Chochinov H M, Wilson K G, Enns M, Lander S
Department of Psychiatry, University of Manitoba, Winnipeg, Canada.
Psychosomatics. 1998 Jul-Aug;39(4):366-70. doi: 10.1016/S0033-3182(98)71325-8.
This study investigated the mediational hypothesis of hopelessness in predicting suicidal ideation in a group of 196 patients with advanced terminal cancer. Each patient underwent a semistructured interview to assess hopelessness and suicidal ideation, and also completed the Beck Depression Inventory (short form). Hopelessness was correlated more highly with suicidal ideation than was the level of depression. In multiple linear-regression analyses, hopelessness contributed uniquely to the prediction of suicidal ideation when the level of depression was controlled. For health care providers attending to the needs of dying patients, hopelessness appears to be an important clinical marker of suicidal ideation in this vulnerable patient population.
本研究调查了绝望感在预测196例晚期癌症患者自杀意念中的中介假设。每位患者都接受了半结构化访谈以评估绝望感和自杀意念，并且还完成了贝克抑郁量表（简版）。与抑郁程度相比，绝望感与自杀意念的相关性更高。在多元线性回归分析中，当控制抑郁程度时，绝望感对自杀意念的预测有独特贡献。对于关注临终患者需求的医护人员而言，绝望感似乎是这一脆弱患者群体中自杀意念的重要临床指标。
