SUICIDAL THOUGHTS AS COGNITIVE RISK FACTORS FOR SUICIDE AMONG CANCER PATIENTS

Lence Miloseva, Vladimir Milosev, Roza Arsova, Svetlana Jovevska

Abstract


The aim of this study is twofold. The first aim is to investigate whether we can use the Patient Health Questionnaire-9 (PHQ-9), translated on Macedonian language, item 9 in order to screen passive suicidal thoughts. The second aim is to describe the nature of „better to be death thoughts or hurting own self in some way“ reported with structure clinical interviews carried out in order to further asses passive suicidal thoughts of cancer patients, who hade endorsed item 9 of this scale. The data were collected from Department of maxillofacial surgery, Clinical Hospital, Stip, Macedonia, during the period june 2014 - june 2016. The final survey sample consists of 122 patients (66 % female and 34% male) aged 19-70 years. Inclusive criteria: patients were diagnosed with cancer in maxillofacial region. We applied Patient Health Questionnaire-9 (PHQ-9) and structured clinical interview. Two weeks after they become familiar with the diagnose they filled up PHQ-9 scale, and after four weeks clinical interviews were carried out. The reliability (Cronbach`s alpha) for the PHQ-9 scale translated on Macedonian language and sample was good (alpha > 0.85). We found that patients with diagnosed cancer who endorsed „passive suicide ideas item 9“ were more likely to have suicidal thoughts which were described latter on during clinical interview. We analyzed thoughts reported by patients in the frame of modified categories of suicidality. Of 67 (54.92%) of patients who endorsed item 9 with „yes“, the highest percentige was in category with passive suicidal thoughts 39 (58.21%). Due to the limitation of this study, more studies are needed in future. 


Keywords


suicidal thoughts, depression, cognitions, risk factors, cancer.

Full Text:

PDF HTML

References


Akechi, T., Okamura, H., Nishiwaki, Y., & Uchitomi, Y. (2002). Predictive factors for suicidal ideation in patients with unresectable lung carcinoma. Cancer, 95(5), 1085-1093. doi:10.1002/cncr.10769

Baca-Garcia, E., Perez-Rodriguez, M. M., Oquendo, M. A., Keyes, K. M., Hasin, D. S., Grant, B. F., & Blanco, C. (2011). Estimating risk for suicide attempt: Are we asking the right questions?: Passive suicidal ideation as a marker for suicidal behavior. Journal of affective disorders, 134(1), 327-332. doi: 10.1016/j.jad.2011.06.026

Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of general psychiatry, 56(7), 617-626.

Kroenke, K., Spitzer,R.L., & Williams, J.B.W. (2001). The PHQ-9: Validity of a Brief Depression Severity Measure. Journal of General Internal Medicine, 16(9), 606–613. http://doi.org/10.1046/j.1525-1497.2001.016009606.x

Misono, S., Weiss, N. S., Fann, J. R., Redman, M., & Yueh, B. (2008). Incidence of suicide in persons with cancer. Journal of Clinical Oncology, 26(29), 4731-4738. http://doi.org/10.1200/JCO.2007.13.8941

Moran, C. (2013). Passive Suicidal Ideation: A Clinically Relevant Risk Factor for Suicide (Doctoral dissertation, Case Western Reserve University).

Robson, A., Scrutton, F., Wilkinson, L., & MacLeod, F. (2010). The risk of suicide in cancer patients: a review of the literature. Psycho-Oncology, 19,1250–1258.

Walker, J., Hansen, C. H., Butcher, I., Sharma, N., Wall, L., Murray, G., & Sharpe, M. (2011). Thoughts of death and suicide reported by cancer patients who endorsed the “suicidal thoughts” item of the PHQ-9 during routine screening for depression. Psychosomatics, 52(5), 424-427. http://dx.doi.org/10.1016/j.psym.2011.02.003




DOI: http://dx.doi.org/10.5937%2FIJCRSEE1602053M

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




Copyright (c) 2016 Lence Miloseva, Vladimir Milosev, Roza Arsova, Svetlana Jovevska

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

PRchecker.info

Creative Commons License
This work is licensed under a Creative Commons Attribution - NonCommercial - NoDerivs 4.0

ISSN 2334-847X (Printed)

ISSN 2334-8496 (Online)