Citation

Araya T, Gidey W. Open Public Health J. 2020; 13(1): 365-372.

Copyright

(Copyright © 2020, Bentham Science Publishers)

DOI

10.2174/1874944502013010365

PMID

unavailable

Abstract

BACKGROUND: Cancer patients are at high risk for suicide, particularly, when they are informed about the cancer diagnosis. However, there is a limited study in Ethiopia therefore, assessing suicidal ideation, attempt, and its associated factors are needed for intervention.

METHODS: An institutional-based cross-sectional study was conducted from March to June 2019 at Ayder comprehensive specialized hospital with a total of 297 participants. Suicide module of the World Mental Health (WMH) survey initiative version adopted from the World Health Organization (WHO) and used to assess suicidal ideation and attempt. Binary logistic regression analysis employed to identify factors associated with suicidal ideation and attempt. Odds ratio with 95% CI and P-value <0.05 was applied to identify significantly associated factors.

RESULTS: The lifetime prevalence of suicidal ideation and the attempt was found to be 27.9% [95%CI (22.3, 31.6)] and 8.4% [95%CI (5.2, 10.3)] respectively. Being female [AOR= 2.23, 95%CI (1.27, 3.92)], stage IV cancer [AOR=2.08, 95%CI(1.47, 3.81)], having depression and anxiety [AOR=2.31, 95%CI(1.24,4.32)], poor social support [AOR=3.70, 95%CI(2.01,6.78)], and level 4 performance status [AOR=3.73, 95%CI(1.71, 8.13)] were the factors associated with lifetime suicidal ideation. While being in level 4, performance status was also significantly associated with suicidal attempt.

CONCLUSION: Both suicidal ideation and attempt among cancer patients are high. The suicidal ideation had a statistical association with sex, stage of cancer, having depression and anxiety, social support, and level of performance. Therefore, health education for early screening and treatment for depression and anxiety, and giving social support are crucial for the reduction of suicide. © 2020 Araya & Gidey.

Language: en

Keywords

adult; human; mental health; Anxiety; Depression; suicide; female; male; suicidal ideation; depression; prevalence; Suicidal attempt; Suicidal ideation; social support; Ethiopia; anxiety; scoring system; suicide attempt; Social support; Cancer; risk factor; major clinical study; questionnaire; marriage; priority journal; middle aged; cancer patient; cross-sectional study; cancer surgery; neoplasm; cancer staging; Article; Hospital Anxiety and Depression Scale; cancer chemotherapy; cancer survivor; Eastern Cooperative Oncology Group score; oslo 3 item social support scale