out to lunch to celebrate her one-year anniversary of joining our church. She wasn’t raised in church, and like many Gen Zers, she tried a range of spiritual practices to fill that hole. She tried astrology, bought tarot cards, used crystals, and engaged in meditation. But nothing seemed to satisfy. She turned to substances to help her cope with life, binging on alcohol, smoking pot, and vaping. But none of these gave more than short-term
fixes. She tried relationships with men and then with women, worked a range of different kinds of jobs, and lived on different continents. But all her various experiments left her feeling empty. Knowing she was struggling with mental health, she found a therapist and started taking antidepressants. But still her nagging sense of meaninglessness continued, chipping away at her ability to flourish. It wasn’t until she turned to Jesus and began attending church on Sundays and mid-week Bible studies that life started to make sense.
The details of my young friend’s story are unique. But its broad contours are not. Many in the West today attempt to fill in their spiritual gap with New Age practices, a range of sexual
relationships, and substance use. More people are in therapy and on antidepressants than at any other time. And yet our mental health across the West has nose-dived. … all our freedom to experiment and self-define without constraints has bred more misery than happiness. And one of the best thing we can do to boost our mental health is what my friend eventually did: commit to church.
Diagnosis
Since you’re reading this, I’m willing to bet that either you’ve struggled with significant depression or you love someone who has. The new millennium has seen a surge in depression, anxiety, and suicidal ideation across the West. Between 2015 and 2023 in the United States, the proportion of adults diagnosed with depression at some point in their lives went up by almost 10 percentage points to 29 percent. In the same period, the proportion of people who have been or are currently being treated for depression went up by 7 points to 17.8 percent.[1] We’ve removed much of the shame and stigma once associated with mental health struggles. But we haven’t succeeded in reducing the struggles. Instead, they’ve spread like an oil spill, entrapping more and more of us like seagulls with our wings weighed down.
As my young friend experienced, this mental health disaster has hit women hardest. We see ourselves as living in the most pro-woman culture in all human history. Yet women in our culture are increasingly unhappy. Thirty-seven percent of women now report being diagnosed with depression at some point in their lives, compared with 20 percent of men.[2]The mental health crisis has also been particularly hard on younger people. In 2023, 27.3 percent of girls and 9.4 percent of boys ages twelve to seventeen reported experiencing a major depressive episode in the past year, more than double the rates in 2004.[3] Likewise, between 2009 and 2021, the share of American high school students who said they had “persistent feelings of sadness or hopelessness” rose from 26 percent to 44 percent.[4] Tragically, between 2007 and 2021, the suicide rate among ten-to-twenty-four-year-olds also increased by 62 percent.[5]
So, what’s driving this depression and despair? We might look to COVID to shoulder the blame. The effects of the social isolation bred by the pandemic are certainly profound. But as one 2022 report points out, depression was “an escalating public health crisis” in the United States before we had ever even heard of COVID.[6]
One cause of the mental health crisis is the rise of smartphones and social media, which have driven isolation, negative comparison, and the social contagion of a host of mental health conditions. Again, women and young people have been most affected. By 2023, the evidence for the dangers of smartphone and social-media use for children and adolescents was so clear that the US surgeon general issued an official public health warning.[7] But smartphones can’t take all the blame.
Another factor undermining mental health is the decline in marriage. Many nonreligious people think increased societal acceptance of sex outside marriage leads to better mental health and greater happiness. But the data tells a different tale. For women in particular, increased numbers of sexual partners correlates with more depression, sadness, and suicidal ideation, and increased likelihood of substance abuse. Marriage has the opposite effect.[8] After analyzing data from a large-scale, long-term survey, University of Chicago Professor Sam Peltzman noted, “Being married is the most important differentiator with a 30-percentage point happy–unhappy gap over the unmarried.”[9] Likewise, research conducted by the Institute for Family Studies found that “married people are approximately 16% more likely than unmarried people to describe their mental health as ‘excellent’ or ‘very good’ within every category of formal education.”[10] Marriage, it turns out, functions less like a restrictive straitjacket and more like a protective seat belt.
But alongside the astronomic growth in smartphone use and the decline in marriage, it’s increasingly clear that one major driver of the mental health crisis is the decline in church attendance.
Prescription
Even if you haven’t seen Disney’s Encanto, the song “We Don’t Talk About Bruno” probably lives somewhere in the basement of your mind. In this song, the Madrigal family tells Maribel about her uncle Bruno, who disappeared some years ago. The Madrigals mistakenly believe Bruno caused a host of bad things he prophesied. That song came to my mind just now as I clicked on link after link to articles with titles promising the “Top 10 Mental Health Hacks” or something similar. I wondered whether any would mention going to church. None did. You can try the exercise yourself.
