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Suicidal Ideation and Suicide Attempts in Anxious or Depressed Family Caregivers of Patients with Cancer: A Nationwide Survey in Korea

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  • Boyoung Park
  • So Young Kim
  • Ji-Yeon Shin
  • Robert W Sanson-Fisher
  • Dong Wook Shin
  • Juhee Cho
  • Jong Hyock Park

Abstract

Purpose: To describe the prevalence of suicidal ideation and suicide attempts in family caregivers (FCs) of patients with cancer and to identify the factors associated with suicidal ideation and suicide attempts in FCs with anxiety or depression. Methods: A national, multicenter survey administered to 897 FCs asked questions concerning suicidal ideation and suicide attempts during the previous year and assessed anxiety, depression, socio–demographic factors, caregiving burden, patient factors, and quality of life (QOL). Results: A total of 17.7% FCs reported suicidal ideation, and 2.8% had attempted suicide during the previous year. Among FCs with anxiety, 31.9% had suicidal ideation and 4.7% attempted suicide; the corresponding values for FCs with depression were 20.4% and 3.3%, respectively. Compared with FCs without anxiety and depression, FCs with anxiety or depression showed a higher adjusted odds ratios (aOR) for suicidal ideation (aOR = 4.07 and 1.93, respectively) and attempts (OR = 3.00 and 2.43, respectively). Among FCs with anxiety or depression, being female, unmarried, unemployed during caregiving, and having a low QOL were associated with increased odds of suicidal ideation. FCs with anxiety who became unemployed during caregiving constituted a high-risk group for suicide. Being unmarried and having a low QOL with respect to financial matters were associated with increased suicide attempts among FCs with depression. Conclusion: FCs with anxiety or depression were at high risk of suicide. Interventions to enhance social support and to improve perceived QOL may help prevent suicide and manage suicidal ideation in FCs with anxiety or depression.

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  • Boyoung Park & So Young Kim & Ji-Yeon Shin & Robert W Sanson-Fisher & Dong Wook Shin & Juhee Cho & Jong Hyock Park, 2013. "Suicidal Ideation and Suicide Attempts in Anxious or Depressed Family Caregivers of Patients with Cancer: A Nationwide Survey in Korea," PLOS ONE, Public Library of Science, vol. 8(4), pages 1-7, April.
    • Handle: RePEc:plo:pone00:0060230
    DOI: 10.1371/journal.pone.0060230
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    References listed on IDEAS

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    1. Roxsana Devi Tumanggor & Eqlima Elfira & Ellyta Aizar, 2021. "Female Caregivers Stress in Caring for Hospitalized Elderly with Chronic Disease at Universitas Sumatera Utara Hospital: A Phenomenology Study," Technium Social Sciences Journal, Technium Science, vol. 20(1), pages 643-651, June.
    2. Carlos Alberto dos Santos Treichel & Vanda Maria da Rosa Jardim & Luciane Prado Kantorski & Margareth Guimarães Lima, 2019. "Prevalence and factors associated with suicidal ideation among family caregivers of people with mental disorders," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(19-20), pages 3470-3477, October.
    3. Mi Ah Han, 2017. "Stress and Depressive Symptoms in Cancer Survivors and Their Family Members: Korea Community Health Survey, 2012," IJERPH, MDPI, vol. 14(9), pages 1-8, September.
    4. Jae-Hyun Kim & Eun-Cheol Park & Jung-Mo Nam & SoHee Park & Jaelim Cho & Sun-Jung Kim & Jae-Woo Choi & Eun Cho, 2013. "The Werther Effect of Two Celebrity Suicides: an Entertainer and a Politician," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-1, December.

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