Gender differences in factors associated with suicidal ideation in major depression among cancer patients
Gender differences in factors associated with suicidal ideation in major depression among cancer patients
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DOI：
10.1002/pon.1587
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发表时间：
2010-04-01
期刊：
影响因子：
3.6
通讯作者：
Uchitomi, Yosuke
中科院分区：
文献类型：
--
作者：
Akechi, Tatsuo;Okamura, Hitoshi;Uchitomi, Yosuke
目的：重度抑郁症是一个有据可查的自杀风险因素，在癌症患者和一般人群中，自杀风险因素存在几种性别差异。然而，没有关于癌症患者中抑郁症自杀危险因素的性别差异的数据。方法：我们通过分析精神科患者的咨询数据，调查了根据性别患有抑郁症的癌症患者是否有自杀意念的背景差异。结果：在5431名转介的病人中，329名男性和399名女性被诊断为患有重性抑郁症;在这些重性抑郁症病人中，136名（41%）男性和157名（39%）女性也有自杀意念。初步分析表明，身体功能和晚期是与自杀意念的性别差异显着相互作用的潜在因素。最后的Logistic回归分析表明，不良的身体功能和先进的阶段是显着的危险因素男性patients.Conclusions：这些初步研究结果表明，性别差异的重要指标自杀意念存在于癌症患者的抑郁症，这些研究结果可能是有用的发展战略，以防止癌症患者自杀。版权所有（C）2009约翰威利父子有限公司
Objective: Major depression is a well-documented risk factor for suicide, and several gender differences in risk factors for suicide exist in cancer patients as well as in the general population. However, no data is available regarding gender differences in risk factors for suicide among cancer patients with major depression.Methods: We investigated the background differences between cancer patients suffering from major depression with or without suicidal ideation according to gender by analyzing the consultation data obtained for patients referred to the Psychiatry Division.Results: Among the 5431 referred patients, 329 males and 399 females were diagnosed as having major depression; among these patients with major depression, 136 (41%) males and 157 (39%) females also had suicidal ideation. A preliminary analysis showed that physical functioning and an advanced stage were potential factors that interacted significantly with gender differences regarding suicidal ideation. A final logistic regression analysis indicated that poor physical functioning and an advanced stage were significant risk factors among male patients.Conclusions: These preliminary findings suggest that gender differences in important indicators of suicidal ideation exist among cancer patients with major depression; these findings may be useful for developing strategies to prevent suicide among cancer patients. Copyright (C) 2009 John Wiley & Sons, Ltd.