Psychologists are keen to let us know how exercise, good sleep, and eating healthy foods can boost our mental health and happiness. They advocate yoga, mindfulness, and meditation. But like the awkward uncle we’re all trying to forget, we don’t talk about “organized religion.”
Like Bruno in his family’s perception, church often has negative associations. We’ve all heard stories of people who at last felt free to be themselves when they left church behind. Maybe that was your experience. What’s more, in a culture that promotes self-love, unbounded freedom, and the good of always following our hearts, some Christian teachings—like the idea that many of our deep desires are sinful—seem like they’d be bad for mental health and happiness. Before she turned to Jesus, the young friend I mentioned earlier had a mug that said, “Nobody’s perfect. I’m nobody.” But when she finally became convinced that Christianity is true, one thing that brought relief was the new understanding of herself the Bible gives. Whereas she’d tried to believe she was basically good, the Christian message gave her tools to recognize the many ways she was in fact quite bad. At the same time, her newfound faith gave her deep confidence she is loved by the Creator God of all the universe, who sent his Son to die for her.
Many in our culture think prioritizing self-love and rejecting the uncomfortable beliefs that come with Christianity will lead to happiness. But the evidence is quite the opposite. Going to church weekly actually is one of the best protections against depression, sadness, and suicidal ideation anyone has found. A 2022 analysis of studies showed “a roughly 33 percent reduction in the odds of subsequent depression for those attending services at least weekly versus not at all.”[11] In other words, if you aren’t currently a churchgoer and you start attending weekly, you reduce your chances of developing depression by a third.
A medication this effective would be widely prescribed. But while your therapist or doctor may encourage yoga, meditation, or more time outside in nature, he or she almost certainly won’t recommend you go to church. The benefits of “organized religion” don’t fit with the big story we are telling in the West about the goodness of abandoning traditional beliefs. So, despite the studies showing how good religious services can be for people’s mental health, we don’t talk about Bruno.
Can these positive effects be explained away because those battling depression are less likely to have energy for church? That’s a great question. The answer is no. Studies have controlled for baseline depressive symptoms and found that church really is making a difference. If you’re currently depressed, the thought of getting out of bed on Sunday morning and heading to a church can feel completely overwhelming. Especially if you don’t already have a church community, the idea of going to a place where you don’t yet know people—and might not know the songs they’ll sing or prayers they’ll pray—may feel like a steep hill to climb. I’ve had friends struggling with depression share the difficulty of making it to church.
But evidence shows that attending each week is more like a life rope—even if it takes a lot of effort to grab hold and cling on. Not only do churchgoers cut their chances of depression by a third; depressed people who attend church weekly also have a significantly better chance of recovering than those who don’t.[12] Instead of dragging you still further down into depression, church could be just what you need to pull you out. But like any other medication, you’ll need to stay the course to see the positive effects.
You may read this and think, You just don’t get it. I’ve been hurt by church. Maybe you’ve experienced hypocrisy, judgmental attitudes, or even terrible abuse. I know people
who’ve been profoundly hurt in church and who bear scars of pain and disillusionment from the experience. Just as our families can be the places of greatest love and of most horrific pain, so church can be a place of safety or of harm. But just as growing up in an unhealthy family wouldn’t lead you to give up on family for good, so the experience of an unhealthy church need not mean giving up on church. A genuinely loving, healthy church may be just what you need to heal. Indeed, it can be literally lifesaving
When it comes to the devastating topic of suicide, the difference between those who regularly attend religious services and those who never do is stark. Professor VanderWeele’s research has found that women who never attend religious services are five times more likely to end their own lives than those who attend weekly or more.[13] I was so stunned when I first read this study that I emailed VanderWeele to ask if it was really representative. He responded that it was not an outlier. Indeed, VanderWeele has estimated that “approximately 40% of the rise in suicide rates between 1999 and 2014 may be attributable to declining service attendance.”[14]
To be clear, this doesn’t make churchgoers immune to suicidal ideation any more than they’re immune to depression more generally. One of our church members who attends and serves faithfully struggles with chronic suicidal ideation and has appropriately sought both medical and spiritual help. But any honest suicide prevention campaign ought to include a recommendation to try attending religious services. It’s one of the best protections against suicide anyone has found.
So, is church like an antidepressant—good for people struggling with mental health but quite unnecessary for those who aren’t? No. Worshiping alongside others seems not only to protect us from emotional distress but also to increase our happiness. A 2019 report found that in the United States, 36 percent of adults who go to church regularly describe themselves as “very happy,” compared with just 25 percent of adults who identify as religious but don’t go to church or who don’t identify with any one religion. This phenomenon isn’t unique to the United States. In Australia, for instance, 45 percent of churchgoing adults say they are very happy, compared with 33 percent of those who are religiously unaffiliated.[15]People who go to church each week tend to feel happier, enjoy higher life satisfaction, and have more of a sense of purpose than those who don’t. They’re also more optimistic about the future and have more self-control.[16]
[1] Dan Witters, “U.S. Depression Rates Reach New Highs,” Gallup, May 17, 2023, https://news.gallup.com/.
