TY - JOUR PY - 2019// TI - Relationship of suicidal ideation with demoralization, depression, and anxiety: a study of cancer patients in mainland china JO - Journal of nervous and mental disease A1 - Xu, Ke A1 - Hu, Deying A1 - Liu, Yilan A1 - Han, Yanhong A1 - Guo, Xin A1 - Teng, Fen A1 - Zhou, Yi SP - 326 EP - 332 VL - 207 IS - 5 N2 - Demoralization is a form of psychological distress that may cause suicidal ideation. Demoralization syndrome is common among cancer patients, but there has been little empirical study on the association of suicidal ideation with demoralization, depression, and anxiety in this population. This study aims to investigate the prevalence of high demoralization among cancer patients in mainland China and the contribution of high demoralization to suicidal ideation beyond the impact of self-report depression and anxiety. In this cross-sectional study, 303 patients with cancer were invited to complete questionnaires. In total, 14.5% participants reported suicidal ideation and 49.50% high demoralization. Logistic regression analysis identified high demoralization as an independent risk factor for suicidal ideation. Only depression (odds ratio [OR], 6.68) had a stronger influence on suicidal ideation than demoralization (OR, 5.85), and patients with both depression and high demoralization were most likely to experience suicidal ideation. These findings suggest that measures of demoralization can help identify cancer patients at high suicide risk and that such patients require further attention and measures targeting demoralization for suicide prevention.

Language: en

LA - en SN - 0022-3018 UR - http://dx.doi.org/10.1097/NMD.0000000000000974 ID - ref1 ER -