A Neglected Field in Cancer Care: Identification and Management of Suicide Risk

Yıl 2020, Cilt: 12 Sayı: 2, 243 - 257, 30.06.2020

Sevda Öztürk , Duygu Hiçdurmaz

https://doi.org/10.18863/pgy.551478

Cited By: 1

Öz

Suicide is on the agenda of a number of countries in the world. In this respect, studies on suicide prevention pay special attention to the risk groups among which there are also cancer patients. Physical and psychosocial difficulties experienced during the disease process and some demographic characteristics might be the predictors of suicidal ideation or attempt. Oncology nurses are the members of health care team who provide continuous care for physical and psychosocial needs of cancer patients, and thus they are the ones who can identify suicide risk. However, their lack of knowledge and skills in the assessment and evaluation of suicide, negative attitudes and false beliefs are among the important obstacles of nurses in this area. The aim of this work is to raise awareness on suicide risk in cancer patients and to reveal the roles, responsibilities, problems and needs of oncology nurses regarding this issue.

Anahtar Kelimeler

Suicide, cancer, oncology nursing, suicide risk, suicide risk prevention

Kanser Bakımında Gözden Kaçırılan Bir Alan: İntihar Riskinin Tanınması ve Yönetimi

Öz

İntihar Dünya’da birçok ülkenin gündeminde olup, riskli gruplarda önleme çalışmalarına büyük önem verilmektedir. Kanser hastaları da bu riskli gruplardan biridir. Hastalık sürecinde deneyimlenen fiziksel ve psikososyal zorluklar ve bazı demografik özellikler intihar düşüncesinin ya da girişiminin yordayıcısı olabilmektedir. Onkoloji hemşireleri kanser hastalarının fiziksel ve psikososyal gereksinimlerine yönelik 24 saat kesintisiz bakım veren sağlık ekibi üyeleridir ve bu nedenle intiharı tanılayabilmektedirler. Ancak, intiharı tanılama ve değerlendirme konusunda farkındalık, bilgi ve beceri eksikliği, olumsuz tutum ve yanlış inançlara sahip olma hemşirelerin bu konuda önemli engelleri arasında yer almaktadır. Bu makalenin amacı, kanser hastalarındaki intihar riski konusunda farkındalık oluşturmak ve hemşirelerin bu konudaki rollerini, sorumluluklarını, yaşadıkları sorunları ve gereksinimlerini ortaya koymaktır.

