TY - JOUR PY - 2024// TI - Prevalence and incidence of suicide, suicidal ideation and self-harm in caregivers of cancer patients: a systematic review and meta-analysis JO - General hospital psychiatry A1 - Low, Chen Ee A1 - Loke, Sean A1 - Rana, Sounak A1 - Sim, Ben A1 - Ho, Cyrus Su Hui SP - 35 EP - 43 VL - 90 IS - N2 - OBJECTIVE: Caregiving burden is set to increase with the rising incidence of cancer globally. The meta-analysis seeks to investigate the prevalence of suicide, suicidal ideation and self-harm among the caregivers of patients with cancer (CPCs).

METHODS: This PRISMA-adherent systematic review involved a systematic search of PubMed, Embase, Cochrane and PsycINFO for all studies that evaluated the prevalence of suicide, suicidal ideation and self-harm in CPCs. Random effects meta-analyses were used for primary analysis.

RESULTS: Eleven studies were included. Meta-analyses indicated that the prevalence of suicidal ideation in CPCs was 11% (95%CI:6-18), suicide prevalence was 6% (95%CI:3-12), and self-harm prevalence was 15% (95%CI:8-26). Subgroup analyses revealed that CPCs above the age of 50 experienced a greater prevalence of suicidal ideation (17%, 95%CI:10-28) as compared to CPCs below 50 (6%, 95%CI:3-12). Family caregivers particularly spouses were also found to have a higher prevalence of suicidal ideation (17%, 95%CI:13-23), as compared to children (5%, 95%CI:2-10) or mothers (3%, 95%CI:1-8). Systematic review found that having a pre-existing mental health condition and lower socioeconomic status increased likelihood of suicidality.

CONCLUSION: We highlight the need for more support of CPCs at risk of suicidality. Additional research is warranted to identify other risk and protective factors.

Language: en

LA - en SN - 0163-8343 UR - http://dx.doi.org/10.1016/j.genhosppsych.2024.06.011 ID - ref1 ER -