Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, PO Box, 653, 84105, Beer Sheva, Israel.
School for Social Work, Smith College, Northampton, MA, USA.
Support Care Cancer. 2019 Dec;27(12):4723-4732. doi: 10.1007/s00520-019-04789-y. Epub 2019 Apr 10.
To explore how oncologists, oncology nurses, and oncology social workers perceive suicidality (suicidal ideation, suicidal acts, and completed suicides) in patients with cancer that they are in contact with.
The grounded theory method of data collection and analysis was used. Sixty-one oncology healthcare professionals from two university-affiliated cancer centers in Israel were interviewed.
The findings resulted in three main categories that included perceptions of suicidality, explanatory models of suicidality, and moral views on suicide. Healthcare professionals considered suicidality in their patients to be a cry for help, a sign of distress, or an attempt at attention seeking. Participants explained suicidality as stemming from a biological disease, from mental illness, as an aberration, or as an impulsive, irrational act. Moral views on suicidality were split among those who were mostly accepting of these patients' actions versus those who rejected it outright. A third group of healthcare professionals expressed ambivalence about suicidality in their patients.
Healthcare professionals vary greatly in their perceptions on suicide. Some view the act as part of a patient's choice and autonomy while others view it negatively. Healthcare providers should receive support in handling patient's suicidality.
探讨肿瘤科医生、护士和社会工作者如何看待他们接触到的癌症患者的自杀意念（自杀意念、自杀行为和自杀死亡）。
本研究采用扎根理论的方法进行数据收集和分析。对来自以色列两所大学附属医院的 61 名肿瘤医疗保健专业人员进行了访谈。
研究结果产生了三个主要类别，包括对自杀意念的看法、自杀意念的解释模型和对自杀的道德观点。医疗保健专业人员认为患者的自杀意念是求救的呼声、痛苦的表现，或者是寻求关注的一种尝试。参与者将自杀意念解释为源于生物疾病、精神疾病、异常，或者是冲动、非理性的行为。对于这些患者的行为，一些人大多持接受态度，而另一些人则完全拒绝，对自杀意念的道德观点存在分歧。第三组医疗保健专业人员对患者的自杀意念表现出矛盾心理。
医疗保健专业人员对自杀的看法差异很大。一些人认为这种行为是患者选择和自主权的一部分，而另一些人则对此持负面看法。医疗保健提供者应在处理患者自杀意念方面得到支持。
