Depression, hopelessness, and suicidal ideation in the terminally ill
Depression, hopelessness, and suicidal ideation in the terminally ill
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DOI：
10.1016/s0033-3182(98)71325-8
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发表时间：
1998-07-01
期刊：
影响因子：
3.4
通讯作者：
Lander, S
中科院分区：
文献类型：
--
作者：
Chochinov, HM;Wilson, KG;Lander, S
本研究调查了 196 名晚期癌症患者中绝望的中介假设在预测自杀意念方面的作用。每个患者都接受了半结构化访谈，以评估绝望和自杀意念，并完成了贝克抑郁量表（简表）。与抑郁程度相比，绝望与自杀意念的相关性更高。在多重线性回归分析中，当抑郁水平得到控制时，绝望对自杀意念的预测有独特的贡献。对于关注垂死患者需求的医疗保健提供者来说，绝望似乎是这一弱势患者群体自杀意念的重要临床标志。
This study investigated the mediational hypothesis of hopelessness in predicting suicidal ideation in a group of 196 patients with advanced terminal cancer. Each patient underwent a semistructured interview to assess hopelessness and suicidal ideation, and also completed the Beck Depression Inventory (short form). Hopelessness was correlated more highly with suicidal ideation than was the level of depression. In multiple linear-regression analyses, hopelessness contributed uniquely ro the prediction of suicidal ideation when the level of depression was controlled For health care providers attending to the needs of dying patients, hopelessness appears to be an important clinical rr?marker of suicidal ideation in this vulnerable patient population.