:::

詳目顯示

回上一頁
題名:癌症病人自殺流行病學綜合性論述
書刊名:臺灣公共衛生雜誌
作者:陳乃菁廖佳怡劉怡彣
作者(外文):Chen, Nai-chingLiao, Chia-yiLiu, Yi-wen
出版日期:2017
卷期:36:5
頁次:頁439-447
主題關鍵詞:癌症癌症病人自殺流行病學自殺防治CancerSuicide among cancer patientsEpidemiologySuicide prevention
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:0
  • 共同引用共同引用:0
  • 點閱點閱:3
癌症多變性的衝擊以及死亡威脅所產生的心理壓力,促使癌症病人有相對較高的自殺風險,但其流行病學、危險因子、自殺的時間點、不同癌症與自殺間的關係、自殺防治並無統一整理論述,因此本文藉由分析整理國、內外癌症病人自殺相關之研究資料,歸納釐清並探討導致癌症病人自殺的可能原因和機制,期望進一步將防治工作推展至臨床工作,降低癌症自殺率。經文獻整理得知在癌症確診後、癌症診斷初期、癌症遠端轉移與預後差、影響生活品質或功能之癌症有較高的自殺風險,且當身體功能障礙、合併憂鬱症與物質濫用者、失去獨立性與自主權、中老年、男性、失業、低收入、未婚、離婚、鰥寡者亦是癌症病人高風險的自殺因子,此外,不安全的就醫環境、不當的醫療評估、未適當培訓管理照護人員,無法辨識潛在的自殺隱憂,因此如何有效評估高危險癌症自殺族群與進行防治工作是照護過程甚為重要的課題。本文結果有助於提高臨床照護過程癌症病人自殺防治的敏感度,於診治過程利用自殺風險篩選工具即早確診病人心理層面的問題,即時提供預防措施,創造安全就醫環境,促進醫護團隊與癌症病人有效溝通。
Psychological stress as the result of the impact of varieties of cancer and death threat leads to a relatively higher risk of suicide completion among cancer patients. Nevertheless, unified and comprehensive interpretations concerning relevant epidemiology, risk factors, time point of suicidal behavior, the relationship between different cancers and suicidal behavior, and suicide prevention remain scarce. With the analysis of previous studies about cancer patients' suicidal behavior, the current study probed into potential reasons and mechanism leading to suicidal behavior among cancer patients, hoping to upgrade relevant preventions to clinical fields and lower the cancer-related suicide rate. The results revealed that upon confirmation of cancers, higher risks of suicide existed in conditions as getting close to the initial diagnosis, metastasis, poor prognosis, or suffering from cancers that affected quality of life and functions. High suicidal factors were also found among cancer patients with physical disabilities, comorbid depression and substance use, loss of independence and decision-making power, middle-aged people, male, unemployed, having low income, single, divorced, widower/widow. Moreover, unsafe medical environments, inappropriate medical assessment, insufficient training of caretakers, and inability to identify potential suicide problems were also major challenges. Therefore, effective assessment of cancer patients with high suicide risk and relevant prevention has been vital in the care process. The results of the current study help enhance the sensitivity to suicide prevention in the clinical process of taking care of cancer patients, with suicide risk screening employed to have a timely confirmation of the patients' psychological issues, to provide prompt prevention measures, to create safe medical environments, and to enhance effective communication between the medical team and cancer patients.
期刊論文
1.Misono, S.、Weiss, N. S.、Fann, J. R.、Redman, M.、Yueh, B.(2008)。Incidence of suicide in persons with cancer。Journal of Clinical Oncology,26(29),4731-4738。  new window
2.Massie, M. J.(2004)。Prevalence of depression in patients with cancer。Journal of the National Cancer Institute Monographs,2004(32),57-71。  new window
3.Chochinov, H. M.(2001)。Depression in cancer patients。Lancet Oncology,2,499-505。  new window
4.Grzybowska, P.、Finlay, I.(1997)。The incidence of suicide in palliative care patients。Palliat Med,11(4),313-316。  new window
5.Akechi, T.、Nakano, T.、Akizuki, N.(2002)。Clinical factors associated with suicidality in cancer patients。Jpn J Clin Oncol,32,506-511。  new window
6.李政洋、陳虹汶、李玉嬋、唐婉如、方俊凱(20111000)。癌症照顧的自殺防治。內科學誌,22(5),335-343。  延伸查詢new window
7.Valente, S. M.(2010)。Oncology nurses' knowledge of suicide evaluation and prevention。Cancer Nursing,33(4),290-295。  new window
8.Anguiano, L.、Mayer, D. K.、Piven, M. L.、Rosenstein, D.(2012)。A literature review of suicide in cancer patients。Cancer Nursing,35(4),E14-E26。  new window
