Суицидальное поведение и рак. Часть I. Эпидемиология и факторы риска

Суицидальное поведение и рак. Часть I. Эпидемиология и факторы риска

Автор: Любов Евгений Борисович, Магурдумова Людмила Георгиевна

Журнал: Суицидология @suicidology

Статья в выпуске: 4 (21) т.6, 2015 года.

Бесплатный доступ

В обзоре литературы данные о распространенности сопутствующих раку психических расстройств (депрессия, тревоги) в основе суицидального поведения (СП) онкобольных. Риск СП выше, чем в общем населении на всех этапах развития болезни и лечения, включая ремиссию, недооценен статистикой. Выделены общие (сходные с таковыми в населении) и специфические для рака (хроническая боль и ограничение жизнедеятельности) факторы риска СП.

Психоонкология, суицидальное поведение, эпидемиология, факторы риска

Короткий адрес: https://sciup.org/140141479

IDR: 140141479   |   УДК: 616.89.008.44

Suicidal behavior in cancer. Part I: epidemiology and risk factors

This article provides an overview of psycho-oncology, including epidemiology of common comorbid psychiatric conditions (i.e., depression, anxiety, delirium) in cancer, and other psychosocial factors associated with a cancer diagnosis and treatment. Cancer patients and survivors have an excess risk for suicidal behavior (can be up to 2 to 10 times as frequent), relative to the general population, which varies with time since first diagnosis, disease severity, anatomical site, and side effects of treatment. Reports identify a higher incidence of suicide in patients with oral, pharyngeal, and lung cancers and in HIV-positive patients with Kaposi sarcoma. The actual incidence of suicide in cancer patients is probably underestimated. Risk factors for suicide in the cancer population are as follows: General Risk Factors. History of psychiatric disorders, especially those associated with impulsive behavior (e.g., borderline personality disorders). Family history of suicide. History of previous/prior suicide attempts. Depression. Substance abuse. Recent death of a friend or spouse. Few social supports. Cancer-Specific Risk Factors. Oral, pharyngeal, and lung cancers (often associated with heavy alcohol and tobacco use). Advanced stage of disease and poor prognosis, onfusion/delirium. Inadequately controlled pain. Presence of deficit symptoms (e.g., loss of mobility, loss of bowel and bladder control, amputation, sensory loss, paraplegia, inability to eat and to swallow, exhaustion, fatigue).

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