Industrial and Management Systems Engineering, Benjamin M. Statler College of Engineering and Mineral Resources, West Virginia University, 1306 Evansdale Drive, Morgantown, WV, 26506, USA.
Sci Rep. 2023 Oct 25;13(1):18236. doi: 10.1038/s41598-023-45634-x.
Studies have shown a heightened prevalence of depression and suicidal ideation among patients with Gastrointestinal Cancer (GIC). GIC patients are at a 1.5- to threefold increased risk of suicide and depression compared to other cancer patients. This study investigates the interplay of internet use, family burden, and emotional support on mental health (depression) and suicidal ideation among patients with GIC. The study involves 202 respondents of which 78 were undergoing GIC treatment during this study. Using structural equation modeling, our findings indicate a substantial negative correlation between mental health and suicidal ideation. Overall, suicidal ideation (median score) was noticeably lower in patient who completed their treatment with noticeable individuals with exceptionally high SI even after completing the treatment. Notably, participants who had completed their treatment demonstrated a significantly stronger correlation between emotional support and mental health compared to those who were still undergoing treatment. Age was found to moderate the mental health-suicidal ideation link significantly. Internet usage for health-related information was also inversely correlated with mental health (directly) and suicidal ideation (indirectly). We noted that the influence of emotional support on mental health was significantly higher among individuals who completed their treatment compared to those who were undergoing their GIC treatment. Family burden emerged as significant negative influences on mental health, while emotional support positively impacted mental health. The findings of this study contribute towards a deeper understanding of suicide risk factors in GIC patients, potentially shaping more effective preventive strategies.
研究表明，胃肠道癌症（GIC）患者中抑郁和自杀意念的发生率较高。与其他癌症患者相比，GIC 患者自杀和抑郁的风险增加了 1.5 至 3 倍。本研究调查了互联网使用、家庭负担和情感支持对 GIC 患者心理健康（抑郁）和自杀意念的相互作用。该研究涉及 202 名受访者，其中 78 名在研究期间正在接受 GIC 治疗。使用结构方程模型，我们的研究结果表明心理健康和自杀意念之间存在显著的负相关。总体而言，与那些在完成治疗后仍有明显自杀意念的患者相比，完成治疗且自杀意念明显较低的患者（中位数得分）明显较低。值得注意的是，与正在接受治疗的患者相比，完成治疗的患者在情感支持与心理健康之间的相关性更强。年龄显著调节心理健康与自杀意念的关系。上网获取健康相关信息与心理健康（直接）和自杀意念（间接）呈负相关。我们注意到，与正在接受 GIC 治疗的患者相比，完成治疗的患者的情感支持对心理健康的影响明显更高。家庭负担对心理健康有显著的负面影响，而情感支持则对心理健康有积极的影响。本研究的结果有助于更深入地了解 GIC 患者的自杀风险因素，可能会制定出更有效的预防策略。
