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Proposed Scales for Measuring Suicidal Ideation in Adult Cancer Patients

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DOI: 10.4236/ojmp.2014.31010    5,732 Downloads   7,479 Views   Citations

ABSTRACT

Suicidal ideation, which can occur in oncology patients, is associated with suffering and a reduced quality of life. Empirical studies indicate that the incidence of suicide in people with cancer is approximately twice that of the general population. Objective: This cross-sectional descriptive study was designed to establish the prevalence of suicidal ideation in adult oncology patients based on a combination of scales to measure this variable. Method: A battery of three instruments (Scale for Suicidal Ideation. Item 9 of Beck’s Depression Inventory, and a semi-structured interview) was used to make estimates that are not based on just one test and can thus make a comprehensive evaluation of suicidal ideation in the study sample. Four approximations, based on different items from suicidal ideation assessment scales, were developed to determine the most sensitive combination for identifying the presence of suicidal ideation in adult cancer patients. Results: The highest prevalence of suicidal ideation found with the proposed scales was 24.5% (CI = 16%-33%) with Scale 1; 23.6% (CI = 15.2%-32%) with Scale 2; and 19.1% (CI = 11.3%-26.9%) with Scale 4. The lowest prevalence of suicidal ideation was 17.3% (CI = 9.8%-24.8%) with Scale 3. Conclusions: Suicidal behavior in the oncology patient should be assessed; however, there is a need to select sensitive instruments that can be applied easily and are suitable for the target group, which faces difficulties in participating in extensive evaluations.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

D. Leal-Hernández, L. Sandoval, X. Palacios-Espinosa and J. Cuevas, "Proposed Scales for Measuring Suicidal Ideation in Adult Cancer Patients," Open Journal of Medical Psychology, Vol. 3 No. 1, 2014, pp. 79-86. doi: 10.4236/ojmp.2014.31010.

References

[1] A. Robson, F. Scrutton, L. Wilkinson and F. MacLeod, “The Risk of Suicide in Cancer Patients: A Review of the Literature,” Psycho-Oncology, Vol. 19, No. 12, 2010, pp. 1250-1258. http://dx.doi.org/10.1002/pon.1717
[2] J. Vargas-Mendoza, “Evaluación de la Ideación Suicida en Pacientes con Cáncer Sometidos a Quimioterapia,” Centro Regional de Investigación en Psicología, Vol. 4, No. 1, 2011, pp. 19-23.
[3] L. Anguiano, D. Mayer, M. Piven and D. Rosenstein, “A Literature Review of Suicide in Cancer Patients,” Cancer Nursing, Vol. 35, No. 4, 2012, pp. 14-26. http://dx.doi.org/10.1097/NCC.0b013e31822fc76c
[4] X. Palacios-Espinosa and J. G. Ocampo-Palacio, “Situación Actual del Conocimiento acerca del Suicidio en las Personas con Cáncer,” Revista Ciencias de la Salud, Vol. 9, No. 2, 2011, pp. 173-190.
[5] I. Spoletini, W. Gianni, C. Caltagirone, R. Madaio, L. Repetto and G. Spalletta, “Suicide and Cancer: Where Do We Go from Here?” Critical Reviews in Oncology/Hematology, Vol. 78, No. 3, 2011, pp. 206-209. http://dx.doi.org/10.1016/j.critrevonc.2010.05.005
[6] L. B. Aiello-Laws, “Assessing the Risk for Suicide in Patients with Cancer,” Clinical Journal of Oncology Nursing, Vol. 14, No. 6, 2010, pp. 687-691. http://dx.doi.org/10.1188/10.CJON.687-691
[7] M. Barrera and M. Sarmiento, “Ideación Suicida en Ninos con Cáncer. Segundo Premio Concurso Nacional de Escritos ACOFAEN,” Avances en Enfermería, Vol. 13. No. 1, 1994, pp. 54-62.
[8] Ministerio de Salud, Instituto Nacional de Cancerología, “Salud y Bienestar. Guía de Apoyo para el Paciente con Cáncer,” Ruecolor Ltda., Bogotá, 1998. http://www.cancer.gov.co/documentos/Cartillas/pacienteconcancer.pdf
[9] L. Furlanetto and B. Stefanello, “Suicidal Ideation in Medical Inpatients: Psychosocial and Clinical Correlates,” General Hospital Psychiatry, Vol. 33, No. 6, 2011, pp. 572-578. http://dx.doi.org/10.1016/j.genhosppsych.2011.08.002
[10] C. Lefetz and M. Reich, “La Crise Suicidaire en Cancérologie: évaluation et Prise en Charge,” Bulletin du Cancer, Vol. 93, No. 7, 2006, pp. 709-713.
[11] A. T. Beck, M. Kovacs and A. Weissman, “Escala de Ideación Suicida (SSI),” 1979. www.ucm.es/info/psclinic/evaluacion/index_ppal.htm
[12] D. M. Ndetei, L. Khasakhala and A. W. Mbwayo, “Primary Research Suicidality and Depression among Adult Patients Admitted in General Medical Facilities in Kenya,” Annals of General Psychiatry, Vol. 9, No. 7, 2010, pp. 1-6. http://dx.doi.org/10.1186/1744-859X-9-7
[13] B. H. Wagenaar, A. K. Hagaman, B. N. Kaiser, K. E. McLean and B. A. Kohrt, “Depression, Suicidal Ideation, and Associated Factors: A Cross-Sectional Study in Rural Haiti,” BMC Psychiatry, Vol. 12, No. 149, 2012, pp. 1-13. http://dx.doi.org/10.1186/1471-244X-12-149
[14] A. J. Roth and J. C. Holland “Psychiatric Complications in Cancer Patients,” In: M. C. Brain and P. P. Carbone, Eds., Current Therapy in Hematology-Oncology, 5th Edition, Mosby-Year Book, Inc., St. Louis, 1995, pp. 609- 618. http://www.cancer.gov/cancertopics/pdq/supportivecare/depression/HealthProfessional/page5
[15] X. Palacios-Espinosa, N. Y. Preciado, D. M. Escallón and J. G. Ocampo-Palacio, “Entrevista Semiestructurada para la Evaluación de los Factores Sociodemográficos y de la Conducta Suicida (Ideación e Intención) y los Factores Asociados con esta en Pacientes con Cáncer Adultos,” Unpublished.
[16] E. Baca-Garcia, M. M. Pérez-Rodriguez, M. A. Oquendo, K. M. Keyes, D. S. Hasin, B. F. Grant and C. Blanco, “Estimating Risk for Suicide Attempt: Are We Asking the Right Questions? Passive Suicidal Ideation as a Marker for Suicidal Behavior,” Journal of Affective Disorders, Vol. 134, No. 1, 2011, pp. 327-332. http://dx.doi.org/10.1016/j.jad.2011.06.026
[17] Resolución 008430 de 1993. Por la cual se establecen las Normas Científicas, Técnicas y Administrativas para la Investigación en salud. República de Colombia Ministerio de salud. http://www.dib.unal.edu.co/promocion/etica_res_8430_1993.pdf
[18] Ministerio de Protección Social, “Estudio Nacional de Salud Mental—Colombia 2003,” Ministerio de la Protección Social y Fundación FES Social, Cali, 2005.

  
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