title: Dying patients' thoughts of ending their lives: a pilot study of rural New Mexico.
abstract: Forty-nine hospice patients in rural New Mexico were directly interviewed concerning their thoughts about ending their lives. Thirty-one patients (63%) did not have thoughts of ending their lives, whereas 18 patients (37%) reported having suicidal thoughts. There were no differences between patients with and without thoughts of suicide related to gender; ethnicity; age; education; disease; religion; importance of religion; location of hospice agency; remaining financial, family, or spiritual issues; satisfaction with hospice care; sum of hospice personnel seen; or sum of medical equipment used. There were significant differences between patients with and without thoughts of suicide related to the number of household members (p = .02); the symptoms of trouble sleeping (p = .04) and nervousness (p =.03); and Medicare insurance coverage for hospice care (p =.01). No other symptom, including pain and hopelessness, was significant. Seven (39%) of the 18 patients who thought of ending their lives told someone about these thoughts. There were no variable differences between patients who did and did not tell someone about these thoughts.
authors.affiliation: College of Nursing, University of New Mexico, Albuquerque 87131-0001, USA. Gbirkholz@salud.unm.edu
authors.forename: Gloria
authors.initials: G
authors.lastname: Birkholz
authors.forename: Joan McIver
authors.initials: JM
authors.lastname: Gibson
authors.forename: Paul T
authors.initials: PT
authors.lastname: Clements
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health / Q000208:ethnology; D003142:Communication; D018864:Cultural Diversity; D004522:Educational Status; D005260:Female; D006738:Hospices; D006801:Humans; D007348:Insurance, Health / Q000191:economics; D008297:Male; D008875:Middle Aged; D009013:Morale; D009516:New Mexico; D015404:Nursing Methodology Research; D010146:Pain / Q000523:psychology; D010865:Pilot Projects; D012069:Religion and Psychology; D012423:Rural Health; D007319:Sleep Initiation and Maintenance Disorders / Q000523:psychology; D013405:Suicide / Q000208:ethnology / Q000523:psychology*; D011795:Surveys and Questionnaires; D013727:Terminal Care / Q000523:psychology*