Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
BMC Psychiatry. 2023 Aug 11;23(1):585. doi: 10.1186/s12888-023-05057-4.
Numerous studies have confirmed that patients with ovarian cancer have a relatively high risk of suicidality. Early identification of psychological factors related to suicidal ideation in patients with ovarian cancer may provide effective information for suicide prevention strategies. This study aimed to investigate whether and how suicide resilience and meaning in life moderate the relationship between entrapment and suicidal ideation in patients with ovarian cancer.
This was a cross-sectional investigation was conducted in 505 Chinese patients with ovarian cancer. Patients completed a battery of self-reported questionnaires that included the General Information Questionnaire, and Chinese versions of the Entrapment Scale, Scale for Suicidal Ideation, Suicide Resilience Inventory-25, and Meaning in Life Scale. Descriptive statistics, Pearson' s chi-square, Pearson' s correlation, and hierarchical multiple linear regression analysis were performed.
In this study, the prevalence of suicidal ideation reported by patients with ovarian cancer was 32.07%. Patients' suicidal ideation could be explained by the following three predictors: entrapment × suicide resilience × meaning in life (β = -0.169, p < 0.001), entrapment × suicide resilience (β = -0.148, p < 0.001), and entrapment × meaning in life (β = -0.107, p = 0.005).
These findings suggest that ovarian cancer patients are prone to suicidal ideation when they feel a sense of entrapment. Enhancing patients' suicide resilience and meaning in life may be two targeted interventions to reduce suicidal ideation in ovarian cancer patients. In particular, considering both the protective effects of suicide resilience and meaning in life may yield better suicide prevention outcomes than considering only one of these factors.
大量研究证实,卵巢癌患者自杀风险相对较高。早期识别与卵巢癌患者自杀意念相关的心理因素可为自杀预防策略提供有效信息。本研究旨在探讨束缚感与自杀意念的关系是否以及如何受自杀韧性和生活意义的调节。
这是一项横断面研究,在 505 例中国卵巢癌患者中进行。患者完成了一系列自我报告问卷,包括一般信息问卷、中文版束缚量表、自杀意念量表、自杀韧性量表-25 版和生活意义量表。采用描述性统计、皮尔逊卡方检验、皮尔逊相关分析和分层多重线性回归分析。
本研究中,卵巢癌患者报告的自杀意念发生率为 32.07%。患者的自杀意念可以由以下三个预测因素解释:束缚感×自杀韧性×生活意义(β=-0.169,p<0.001)、束缚感×自杀韧性(β=-0.148,p<0.001)和束缚感×生活意义(β=-0.107,p=0.005)。
这些发现表明,当卵巢癌患者感到束缚感时,他们容易产生自杀意念。增强患者的自杀韧性和生活意义可能是减少卵巢癌患者自杀意念的两种有针对性的干预措施。特别是,同时考虑自杀韧性和生活意义的保护作用可能比仅考虑其中一个因素产生更好的自杀预防效果。