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Yıl:2023; Cilt: 26; Sayı: 4>> Özet
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Klinik Psikiyatri Dergisi; 2023;26(4):293-299
Yeni tanı almış kanser hastalarında intihar riskinin değerlendirilmesi
OHT Kılıç, İ Aksoy, U Varol, M Anil, A Alacacioglu, AS Çetin
İzmir Demokrasi Üniversitesi, İzmir
GİRİŞ ve AMAÇ: Türkiye'de yeni tanı almış kanser hastalarında intihar eğiliminin klinik (kanser tip ve evresi, semptom, yaşam kalitesi), demografik ve psikolojik (sosyal destek, anksiyete ve depresyon) risk faktörlerini değerlendirmeyi amaçladık. YÖNTEM ve GEREÇLER: Çalışmaya yeni tanı almış (0-1 ay) 122 kanser hastası dahil edildi ve Sosyodemografik Form, İntihar Olasılığı Ölçeği (SPS), Çok Boyutlu Algılanan Sosyal Destek Ölçeği (MSPSS), Avrupa Araştırma ve Tedavi Kurumu (EORTC) yaşam kalitesi anketi (QLQ-C30), Edmonton Semptom Değerlendirme Sistemi (ESAS) ve Hastane Anksiyete ve Depresyon Ölçeği (HADS) ile değerlendirildi. BULGULAR: SPS puanları ile yaş, cinsiyet, metastatik kansere sahip olmak, dindar olmak, medeni durum, sağlık sigortasına sahip olmak veya çalışmak arasında ilişki yoktu. EORTC QLQ-C30 bilişsel işlev (p= 0.003, r= -0.267) ve duygusal işlev (p= 0.006, r= -0.249) ve sosyal işlev (p= 0.019, r= -0.212) negatif yönde zayıf olarak SPS ile korele bulundu. ESAS değişkenleri arasında yalnızca şiddetli uykusuzluk yüksek SPS puanları ile anlamlı şekilde ilişkiliydi (p= 0.012). SPS puanları ile HADS anksiyete (p=0.110) ve depresyon (p=0.591) seviyesi arasında istatistiksel anlamlı ilişki tespit edilmedi. SPS ve MSPSS puanları arasında istatistiksel olarak anlamlı bir ilişki yoktu. TARTIŞMA ve SONUÇ: Yeni tanı almış Türk kanser hastalarında intihar riski ile çeşitli klinik ve sosyodemografik özellikler arasındaki ilişkiyi değerlendiren literatürde yayınlanmış bir çalışma bulunmamaktadır. Sonuçlarımıza göre, şiddetli uykusuzluğu olan ve bilişsel, duygusal ve sosyal işlevselliği zayıf olan kanser hastalarının değerlendirilmesinde intihar riskine dikkat edilmelidir.
Assessment of suicide risk among newly diagnosed cancer patients
INTRODUCTION: We aimed to assess clinical (type, grade, symptom, quality of life), demographical, and psychological (social support, anxiety, and depression) risk factors of suicidality among newly diagnosed cancer patients in Turkey. METHODS: 122 cancer patients within their first month of diagnosis were enrolled in the study. Sociodemographic Form, Suicide Probability Scale (SPS), Multidimensional Scale of Perceived Social Support (MSPSS), European Organization for Research and Treatment (EORTC) quality of life questionnaire (QLQ-C30), Edmonton Symptom Assessment System (ESAS), and Hospital Anxiety and Depression Scale (HADS) were given to the patients. RESULTS: There were no relationships between SPS scores and age, gender, having metastatic cancer, being religious, marital status, having health insurance or employment. The EORTC QLQ-C30 cognitive function (p= 0.003, r= -0.267) and emotional function (p= 0.006, r= -0.249) and social function (p= 0.019, r= -0.212) were found to be negatively and weakly correlated with SPS. Among ESAS variables, only severe insomnia was significantly correlated with high SPS scores (p= 0.012). There were no statistical significance between SPS scores and having anxiety (p=0.110) or depression (p=0.591). There was no statistically significant relationship between SPS and MSPSS scores. DISCUSSION AND CONCLUSION: There have been no study published in the literature that assesses the correlation between suicide risk and a variety of clinical and sociodemographic characteristics among Turkish cancer patients who have just received a diagnosis. According to our results, special attention must be given to cancer patients with severe insomnia and poorer cognitive, emotional, and social functioning.

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