Passive suicidal ideation as a risk factor for suicide among cancer patients

Miloseva, Dijana and Bopkovska, Dajana and Miloseva, Lence (2016) Passive suicidal ideation as a risk factor for suicide among cancer patients. In: First International Students’ Symposium of Faculty of Medical Sciences “Celebrating achievements in medicine, promoting health and sharing knowledge”, 20 Apr 2016, Stip, Macedonia.

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Introduction: Identification of passive suicidal ideas as a clinical relevant risk factor contributes to shedding light on the etiological picture of clinical depression and suicide phenomena among cancer patients. Unfortunately, in Macedonia we do not have standardized psychological techniques which will assess suicidal ideation during psycho diagnostic procedure.
Objectives: The aim of this study is twofold. The first aim is to investigate whether we can use the Patient Health Questionnaire-9 (PHQ-9), for the first time in Macedonia, translated on Macedonian language (Miloseva, 2014), item 9 in order to screen passive suicidal ideation. The second aim is to describe the nature of „ better to be death thoughts or hurting own self in some way“ reported with structure clinical interviews carried out in order to further asses passive suicidal thoughts of participants, cancer patients, who hade endorsed item 9 of this scale.
Material and Methods: In the frame of the UGD supported project, the data were collected from Department for maxillofacial surgery, Clinical Hospital, Stip, Macedonia, during the period 2014-2015. The final survey sample consists of 90 patients (64 % female and 36% male) aged 19-70 years. Inclusive criteria: patients were diagnosed with cancer in maxillofacial region. We applied: Patient Health Questionnaire-9 (PHQ-9), for the first time in Macedonia, translated on Macedonian language and structured clinical interview. One week after they become familiar with the diagnose they fill up PHQ-9 scale, and after three weeks clinical interviews were carried out. Written informed consent was obtained by all study participants.
Results: First of all we checked the reliability (Cronbach`s alpha) for the PHQ-9 scale translated on Macedonian language and sample. The reliability coefficient was good (alpha> 0.85). We found that patients with diagnosed cancer who endorsed „passive suicide ideas item 9“ were more likely to have suicidal thoughts which were described latter on during clinical interview. We analyzed thoughts reported by patients in the frame of modified categories of suicidality based on Walker et al. (2011). Of 52 (57.77%) of patients who endorsed item 9 with „yes“, the highest percentige was in category with passive suicidal thoughts 32 (61.54%).
Conclusion: We have confirmed our expectations that we can use Macedonian translated version of PHQ-9 scale, item 9 („Thoughts that you will be better to be dead or of hurting yourself in some way“) in combination with clinical structured interview in order to asses passive suicidal ideation. Due to the limitation of this study, more studies are needed in future. There is a need of multidisciplinary work and teams between maxillofacial surgeons, clinical psychologist, psychiatrist and oncologist.

Key words: passive; suicide ideas, depression, risk factors ; suicde.

Item Type: Conference or Workshop Item (Paper)
Subjects: Medical and Health Sciences > Clinical medicine
Divisions: Faculty of Medical Science
Depositing User: Lence Miloseva
Date Deposited: 24 Jan 2017 15:01
Last Modified: 24 Jan 2017 15:01

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