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Abstract
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OBJECTIVE: To explore and describe exposure to suicidality in healthcare providers (HPC) working with oncological patients. Special emphasis was put on five central aspects from the HPCs perspective: Exposure, Confidence, Expertise, Distress, and Education.
METHODS: A 48-item online questionnaire was developed and distributed to HPCs working with cancer patients. Three hundred fifty-four answered questionnaires were analyzed.
RESULTS: Overall 83.3% of HPCs reported to have encountered at least one suicidal patient in the last year. Feeling confident in talking about suicidality was reported by 72.1% of HPCs, with 71.2% of nurses reporting feeling insecure compared with only 5.1% of psychotherapists. Similarly, 22.3% of HPCs felt overwhelmed when confronted with a patient who substantiated his suicidality during consultation. A lack of personal knowledge concerning suicidality in general and in oncological patients in particular, was reported by 39.6% and 49.8%, respectively. In total, 88.1% of HPCs reported feeling distressed when confronted with suicidality, while 81.1% of participants wanted further education regarding suicidality in cancer patients despite that 73.2% had already received some sort of psycho-oncology education.
CONCLUSIONS: Despite the well-documented fact of elevated suicide rates in cancer patients, there remain deficits in knowledge, which induce feelings of insecurity and helplessness in HPCs. There is a demand for further education concerning the treatment of suicidal cancer patients. Therefore, special curricula addressing this topic should be devised. A general debate about suicidality in cancer patients could help raise awareness of this problem and generate means of prevention. This article is protected by copyright. All rights reserved.
Language: en |