Anahtar Kelimeler

İntihar, kanser, onkoloji hemşireliği, intihar riski

Kaynakça

• 1. Aboumrad M, Shiner B, Riblet N, Mills PD, Watts BV (2018) Factors contributing to cancer‐related suicide: a study of root‐cause analysis reports. Psychooncology, 27:2237-2244.
• 2. Ahn MH, Park S, Lee HB, Ramsey CM, Na R, Kim SO et al. (2015) Suicide in cancer patients within the first year of diagnosis. Psychooncology, 24:601-607.
• 3. Akechi T, Okamura H, Nakano T, Akizuki N, Okamura M, Shimizu K et al. (2010) Gender differences in factors associated with suicidal ideation in major depression among cancer patients. Psychooncology, 19:384-389.
• 4. American Cancer Society https://www.cancer.org/treatment/treatments-and-side-effects/emotional-side-effects/distress/what-is-distress.html (1 Mart 2019’da ulaşıldı)
• 5. Anderson C, Park EM, Rosenstein DL, Nichols HB (2018) Suicide rates among patients with cancers of the digestive system. Psychooncology, 27:2274-2280.
• 6. Banyasz A, Gregorio SWD (2018) Cancer‐related suicide: a biopsychosocial‐existential approach to risk management. Psychooncology. 27:2661-2664.
• 7. Barnfield J, Cross W, Mccauley K (2018) Therapeutic optimism and attitudes among medical and surgical nurses towards attempted suicide. Int J Ment Health Nurs. 27:1826–1833
• 8. Birol L, Akdemir N, Bedük T (2005) İç Hastalıkları ve Hemşirelik Bakımı. Ankara, Sistem Ofset Basım Yayın San. Tic. Ltd. Şti., Eylül.
• 9. Brunero S, Smith J, Bates E, Fairbrother G (2008) Health professionals' attitudes towards suicide prevention initiatives. J Psychiatr Ment Health Nurs, 15:588-594.
• 10. Carter T, Latif A, Callaghan P, Manning JC (2018) An exploration of predictors of children's nurses’ attitudes, knowledge, confidence and clinical behavioural intentions towards children and young people who self‐harm. J Clin Oncol. 27:2836–2846.
• 11. Chan SWC, Chien WT, Tso S (2008) The qualitative evaluation of a suicide prevention and management programme by general nurses. J Clin Oncol, 17: 2884-2894.
• 12. Chan SWC, Chien WT, Tso S (2009) Evaluating nurses’ knowledge, attitude and competency after an education programme on suicide prevention. Nurse Educ Today, 29:763-769.
• 13. Coppens E, Van Audenhove C, Gusmão R, Purebl G, Székely A, Maxwell M et al. (2018) effectiveness of general practitioner training to improve suicide awareness and knowledge and skills towards depression. J Affect Disord, 227:17-23.
• 14. Costantini A, Pompili M, Innamorati M, Zezza MC, Di Carlo A, Sher L et al. (2014) Psychiatric pathology and suicide risk in patients with cancer. J Psychosoc Oncol,32:383-395.
• 15. Crawford MJ, Thana L, Methuen C, Ghosh P, Stanley SV, Ross, J et al. (2011) Impact of screening for risk of suicide: randomised controlled trial. Br J Psychiatry, 198:379-384.
• 16. De Leo D, Draper BM, Snowdon J, Kõlves K (2013) Contacts with health professionals before suicide: missed opportunities for prevention?. Compr Psychiatry, 54:1117-1123.
• 17. Dormer NR, Mccaul KA, Kristjanson LJ (2008) Risk of suicide in cancer patients in western australia, 1981–2002. Med J Aust, 188:140-143.
• 18. Granek L, Nakash O, Ben‐David M, Shapira S, Ariad S (2018) Oncologists', nurses', and social workers' strategies and barriers to identifying suicide risk in cancer patients. Psychooncology, 27:148-154.
• 19. Güner P, Hiçdurmaz D, Yıldırım NK, İnci F (2018) Psychosocial care from the perspective of nurses working in oncology: a qualitative study. Eur J Oncol Nurs, 34:68-75.
• 20. Harris KM, Goh MTT (2017) Is suicide assessment harmful to participants? findings from a randomized controlled trial. Int J Ment Health Nurs, 26:181-190.
• 21. Hem E, Loge JH, Haldorsen T, Ekeberg Ø (2004) Suicide risk in cancer patients from 1960 to 1999. J Clin Oncol, 22:4209-4216.
• 22. Jones S, Krishna M, Rajendra RG, Keenan P (2015). nurses attitudes and beliefs to attempted suicide in Southern India. J Ment Health, 24: 423-429.
• 23. Kim JM, Jang JE, Stewart R, Kim SY, Kim SW, Kang HJ et al. (2013) Determinants of suicidal ideation in patients with breast cancer. Psychooncology, 22:2848-2856.
• 24. Körner A, Garland R, Czajkowska Z, Coroiu A, Khanna M (2016) Supportive care needs and distress in patients with non-melanoma skin cancer: nothing to worry about?. Eur J Oncol Nurs, 20:150-155.
• 25. Leung YW, Li M, Devins G, Zimmermann C, Rydall A, Lo C et al. (2013) Routine screening for suicidal intention in patients with cancer. Psychooncology, 22:2537-2545.
• 26. Lin HC, Wu CH, Lee HC (2009) Risk factors for suicide following hospital discharge among cancer patients. Psycho‐Oncology: Journal Of The Psychological, Social And Behavioral Dimensions Of Cancer, 18:1038-1044.
• 27. Massetti GM, Holland KM, Jack SP, Ragan KR, Lunsford NB (2018) Circumstances of suicide among individuals with a history of cancer. Psychooncology, 27:1750–1756.
• 28. Mertz BG, Bistrup PE, Johansen C, Dalton SO, Deltour I, Kehlet H et al. (2012) Psychological distress among women with newly diagnosed breast cancer. Eur J Oncol Nurs, 16:439-443.
• 29. Miller M, Mogun H, Azrael D, Hempstead K, Solomon DH (2008) Cancer and the risk of suicide in older americans. J Clin Oncol, 26: 4720-4724.
