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

Cancer is a leading cause of death in Korea, and depression and suicide are major psychiatric problems in cancer patients. This study aimed to explore the correlation between anxiety, depression, social support, cancer state, and suicidality among urologic cancer patients. Sixty patients with urolog...

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Main Authors: Kounseok Lee, Gyoohwan Jung, Na Yeon Choi, Sunhae Kim, Jung Ki Jo
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/24/7336
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author Kounseok Lee
Gyoohwan Jung
Na Yeon Choi
Sunhae Kim
Jung Ki Jo
author_facet Kounseok Lee
Gyoohwan Jung
Na Yeon Choi
Sunhae Kim
Jung Ki Jo
author_sort Kounseok Lee
collection DOAJ
description Cancer is a leading cause of death in Korea, and depression and suicide are major psychiatric problems in cancer patients. This study aimed to explore the correlation between anxiety, depression, social support, cancer state, and suicidality among urologic cancer patients. Sixty patients with urologic cancer were admitted to a university hospital between October 2019 and February 2020. The patients were evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item scale, Suicidality module of the Mini International Neuropsychiatric Interview (MINI), and the Lubben Social Network scales (LSNS). To determine which psychological or demographic factors affected suicide risk, Fisher’s exact test, Wilcoxon rank-sum test, regression, and logistic regression were conducted. It was found that the greater the depressive symptoms, the higher the suicidal risk (OR = 1.32, 95% CI = 1.08–1.61). Furthermore, anxiety symptoms and the duration of cancer after diagnosis significantly increased depressive symptoms (<i>p</i> = 0.032). Clinicians should be able to identify the risk factors for suicide in patients with cancer, one of which is depression. To assess the risk of suicide, we must evaluate not only depressive symptoms but also the related anxiety and duration of the disease. Prevention and intervention efforts are needed to improve depressive moods and anxiety after cancer diagnosis.
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spelling doaj.art-f8d85d6b5f094cc1a566b6f4e564e0132023-11-24T15:43:49ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011124733610.3390/jcm11247336Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World DataKounseok Lee0Gyoohwan Jung1Na Yeon Choi2Sunhae Kim3Jung Ki Jo4Department of Psychiatry, College of Medicine, Hanyang University, Seoul 04763, Republic of KoreaDepartment of Urology, Seoul National University Bundang Hospital, Seongnam 13620, Republic of KoreaBiostatistical Consulting and Research Laboratory, Medical Research Collaborating Center, Hanyang University, Seoul 04763, Republic of KoreaDepartment of Psychiatry, College of Medicine, Hanyang University, Seoul 04763, Republic of KoreaDepartment of Urology, College of Medicine, Hanyang University, Seoul 04763, Republic of KoreaCancer is a leading cause of death in Korea, and depression and suicide are major psychiatric problems in cancer patients. This study aimed to explore the correlation between anxiety, depression, social support, cancer state, and suicidality among urologic cancer patients. Sixty patients with urologic cancer were admitted to a university hospital between October 2019 and February 2020. The patients were evaluated using the Patient Health Questionnaire-9, Generalized Anxiety Disorder 7-item scale, Suicidality module of the Mini International Neuropsychiatric Interview (MINI), and the Lubben Social Network scales (LSNS). To determine which psychological or demographic factors affected suicide risk, Fisher’s exact test, Wilcoxon rank-sum test, regression, and logistic regression were conducted. It was found that the greater the depressive symptoms, the higher the suicidal risk (OR = 1.32, 95% CI = 1.08–1.61). Furthermore, anxiety symptoms and the duration of cancer after diagnosis significantly increased depressive symptoms (<i>p</i> = 0.032). Clinicians should be able to identify the risk factors for suicide in patients with cancer, one of which is depression. To assess the risk of suicide, we must evaluate not only depressive symptoms but also the related anxiety and duration of the disease. Prevention and intervention efforts are needed to improve depressive moods and anxiety after cancer diagnosis.https://www.mdpi.com/2077-0383/11/24/7336cancersuicidedepressionurology
spellingShingle Kounseok Lee
Gyoohwan Jung
Na Yeon Choi
Sunhae Kim
Jung Ki Jo
Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
Journal of Clinical Medicine
cancer
suicide
depression
urology
title Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
title_full Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
title_fullStr Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
title_full_unstemmed Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
title_short Association between Psychological Suffering and Suicidal Thinking in Patients with Urologic Cancer Using Real-World Data
title_sort association between psychological suffering and suicidal thinking in patients with urologic cancer using real world data
topic cancer
suicide
depression
urology
url https://www.mdpi.com/2077-0383/11/24/7336
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