Suicidal ideation in cancer patients with major depression

Citation
T. Akechi et al., Suicidal ideation in cancer patients with major depression, JPN J CLIN, 30(5), 2000, pp. 221-224
Citations number
13
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Oncology
Journal title
JAPANESE JOURNAL OF CLINICAL ONCOLOGY
ISSN journal
0368-2811 → ACNP
Volume
30
Issue
5
Year of publication
2000
Pages
221 - 224
Database
ISI
SICI code
0368-2811(200005)30:5<221:SIICPW>2.0.ZU;2-7
Abstract
Background: Major depression is a well-documented risk factor for suicide i n cancer patients as well as in the general population. However, there are no data explaining why some cancer patients suffering from major depression have suicidal ideation whereas others with the same disorder do not. Methods: We investigated the background differences between cancer patients suffering from major depression with and without suicidal ideation by anal yzing consultation data on patients referred to the Psychiatry Division, Na tional Cancer Center Hospital, Japan. Results: Univariate analysis showed that poor performance status, advanced stage and severe depression were the risk factors for suicidal ideation in these depressive cancer patients. Multivariate logistic regression analysis indicated that older age and severe depression are the final significant r isk factors. Conclusion: These preliminary findings suggest that severe major depression may be an important indicator of suicidal ideation among cancer patients, that patients' age should be given greater attention and that closer monito ring and more intensive intervention against major depression may be needed .