9.Robson, A.、Scrutton, F.、Wilkinson, L.、MacLeod, F.(2010)。The risk of suicide in cancer patients: a review of the literature。Psychooncology,19(12),1250-1258。  new window
10.Lin, P. H.、Liao, S. C.、Chen, I. M.(2017)。Impact of universal health coverage on suicide risk in newly diagnosed cancer patients: population-based cohort study from 1985 to 2007 in Taiwan。Psychooncology,26(11),1852-1859。  new window
11.Sharma, S. P.(2008)。High suicide rate among cancer patients fuels prevention discussions。J Natl Cancer Inst,100,1750-1752。  new window
12.Holland, J. C.、Jacobsen, P. B.、Riba, M. B.、NCCN Fever and Neutropenia Practice Guidelines Panel(2001)。NCCN: distress management。Cancer Control,8,88-93。  new window
13.林帛賢、李明濱、陳宜明、廖士程(20130300)。癌症病患之自殺防治。臺灣醫學,17(2),163-170。  延伸查詢new window
14.方俊凱、陳虹汶、賴允亮(20060800)。癌症病人的自殺學。安寧療護,11(3),263-272。new window  延伸查詢new window
15.Miller, M.、Mogun, H.、Azrael, D.、Hempstead, K.、Solomon, D. H.(2008)。Cancer and the risk of suicide in older Americans。J Clin Oncol,26,4720-4724。  new window
16.Hem, E.、Loge, J. H.、Haldorsen, T.、Ekeberg, Ø.(2004)。Suicide risk in cancer patients from 1960 to 1999。J Clin Oncol,22(20),4209-4216。  new window
17.Spoletini, I.、Gianni, W.、Caltagirone, C.、Madaio, R.、Repetto, L.、Spalletta, G.(2011)。Suicide and cancer: where do we go from here?。Crit Rev Oncol Hemat,78,206-219。  new window
18.Robinson, D.、Renshaw, C.、Okello, C.、Moller, H.、Davies, E. A.(2009)。Suicide in cancer patients in southeast England from 1996 to 2005: a populationbased study。Br J Cancer,101,198-201。  new window
19.Vyssoki, B.、Gleiss, A.、Rockett, I. R.(2015)。Suicide among 915,303 Austrian cancer patients: who is at risk?。J Affect Disord,175,287-291。  new window
20.Smailyte, G.、Jasilionis, D.、Kaceniene, A.、Krilaviciute, A.、Ambrozaitiene, D.、Stankuniene, V.(2013)。Suicides among cancer patients in Lithuania: a population-based census-linked study。Cancer Epidemiol,7,714-718。  new window
21.Allebeck, P.、Bolund, C.、Ringback, G.(1989)。Increased suicide rate in cancer patients a cohort study based on the Swedish cancer-environment register。J Clin Epidemiol,42,611-616。  new window
22.Kendal, W. S.(2007)。Suicide and cancer: a gender-comparative study。Ann Oncol,18,381-387。  new window
23.Ahn, E.、Shin, D. W.、Cho, S. I.、Park, S.、Won, Y. J.、Yun, Y. H.(2010)。Suicide rates and risk factors among Korean cancer patients, 1993-2005。Cancer Epidemiol Biomarkers Prev,19,2097-2105。  new window
24.Yousaf, U.、Christensen, M. L.、Engholm, G.、Storm, H. H.(2005)。Suicides among Danish cancer patients 1971-1999。Br J Cancer,92,995-1000。  new window
25.Crocetti, E.、Arniani, S.、Acciai, S.、Barchielli, A.、Buiatti, E.(1998)。High suicide mortality soon after diagnosis among cancer patients in centra] Italy。Br J Cancer,77,1194-1196。  new window
26.Klaassen, Z.、Jen, R. P.、DiBianco, J. M.(2015)。Factors associated with suicide in patients with genitourinary malignancies。Cancer,121,1864-1872。  new window
27.Llorente, M. D.、Burke, M.、Gregory, G. R.(2005)。Prostrate cancer: a significant risk factor for late-life suicide。Am J Geriatr Psychiatry,13,195-201。  new window
28.Gore, J. L.、Kwan, L.、Saigal, C. S.、Litwin, M. S.(2005)。Marriage and mortality in bladder carcinoma。Cancer,104,1188-1194。  new window
29.Gore, J. L.、Krupski, T.、Kwan, L.、Maliski, S.、Litwin, M. S.(2005)。Partnership status influences quality of life in lovv-income, uninsured men with prostate cancer。Cancer,104,191-198。  new window
30.Dormer, N. R.、McCaul, K. A.、Kristjanson, L. J.(2008)。Risk of suicide in cancer patients in Western Australia, 1981-2002。Med J Aust,188,140-143。  new window
31.Innos, K.、Rahu, K.、Rahu, M.、Baburin, A.(2003)。Suicides among cancer patients in Estonia: a population-based study。Eur J Cance,39,2223-2228。  new window
32.Miccinesi, G.、Crocetti, E.、Benvenuti, A.、Paci, E.(2004)。Suicide mortality is decreasing among cancer patients in central Italy。Eur J Cancer,40,1053-1057。  new window
