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Factors Affecting Suicidal Thoughts in Breast Cancer Patients

Background and Objectives: Women diagnosed with breast cancer experience severe trauma. Psychological help for breast cancer patients is not sufficient because of limited professional resources. The goal of this study was to identify groups of breast cancer patients with the greatest suicidal risk,...

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Autores principales: Kazlauskiene, Jurgita, Navickas, Alvydas, Lesinskiene, Sigita, Bulotiene, Giedre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322153/
https://www.ncbi.nlm.nih.gov/pubmed/35888582
http://dx.doi.org/10.3390/medicina58070863
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author Kazlauskiene, Jurgita
Navickas, Alvydas
Lesinskiene, Sigita
Bulotiene, Giedre
author_facet Kazlauskiene, Jurgita
Navickas, Alvydas
Lesinskiene, Sigita
Bulotiene, Giedre
author_sort Kazlauskiene, Jurgita
collection PubMed
description Background and Objectives: Women diagnosed with breast cancer experience severe trauma. Psychological help for breast cancer patients is not sufficient because of limited professional resources. The goal of this study was to identify groups of breast cancer patients with the greatest suicidal risk, who could be the first target for psychosocial interventions. Materials and Methods: The study included 421 women with stage T1–T3/N0–N3/M0 breast cancer. We provided women with a set of questionnaires 1–2 days prior to breast surgery and one year after surgery. One hundred eighty-eight patients completed the questionnaires after one year. We used the Beck Depression Inventory Second Edition (BDI-II) item Suicidal Thoughts or Intentions for the assessment of suicidal risk. The Impact of Event Scale-Revised (IES-R) was used to measure the risk of PTSD and the Vrana–Lauterbach Traumatic Events Questionnaire-Civilian, TEQ-C (TEQ-CV) was used to measure whether patients had experienced other traumatic events in their lifetime. Results: The incidence of suicidal ideation one year after surgery increased from 4.3% to 12.8% of patients. Patients who lived in rural areas had a two times greater risk of suicidal thoughts than patients who lived in urban areas. Working patients were 2.5 times more likely to have suicidal thoughts prior to surgery. Severely traumatic events increased the chances of suicidal ideation (OR 7.72; 95% CI 1.63–36.6; p = 0.01). The symptoms of PTSD showed a threefold increase in the likelihood of suicidal ideation (OR 2.89; 95% CI 0.98–8.55; p = 0.05). Conclusions: Living in the countryside, having a history of traumatic experience, having a paid job and having symptoms of post-traumatic stress disorder influence suicidal ideation in breast cancer patients. Particular attention should be drawn to individuals with multiple risk factors.
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spelling pubmed-93221532022-07-27 Factors Affecting Suicidal Thoughts in Breast Cancer Patients Kazlauskiene, Jurgita Navickas, Alvydas Lesinskiene, Sigita Bulotiene, Giedre Medicina (Kaunas) Article Background and Objectives: Women diagnosed with breast cancer experience severe trauma. Psychological help for breast cancer patients is not sufficient because of limited professional resources. The goal of this study was to identify groups of breast cancer patients with the greatest suicidal risk, who could be the first target for psychosocial interventions. Materials and Methods: The study included 421 women with stage T1–T3/N0–N3/M0 breast cancer. We provided women with a set of questionnaires 1–2 days prior to breast surgery and one year after surgery. One hundred eighty-eight patients completed the questionnaires after one year. We used the Beck Depression Inventory Second Edition (BDI-II) item Suicidal Thoughts or Intentions for the assessment of suicidal risk. The Impact of Event Scale-Revised (IES-R) was used to measure the risk of PTSD and the Vrana–Lauterbach Traumatic Events Questionnaire-Civilian, TEQ-C (TEQ-CV) was used to measure whether patients had experienced other traumatic events in their lifetime. Results: The incidence of suicidal ideation one year after surgery increased from 4.3% to 12.8% of patients. Patients who lived in rural areas had a two times greater risk of suicidal thoughts than patients who lived in urban areas. Working patients were 2.5 times more likely to have suicidal thoughts prior to surgery. Severely traumatic events increased the chances of suicidal ideation (OR 7.72; 95% CI 1.63–36.6; p = 0.01). The symptoms of PTSD showed a threefold increase in the likelihood of suicidal ideation (OR 2.89; 95% CI 0.98–8.55; p = 0.05). Conclusions: Living in the countryside, having a history of traumatic experience, having a paid job and having symptoms of post-traumatic stress disorder influence suicidal ideation in breast cancer patients. Particular attention should be drawn to individuals with multiple risk factors. MDPI 2022-06-28 /pmc/articles/PMC9322153/ /pubmed/35888582 http://dx.doi.org/10.3390/medicina58070863 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kazlauskiene, Jurgita
Navickas, Alvydas
Lesinskiene, Sigita
Bulotiene, Giedre
Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title_full Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title_fullStr Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title_full_unstemmed Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title_short Factors Affecting Suicidal Thoughts in Breast Cancer Patients
title_sort factors affecting suicidal thoughts in breast cancer patients
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9322153/
https://www.ncbi.nlm.nih.gov/pubmed/35888582
http://dx.doi.org/10.3390/medicina58070863
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