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abstract
Objective
Gynecological
cancer survivors are at increased risk of psychological problems
including suicide risk. Suicidal ideation (eg. thoughts/ideas), which was thought to be
precursor to suicide attempts, has not been well studied. This study
aimed to investigate the prevalence, and determinants of suicidal
ideation for women with gynecological cancer, and then to assess the
effect of coping style and social support on suicidal ideation.
Methods
Patients
with cervical, ovarian and endometrial cancers seen at Hunan Provincial
Tumor Hospital from September 2012 to June 2013 were consecutively
recruited and were asked to complete the Zung Self-Rating Depression
Scale, Suicidal Ideation of Self-rating Scale, Medical Coping Modes
Questionnaire and Social Support Rating Scale. Path analysis was used to
examine the relationship among coping style, social support, depression
symptoms and suicidal ideation.
Results
A
total of 579 (579/623, 93.0%) gynecological cancer patients were
enrolled in this study and completed all investigations between
September 2012 and June 2013. Among them, 105 (18.1%) patients reported
suicidal ideation, with the highest rate in patients with ovarian cancer
(30.16%). Suicidal ideation was associated with depression symptoms,
care providers, chemotherapy history and acceptance-resignation. Path
analysis showed that the acceptance-resignation affected suicidal
ideation directly as well as mediated by social support and depression
symptoms, while confrontation and avoidance affected suicidal ideation
entirely through social support and depression symptoms.
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