Death Ideation in Cancer Patients: Contributing Factors
Open accessAbstract
Advances in cancer research and therapy have improved prognosis and the quality of life of many patients. However, previous epidemiological studies in oncologic patients have shown an increased risk of suicide. Suicidal thoughts, relatively well known in those terminally ill, may be just as important for cancer patients who are survivors or are living with the disease. Nonetheless, there is a relative paucity of data about suicidality in this setting. The authors conducted a prospective observational study to identify death thoughts and to explore the factors associated with suicidal ideation in cancer patients. A sample of 130 patients referred for psychiatric consultation was obtained following informed consent and authorization from the local ethics committee. A semistructured interview assessed sociodemographic data, psychosocial support, and information regarding the cancer process and its treatment. Psychometric instruments were used to evaluate psychopathology, namely the Hospital Anxiety and Depression Scale, the Beck Hopelessness Scale, and the Beck Scale for Suicide Ideation. Psychiatric diagnoses were obtained through the application of the Mini International Neuropsychiatric Interview. Death ideation was identified in 34.6% of patients, yet only 10% had active suicidal thoughts. Risk of suicide was associated with female gender, a psychiatric diagnosis (major depressive disorder, panic disorder, or dysthymia), difficult interpersonal relationships, associated pain, high hopelessness, and depressive and anxiety symptoms. Although suicidal thoughts are frequent in cancer patients at different stages of disease, most are transitory. Risk factors for suicidal ideation have been identified, such as depression, hopelessness, uncontrolled pain, and difficult interpersonal relationships. Further assessment is necessary to identify those at higher risk of attempting suicide, and underlying psychiatric disorders should be vigorously treated.
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Hopelessness and anxiety are risk factors of suicidal ideation among cancer patients.
“Hopelessness and anxiety are risk factors of suicidal ideation among cancer patients.27”
From Prevalence and Correlates of Suicidal Ideation among Psycho-Oncology Outpatients (2024) · cites this paper as [27]
The Results and Discussion associate active suicidal thoughts with higher hopelessness and anxiety scores in the study sample. But these were patients referred for psychiatric consultation, and the paper describes associations rather than establishing hopelessness and anxiety as risk factors for cancer patients generally. (LLM, conf=0.85)
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- Authors
- Madeira, N., Albuquerque, E., Santos, T., Mendes, A., & Roque, M.
- Affiliations
- Unidade Local de Saúde de Coimbra (PT)
- Instituto Português de Oncologia de Coimbra Francisco Gentil (PT)
- Centro Hospitalar Psiquiátrico de Coimbra (PT)
- Hospital de São Sebastião (PT)
- Venue
- Journal of Psychosocial Oncology
- Publisher
- Informa UK Limited
- Published
- 2011-10
- Volume
- 29
- Issue
- 6
- Pages
- 636-642
- ISSN
- 0734-7332 (ISSN-L)
- 1540-7586
- OpenAlex
- W2144215610
- Cited by
- 64
- References
- 27
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 9 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 6 · 2019: 8 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 4 · 2014: 6 · 2013: 6 · 2012: 1
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Journal of Psychosocial Oncology (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- suicidal ideation, death ideation, cancer patients, suicide risk factors, hopelessness, depression, anxiety, pain, interpersonal relationships, psychiatric comorbidity, psychiatric consultation
- MeSH terms
- Adult, Attitude to Death, Female, Humans, Male, Middle Aged, Neoplasms, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Observation, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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