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Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World

Kounseok Lee1, Gyoohwan Jung2, Na Yeon Choi3

  • 1Department of Psychiatry, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea.

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Depression significantly increases suicide risk in urologic cancer patients. Anxiety and longer cancer duration also worsen depression, highlighting the need for integrated mental health care for cancer survivors.

Keywords:
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Area of Science:

  • Oncology
  • Psychiatry
  • Public Health

Background:

  • Cancer is a leading cause of death in Korea.
  • Depression and suicide are significant psychiatric challenges for cancer patients.
  • Urologic cancer patients face unique psychological burdens.

Purpose of the Study:

  • To investigate the relationship between anxiety, depression, social support, cancer status, and suicidality in urologic cancer patients.
  • To identify psychological and demographic factors influencing suicide risk.
  • To inform clinical practice for suicide prevention in cancer care.

Main Methods:

  • A cohort of 60 urologic cancer patients was studied.
  • Standardized questionnaires assessed depression (PHQ-9), anxiety (GAD-7), suicidality (MINI), and social support (LSNS).
  • Statistical analyses included Fisher's exact test, Wilcoxon rank-sum test, regression, and logistic regression.

Main Results:

  • Increased depressive symptoms correlated with higher suicide risk (OR = 1.32).
  • Anxiety symptoms and longer cancer duration after diagnosis significantly increased depressive symptoms (p=0.032).
  • Social support levels did not show a significant direct impact on suicidality in this cohort.

Conclusions:

  • Depression is a key risk factor for suicide in urologic cancer patients.
  • Anxiety and disease duration are critical factors contributing to depression in this population.
  • Comprehensive assessment of depressive and anxiety symptoms, alongside disease duration, is crucial for suicide risk evaluation and intervention in cancer patients.