• 30. Misono S, Weiss NS, Fann JR, Redman M, Yueh B (2008) Incidence of suicide in persons with cancer. J Clin Oncol, 26: 4731.
• 31. Morrissey J, Higgins A (2018) “Attenuating anxieties”: a grounded theory study of mental health nurses’ responses to clients with suicidal behaviour. J Clin Oncol, 28:947-958.
• 32. Mosleh SM, Alja'afreh M, Alnajar MK, Subih M (2018) The prevalence and predictors of emotional distress and social difficulties among surviving cancer patients in Jordan. Eur J Oncol Nurs, 33:35-40.
• 33. Muñoz-Sánchez JL, Sánchez-Gómez M, Martín-Cilleros M, Parra-Vidales E, De Leo D, Franco-Martín M (2018) Addressing suicide risk according to different healthcare professionals in spain: a qualitative study. International Journal Of Environmental Research And Public Health, 15:2117.
• 34. Oh PJ, Cho JR (2018) Changes in fatigue, psychological distress, and quality of life after chemotherapy in women with breast cancer: a prospective study. Cancer Nurs. . Available from: URL: https://insights.ovid.com/crossref?an=00002820-900000000-99071 1 Accessed date: 06.04.2018.
• 35. Osafo J, Knizek BL, Akotia CS, Hjelmeland H (2012) Attitudes of psychologists and nurses toward suicide and suicide prevention in ghana: a qualitative study. Int J Nurs Stud, 49: 691-700.
• 36. Resmi Gazete 2010. Http://Www.Resmigazete.Gov.Tr/Eskiler/2010/03/20100308-4.Htm(15 Şubat 2018’de Ulaşıldı).
• 37. Resmi Gazete 2011. Http://Www.Resmigazete.Gov.Tr/Eskiler/2011/04/20110419-5.Htm:(15 Şubat 2018’de Ulaşıldı).
• 38. Robinson D, Renshaw C, Okello C, Møller H, Davies EA (2009) Suicide in cancer patients in south east england from 1996 to 2005: A Population-Based Study. Br J Cancer, 101:198.
• 39. Sharrock J, Happell B (2000) The psychiatric consultation‐liaison nurse: towards articulating a model for practice. Australian and New Zealand Journal of Mental Health Nursing, 9:19-28.
• 40. Shim EJ, Hahm BJ (2011) Anxiety, helplessness/hopelessness and ‘desire for hastened death’in korean cancer patients. Eur J Cancer Care, 20:395-402.
• 41. Standardized Mortality Ratio https://www.health.pa.gov/topics/HealthStatistics /Statistical-Resources/UnderstandingHealthStats/Pages/Standardized-Mortality-Ratio. aspx (3 Mart 2019’da ulaşıldı)
• 42. Stuart GW, Laraia MT (2001) Principles And Practise Of Psychiatric Nursing, 7th ed. USA, A Harcourt Health Sciences Company.
• 43. Sun FK, Long A, Boore J (2007) The attitudes of casualty nurses in taiwan to patients who have attempted suicide. Journal Of Clinical Nursing, 16: 255-263.
• 44. Tang GX, Yan PP, Yan CL, Fu B, Zhu SJ, Zhou LQ et al. (2016) Determinants of suicidal ideation in gynecological cancer patients. Psychooncology, 25:97-103.
• 45. Townsend MC (2016) Ruh Sağlığı ve Psikiyatri Hemşireliğinin Temelleri ( Çeviri Ed. CT Özcan, N Gürhan). Ankara, Akademisyen Tıp Kitabevi.
• 46. Troy JD, Locke SC, Samsa GP, Feliciano J, Richhariya A, Leblanc TW (2018) Patient-reported distress in hodgkin lymphoma across the survivorship continuum. Support Care Cancer. Available from: URL: https://link.springer.com/article/10.1007%2Fs00520-018-4523-4 Accessed date: 06.04.2019.
• 47. Tsai WP, Lin LY, Chang HC, Yu LS, Chou MC (2011) The effects of the gatekeeper suicide‐awareness program for nursing personnel. Perspect Psychiatr Care, 47:117-125.
• 48. Turaga KK, Malafa MP, Jacobsen PB, Schell MJ, Sarr MG (2011) Suicide in patients with pancreatic cancer. Cancer, 117: 642-647.
• 49. Valente SM (2007) Oncology nurses' teaching and support for suicidal patients. J Psychosoc Oncol, 25:121-137.
• 50. Vyssoki B, Gleiss A, Rockett IR, Hackl M, Leitner B, Sonneck G et al. (2015) Suicide among 915,303 austrian cancer patients: who is at risk?. J Affect Disord, 175:287-291.
• 51. Walker J, Waters RA, Murray G, Swanson H, Hibberd CJ, Rush RW et al. (2008) Better off dead: suicidal thoughts in cancer patients. J Clin Oncol, 26:4725-4730.
• 52. Wang S, Ding X, Hu D, Zhang K, Huang D (2016) A qualitative study on nurses' reactions to inpatient suicide in a general hospital. Int J Nurs Sci, 3:354-361.
• 53. World Health Organization (2018) Suicide https://www.who.int/en/news-room/fact-sheets/detail/suicide (10 Kasım 2018'de ulaşıldı).
• 54. World Health Statistics Available from: URL: https://www.who.int/gho/publications/world_health_statistics/2018/EN_WHS2018_SDGhighlights.pdf?ua=1 Accessed date: 7.04.2019
• 55. Wu CY, Lin YY, Yeh MC, Huang LH, Chen SJ, Liao SC et al. (2014) Effectiveness of interactive discussion group in suicide risk assessment among general nurses in taiwan: a randomized controlled trial. Nurse Educ Today, 34:1388-1394.
• 56. Yamauchi T, Inagaki M, Yonemoto N, Iwasaki M, Inoue M, Akechi T et al. (2014) Death by suicide and other externally caused injuries following a cancer diagnosis: the japan public health center‐based prospective study. Psychooncology, 23:1034-1041.
• 57. Zhang XK, Procter NG, Xu Q, Chen XY, Lou FL (2017) Factors ınfluencing suicidal ideation among chinese patients with stomach cancer: qualitative study. International Nursing Review, 64:413-420.