Qianlin Lai1, Hong Huang1, Yinting Zhu1, Siwei Shu1, Yaner Chen1, Yuanyuan Luo1, Lili Zhang2, Zhihui Yang3. 1. School of Nursing, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, 510515, Guangdong, China. 2. School of Nursing, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, 510515, Guangdong, China. zhanglili_gz@126.com. 3. School of Nursing, Southern Medical University, No. 1023, South Shatai Road, Baiyun District, Guangzhou, 510515, Guangdong, China. yzhatgz@163.com.
Abstract
PURPOSE: Suicidal ideation (SI) is often overlooked as a risk factor for people with cancer. Because it is often a precursor for suicidal behavior, it is critical to identify and address SI in a timely manner. This study investigated SI incidence and risk factors in a cohort of Chinese patients with mixed cancer types. METHODS: Data from this cross-sectional study were collected from 588 patients receiving medical therapy for tumors at Nanfang Hospital and the Integrated Hospital of Traditional Chinese Medicine at Southern Medical University. SI was measured using the Self-rating Idea of Suicide Scale (SIOSS). Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). The Chinese version of the Demoralization Scale II (DS-II-C) was used to assess demoralization. Univariate and correlation analyses were used to identify correlative factors of SI and multiple stepwise linear regression analysis was used to characterize potential risk factors. RESULTS: SI was reported in 24.7% of participants and the SIOSS score was 14.00 (13.00, 15.00) in the SI group. Multiple linear regression results showed that demoralization, medical financial burden, cancer type, living condition, caretaker, working state, residence, gender, and marital status explained 32.1% of the SI in this cohort (F = 28.705, P < 0.001). CONCLUSION: Approximately one-quarter of cancer patients in this study reported SI influenced by both external and internal factors. Characterizing these factors can be informative for prevention and treatment efforts.
PURPOSE: Suicidal ideation (SI) is often overlooked as a risk factor for people with cancer. Because it is often a precursor for suicidal behavior, it is critical to identify and address SI in a timely manner. This study investigated SI incidence and risk factors in a cohort of Chinese patients with mixed cancer types. METHODS: Data from this cross-sectional study were collected from 588 patients receiving medical therapy for tumors at Nanfang Hospital and the Integrated Hospital of Traditional Chinese Medicine at Southern Medical University. SI was measured using the Self-rating Idea of Suicide Scale (SIOSS). Anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS). The Chinese version of the Demoralization Scale II (DS-II-C) was used to assess demoralization. Univariate and correlation analyses were used to identify correlative factors of SI and multiple stepwise linear regression analysis was used to characterize potential risk factors. RESULTS: SI was reported in 24.7% of participants and the SIOSS score was 14.00 (13.00, 15.00) in the SI group. Multiple linear regression results showed that demoralization, medical financial burden, cancer type, living condition, caretaker, working state, residence, gender, and marital status explained 32.1% of the SI in this cohort (F = 28.705, P < 0.001). CONCLUSION: Approximately one-quarter of cancer patients in this study reported SI influenced by both external and internal factors. Characterizing these factors can be informative for prevention and treatment efforts.
Authors: Marcos Vinicius de Carvalho Mendes; Solange Laurentino Dos Santos; Albanita Gomes da Costa de Ceballos; Betise Mery Alencar Sousa Macau Furtado; Cristine Vieira do Bonfim Journal: Rev Bras Enferm Date: 2021-05-21
Authors: Mohamed Rahouma; Mohamed Kamel; Ahmed Abouarab; Ihab Eldessouki; Abu Nasar; Sebron Harrison; Benjamin Lee; Eugene Shostak; John Morris; Brendon Stiles; Nasser K Altorki; Jeffrey L Port Journal: Ecancermedicalscience Date: 2018-08-16
Authors: Nicholas G Zaorsky; Ying Zhang; Leonard Tuanquin; Shirley M Bluethmann; Henry S Park; Vernon M Chinchilli Journal: Nat Commun Date: 2019-01-14 Impact factor: 14.919