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In the days after the suicide of California megachurch pastor Rick Warren's son, evangelical Christian leaders have begun a national conversation about how their beliefs might sometimes stigmatize those who struggle with mental illness.

Well-known evangelical figures called for an end to the shame and secrecy that still surrounds mental illness throughout U.S. society and a greater embrace of medical treatment, particularly among evangelicals.

"Part of our belief system is that God ­changes everything, and that because Christ lives in us, everything in our hearts and minds should be fixed," said Ed Stetzer, a prominent pastor and writer who advises evangelical ­churches. "But that doesn't mean we don't sometimes need medical help and community help to do those things."

The death of Matthew Warren, 27, who shot himself Friday, stunned evangelical Christians. Most were unaware that Rick Warren, the best-selling author of "The Purpose Driven Life" and a pastor known for frank talk on subjects including politics, marriage and sex, was struggling with such a serious family problem. Rick Warren wrote to his congregation at Saddleback Church in Lake Forest, Calif., that "only those closest" knew that his son had long been suicidal, despite receiving the best of spiritual and medical care.

Rebekah Lyons, a blogger and wife of the popular pastor Gabe Lyons, wrote this week that "anxiety and panic are my nemesis" and urged Christians not to link mental illness with spiritual weakness.

"As Christians, we believe this side of heaven all disease, sickness and pain is rooted in a world broken by sin. But there are real consequences to living amidst the mess. To oversimplify these complexities would be naive at best, negligent at worst," she wrote.

The revelation has spurred discussion within church communities about how a fervent belief among evangelicals in the power of prayer and dependence on God and Jesus for healing might stifle congregants from talking about mental illness or seeking help for themselves or family members.

For Christians who believe in turning to a divine source for emotional help, even defining a prayerful request can be fraught, some leaders and congregants pointed out. For example, is depression the result of sinful behavior for which one should seek forgiveness? And if prayer does not bring relief, what might God be saying?

When people suffer despite prayer and consider therapy, "people think: 'Is this a knock against my faith? Am I not believing in God enough? Now I have to resort to this?' "said Henry Davis, leader of the evangelical First Baptist Church of Highland Park. "I believe God is in therapy. I believe God can be in medicine. If someone says, 'I'm just going to pray,' you have to do more."