33.Chung, K. H.、Lin, H. C.(2010)。Methods of suicide among cancer patients: a nationwide population-based study。Suicide and Life-Threatening Behavior,40(2),107-114。  new window
34.Neeleman, J.、Wessely, S.、Lewis, G.(1998)。Suicide acceptability in African-and white Americans: the role of religion。J Nerv Ment Dis,186,12-16。  new window
35.Walker, J.、Hansen, C. H.、Butcher, I.(2011)。Thoughts of death and suicide reported by cancer patients who endorsed the "suicidal thoughts" item of the PHQ-9 during routine screening for depression。Psychosomatics,52,424-427。  new window
36.Akechi, T.、Okamura, H.、Nishiwaki, Y.、Uchitomi, Y.(2002)。Predictive factors for suicide ideation in patients with unresectable lung carcinoma. A 6 month follow-up study。Cancer,95,1085-1093。  new window
37.Zhong, B. L.、Li, S. H.、Lv, S. Y.(2017)。Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates。Oncotarget,8,25141-25150。  new window
38.Walker, J.、Waters, R. A.、Murray, G.(2008)。Better off dead: suicidal thoughts in cancer patients。J Clin Oncol,26,4725-4730。  new window
39.Lehuluante, A.、Fransson, P.(2014)。Are there specific health-related factors that can accentuate the risk of suicide among men with prostate cancer?。Support Care Cancer,22,1673-1678。  new window
40.Choi, Y. N.、Kim, Y. A.、Yun, Y. H.(2014)。Suicide ideation in stomach cancer survivors and possible risk factors。Support Care Cancer,22,331-337。  new window
41.Kim, Y. J.、Lee, K. J.(2010)。Relationship of social support and meaning of life to suicidal thoughts in cancer patients。J Korean Acad Nurs,40,524-532。  new window
42.Zhang, X. K.、Procter, N. G.、Xu, Q.、Chen, X. Y.、Lou, F. L.(2017)。Factors influencing suicidal ideation among Chinese patients with stomach cancer: qualitative study。Int Nurs Re,64,413-420。  new window
43.Johnson, T. V.、Garlow, S. J.、Brawley, O. W.、Master, V. A.(2012)。Peak window of suicides occurs within the first month of diagnosis: implications for clinical oncology。Psychooncology,21,351-356。  new window
44.Lin, H. C.、Wu, C. H.、Lee, H. C.(2009)。Risk factors for suicide following hospital discharge among cancer patients。Psychooncology,18,1038-1044。  new window
45.Fall, K.、Fang, F.、Mucci, L. A.(2009)。Immediate risk for cardiovascular events and suicide following a prostate cancer diagnosis: prospective cohort study。PLoS Med,6,el000197。  new window
46.Tanaka, H.、Tsukuma, H.、Masaoka, T.(1999)。Suicide risk among cancer patients: experience at one medical center in Japan, 1978-1994。Jpn J Cancer Res,90,812-817。  new window
47.Kangas, M.、Henry, J. L.、Bryant, R. A.(2007)。Correlates of acute stress disorder in cancer patients。J Trauma Stress,20,325-334。  new window
48.Schairer, C.、Brown, L. M.、Chen, B. E.(2006)。Suicide after breast cancer: an international population-based study of 723, 810 women。J Natl Cancer Inst,98,1416-1419。  new window
49.Nasseri, K.、Mills, P. K.、Mirshahidi, H. R.、Moulton, L. H.(2012)。Suicide in cancer patients in California, 1997-2006。Arch Suicide Res,16,324-333。  new window
50.Akechi, T.、Okamura, H.、Yamawaki, S.、Uchitomi, Y.(2001)。Why do some cancer patients with depression desire an early death and others do not?。Psychosomatics,42,141-145。  new window
51.Lydiatt, W. M.、Denman, D.、McNeilly, D. P.、Puumula, S. E.、Burke, W. J.(2008)。A randomized, placebo-controlled trial of citalopram for the prevention of major depression during treatment for head and neck cancer。Arch Otolaryngol Head Neck Surg,134,528-535。  new window
52.Spoletini, I.、Gianni, W.、Repetto, L.(2008)。Depression and cancer: an unexplored and unresolved emergent issue in elderly patients。Crit Rev Oncol Hemat,65,143-155。  new window
53.Clarke, D. M.、Kissane, D. W.(2002)。Demoralization: its phenomenology and importance。Australian & New Zealand Journal of Psychiatry,36,733-742。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
QR Code
QRCODE