Factors related to suicidal ideation among bereaved family members of patients with cancer: Results from a nationwide bereavement survey in Japan
Factors related to suicidal ideation among bereaved family members of patients with cancer: Results from a nationwide bereavement survey in Japan
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癌症患者家属自杀意念的相关因素：日本全国丧亲调查的结果
DOI：
10.1016/j.jad.2022.08.019
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发表时间：
2022
影响因子：
6.6
通讯作者：
Akechi Tatsuo
中科院分区：
文献类型：
--
作者：
Aoyama Maho;Miyashita Mitsunori;Masukawa Kento;Morita Tatsuya;Kizawa Yoshiyuki;Tsuneto Satoru;Shima Yasuo;Akechi Tatsuo
背景虽然缺乏相关研究，但众所周知，丧亲的家庭成员有更高的自杀风险。我们的目的是澄清癌症患者丧亲家属有自杀意念的比例及其相关因素。方法我们对日本两项横断面的全国性丧亲调查进行了二次分析，分析了总共17,237名癌症患者家属的数据。采用患者健康问卷第8项和第9项分别评定抑郁(≥-8评分)和自杀意念。我们评估了社会人口数据、复杂悲痛(CG)、对丧亲的准备和感知的社会支持等项目。结果11.5%的受试者在前两周有过一定程度的自杀意念，其中抑郁高危人群的自杀意念率高达42.0%。重要关联(所有p和lt；自杀意念与家属抑郁状态(OR：0.0001.0 1)、照料期间身体健康状况差(OR：1.2 4)、照料期间心理健康状况差(OR：1.3 8)、既往精神疾病史(OR：1.3 8)、对丧亲准备不足(OR：0.5 9)、感受到的社会支持差(OR：1.4 2)之间存在关联(OR：1.0 1)。这项研究包括横断面自我报告数据。结论临床医生应该通过仔细评估本研究中确定的危险因素来确定丧失亲人的家庭成员具有高自杀风险。
BackgroundBereaved family members are known to have a higher risk of suicide, although relevant research is lacking. We aimed to clarify the percentage of bereaved family members of patients with cancer who experience suicidal ideation and the associated factors.MethodsWe conducted a secondary analysis of two cross-sectional nationwide bereavement surveys in Japan, analyzing data from a total of 17,237 bereaved family members of patients with cancer. The Patient Health Questionnaire 8 (PHQ-8) and Item 9 of the PHQ-9 were used to assess depression (PHQ-8 score ≥10) and suicidal ideation, respectively. We assessed items such as socio-demographic data, complicated grief (CG), preparedness for bereavement, and perceived social support. Logistic regression analysis was used to reveal factors related to suicidal ideation.ResultsOverall, 11 % of subjects reported some amount of suicidal ideation in the previous two weeks, with a suicidal ideation rate as high as 42 % among those with a higher risk of depression. Significant associations (all p < 0.0001) were found between suicidal ideation and the family member's depressive state (OR: 10.01), poor physical health status during caregiving (OR: 1.24), poor psychological health status during caregiving (OR: 1.38) pre-existing mental illness (OR: 1.38), insufficient preparedness for bereavement (OR: 0.59), and poor perceived social support (OR: 1.42).LimitationsThe respondents were limited to family members of patients with cancer in Japan, and the study involved cross-sectional self-reported data.ConclusionsClinicians should identify bereaved family members at a high risk of suicide by carefully assessing theserisk factors identified in the present study.