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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MDPI AG
2022-12-01
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Series: | Journal of Clinical Medicine |
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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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format | Article |
id | doaj.art-f8d85d6b5f094cc1a566b6f4e564e013 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-09T16:17:20Z |
publishDate | 2022-12-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
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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