自杀和头癌:通过元分析和叙事综合进行系统审查
Jeffrey R Hanna1,2, Kairen McCloy1,3, Jane Anderson4,5
1Institute of Nursing and Health Research, Ulster University, Belfast, UK.
Psycho-oncology
|July 25, 2025
概括
患有头癌的患者面临更高的自杀风险. 关键的风险因素包括男性性别,最近的诊断和下癌,突出了需要有针对性的支持.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 与普通人群相比,头癌患者的自杀风险明显增加.
- 迫切需要了解和解决这个脆弱群体中不断增加的自杀倾向.
研究的目的:
- 在头癌患者中确定自杀念头,自伤和自杀完成的危险因素.
- 探索头癌患者遇到自杀念头的挑战和需求.
主要方法:
- 根据PRISMA协议进行了一项混合方法系统审查.
- 在电子数据库和灰色文献中搜索发现了3665个记录,其中包括36项研究.
- 对自杀完成风险因素 (性别,年龄,诊断后的时间,婚姻状况) 进行了元分析,并通过叙事合成分析了自杀想法.
主要成果:
- 男性患者的自杀念头和自杀完成风险最高.
- 自杀的完成在诊断后的头六个月内是最普遍的,在寡妇患者或患有鼻癌的患者中.
- 不充分的疼痛和症状管理与增加的自杀念头相关;支持性的专业关系是有益的.
结论:
- 医疗保健专业人员必须主动识别,评估,支持和跟进头癌患者的自杀想法.
- 建立明确的自杀管理途径至关重要,包括转诊精神卫生服务和对疼痛和痛苦的支持性干预.
更多相关视频
相关概念视频
Cancer Survival Analysis
456
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
456
Cancer Therapies
8.0K
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
8.0K
Hazard Ratio
251
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
251
Comparing the Survival Analysis of Two or More Groups
289
Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...
289
Targeted Cancer Therapies
7.8K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.8K
Psychoneuroimmunology: Diabetes and Cancer
62
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
62