[2] Dan Witters, “U.S. Depression Rates.”
[3] Preeti Vankar, “Percentage of U.S. Youths with a Major Depressive Episode in the Past Year from 2004 to 2023, by Gender,” Statista, November 4, 2024, https://www.statista.com/.
[4] Derek Thompson, “Why American Teens Are So Sad,” The Atlantic, April 11, 2022, https://www.theatlantic.com/.
[5] Sally C. Curtin and Matthew F. Garnett, “Suicide and Homicide Death Rates Among Youth and Young Adults Aged 10–24: United States, 2001–2021,” National Center for Health Statistics data brief, no. 471, Centers for Disease Control and Prevention, June 15, 2023, https://stacks.cdc.gov/view/cdc/128423.
[6] Renee D. Goodwin, Lisa C. Dierker, Melody Wu, Sandro Galea, Christina W. Hoven, and Andrea H. Weinberger, “Trends in U.S. Depression Prevalence from 2015 to 2020: The Widening Treatment Gap,” American Journal of Preventive Medicine 63, no. 5 (2022): 726–33, https://doi.org/10.1016/j.amepre.2022.05.014.
[7] “Social Media and Youth Mental Health: The U.S. Surgeon General’s Advisory,” Office of the U.S. Surgeon General, https://www.hhs.gov/, pdf.
[8] See, for example, Tyree Oredein and Cristine Delnevo, “The Relationship Between Multiple Sexual Partners and Mental Health in Adolescent Females,” Journal of Community Medicine and Health Education 3, no. 7 (2013), https://www.researchgate.net/, and Sandhya Ramrakha, Charlotte Paul, Melanie L. Bell, Nigel Dickson, Terrie E. Moffitt, and Avshalom Caspi, “The Relationship Between Multiple Sex Partners and Anxiety, Depression, and Substance Dependence Disorders: A Cohort Study,” Archives of Sexual Behavior 42, no. 5 (2013): 863–72, https://pubmed.ncbi.nlm.nih.gov/.
[9] Sam Peltzman, “The Socio Political Demography of Happiness,” George J. Stigler Center for the Study of the Economy and the State, working paper no. 331, July 12, 2023, https://ssrn.com/.
[10] Kevin Wallsten, “Less Marriage, Worse Mental Health: The ‘Marriage Advantage’ in Mental Well-Being,” Institute for Family Studies, March 6, 2024, https://ifstudies.org/blog/.
[11] See Tyler J. VanderWeele, Tracy A. Balboni, and Howard K. Koh, “Invited Commentary: Religious Service Attendance and Implications for Clinical Care, Community Participation, and Public Health,” American Journal of Epidemiology 191, no. 1 (2022): 31–35, https:// academic .oup .com/. See also Bert Garssen, Anja Visser, and Grieteke Pool, “Does Spirituality or Religion Positively Affect Mental Health? Meta-Analysis of Longitudinal Studies,” International Journal for the Psychology of Religion 31, no. (2021), https:// doi .org /10 .1080 /1050 8619 .2020 .1729570.
[12] Tyler J. VanderWeele, “Religion and Health: A Synthesis,” in Spirituality and Religion Within the Culture of Medicine: From Evidence to Practice, ed. Michael J. Balboni and John R. Peteet (Oxford University Press, 2017), 357–401.
[13] Tyler J. VanderWeele, Shanshan Li, Alexander C. Tsai, and Ichiro Kawachi, “Association Between Religious Service Attendance and Lower Suicide Rates Among US Women,” JAMA Psychology 73, no. 8 (2016), https:// doi .org /10 .1001 /jamapsychiatry .2016 .1243.
[14] VanderWeele, Balboni, and Koh, “Religious Service Attendance,” 33.
[15] “Across 25 other countries for which data are available, actives report being happier than the unaffiliated by a statistically significant margin in almost half (12 countries), and happier than inactively religious adults in roughly one-third (nine) of the countries. The gaps are often striking. . . . And there is no country in which the data show that actives are significantly less happy than others.” See “Religion’s Relationship to Happiness, Civic Engagement, and Health Around the World,” Pew Research Center, January 31, 2019, https:// www .pew research .org/.
[16] W. J. Strawbridge, S. J. Shema, R. D. Cohen, and G. A. Kaplan, “Religious Attendance Increases Survival by Improving and Maintaining Good Health Behaviors, Mental Health, and Social Relationships,” Annals of Behavioral Medicine 23, no. 1 (2001): 68–74, https:// doi .org /10 .1207 /s153 2 4 7 9 6 abm 2 3 0 1_10.