Research of relationships among Suicide Ideation, Distress,Depression,and Demoralization in Cancer patients

• Main Authors: Yu-Jing Chiu, 邱玉菁
• Other Authors: Yu-Chan Li
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/27518157160001394791

碩士 === 國立臺北護理健康大學 === 生死教育與輔導研究所 === 101 === Background/Objectives: Previous Studies showed that the risk of suicide in cancer patients is two to four times higher than the general population.The high psychological distress such as depression and demoralization among cancer patients may increases the risk of suicide ideation. However, there were less studies focus on whether cancer patients with depression and demoralization would have stronger suicide ideation. The purpose of this study was to explore the relationships between depression,demoralization,distress, and suicide ideation among cancer patients. Methods: The study is conducted by purposive sampling.We invited 200 inpatients and outpatients with lung and hematological cancer in Mackay Memorial Hospital to attend the study. All participants completed Distress Thermometer (DT), Patient Health Questionnaire (PHQ-9), Demoralization Scale (DS),and Beck Scale for Suicide Ideation (BSI). Data were analyzed with SPSS statistical software 18.0 and SAS 9.3. Results: The tobit model analyses revealed the marriage, distress ,and demoralization to be significantly predictive for suicide ideation. Depression and demoealization were respectively 50% and 77% indirect effects mediated the relationship between distress and suicide ideation. According to the standard of PHQ-9≧10 and DS-MV＞42, using ROC analyses to evaluated the accuracy of Distress Thermometer for dectecting depression and demoralizatiom. A score of 5 represented the optimal trade-off with an area under the curve between 0.79 and 0.77. The sensitivity were respectively 76.9% and 80.6% , and the specificity were respectively 73.9% and 72.2%. Conclusions: Compare to depression, The demoralization have more impact on suicide ideation among cancer patient. Therefore, we should pay more attention to prevention suicide ideation whether demoralization cancer patients with depression or not. In the other hand , we conclude that the DT has acceptable criterion validity .A cutoff of 5 on the DT possesses the optimal sensitivity and specificity characteristics. We recognize DT in clinical setting as screening tool for demoralization or depression patients.