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Suicidal Ideation in Newly-Diagnosed Chinese Cancer Patients
Yongfu Zhang1, Wengao Li2, Zijun Zhang3
1Department of Anesthesiology, Guangzhou Women and Children's Medical Centre, Guangzhou, China.
Frontiers in Psychiatry
|August 15, 2020
Summary
Suicidal ideation affects 15.1% of newly diagnosed cancer patients. Physical comorbidities, pain, depression, anxiety, and childhood adversity increase risk, while exercise may reduce it.
Area of Science:
- Oncology
- Psychiatry
- Public Health
Background:
- Suicide is a significant cause of mortality in cancer patients.
- Suicidal ideation (SI) is a precursor to suicide and requires clinical attention.
Purpose of the Study:
- To determine the prevalence of suicidal ideation among newly diagnosed Chinese cancer patients.
- To identify factors associated with suicidal ideation in this population.
Main Methods:
- A multicenter study involving 603 newly diagnosed cancer patients from January 2018 to September 2019.
- Utilized Case Record Form (CRF), PHQ-9, GAD-7, FCRQ-7, and MPQ-VAS for data collection.
- Employed univariate and multivariate logistic regression analyses to assess associations.
Main Results:
- 15.1% of patients reported suicidal ideation within the past two weeks.
- Significant associations found with physical comorbidities, childhood adversity, cancer pain, depression, and anxiety.
- Regular exercise was associated with a lower likelihood of reporting suicidal thoughts.
Conclusions:
- Physical comorbidities, pain, depression, and anxiety are key risk factors for suicidal ideation in cancer patients.
- Regular exercise may serve as a protective factor.
- Systematic screening and regular check-ups are recommended for suicide prevention in clinical practice.
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