title: Suicidal ideation among Chinese cancer inpatients of general hospitals: prevalence and correlates.
abstract: Cancer patients are at high risk for suicide, particularly when they are informed about the cancer diagnosis or hospitalized for cancer treatment. Therefore, oncology healthcare settings such as large general hospitals in China, may represent an ideal setting to identify and treat suicidality in cancer patients. However, the clinical epidemiology of suicidality of Chinese cancer patients remains largely unknown. This study examined the prevalence and correlates of suicidal ideation among Chinese cancer inpatients of large general hospitals. A total of 517 cancer inpatients were consecutively recruited from two tertiary general hospitals of a metropolitan city in northern China, and administered with standardized questionnaires to collect data on sociodemographics, mental health, and cancer-related clinical characteristics. Suicidal ideation and mental health were measured with a single self-report question "In the past month, did you think about ending your life?" and Hospital Anxiety and Depression Scale, respectively. The one-month prevalence of suicidal ideation was 15.3% in Chinese cancer inpatients. In multivariable Logistic regression, depression, anxiety, moderate-to-severe pain, metastatic cancer, poor performance status, surgery, and palliative care were significantly associated with suicidal ideation. Cancer inpatients of large Chinese general hospitals have high prevalence of suicidal ideation and therefore potentially at high risk for suicide. Suicide prevention efforts for cancer inpatients should include periodic evaluation of suicidality, effective pain management, psychooncological supports, and, when necessary, psychiatric treatment and crisis intervention.
authors.affiliation: Affiliated Wuhan Mental Health Center, The Ninth Clinical School, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei Province, People's Republic of China.
authors.forename: Bao-Liang
authors.initials: BL
authors.lastname: Zhong
authors.affiliation: First Clinical Medical College & School of Basic Medical Science, Peking University, Beijing, People's Republic of China.
authors.forename: Si-Heng
authors.initials: SH
authors.lastname: Li
authors.affiliation: Department of Psychiatry, Tianjin Mental Health Center, Tianjin Anding Hospital, Tianjin, People's Republic of China.
authors.forename: Shu-Yan
authors.initials: SY
authors.lastname: Lv
authors.affiliation: Department of Healthcare, Tianjing Medical University General Hospital, Tianjin, People's Republic of China.
authors.forename: Shun-Li
authors.initials: SL
authors.lastname: Tian
authors.affiliation: Department of Psychiatry, Tianjin Fourth Central Hospital, Tianjin, People's Republic of China.
authors.forename: Zhi-Dong
authors.initials: ZD
authors.lastname: Liu
authors.affiliation: Department of Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China.
authors.forename: Xu-Bin
authors.initials: XB
authors.lastname: Li
authors.affiliation: Department of Radiology, Tianjin Medical University Cancer Institute & Hospital, Tianjin, People's Republic of China.
authors.forename: Hong-Qing
authors.initials: HQ
authors.lastname: Zhuang
authors.affiliation: Department of Psychology, General Hospital of Beijing Military Region, Beijing, People's Republic of China.
authors.forename: Ran
authors.initials: R
authors.lastname: Tao
authors.affiliation: Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, People's Republic of China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhang
authors.affiliation: Department of Psychiatry, Tianjin Mental Health Center, Tianjin Anding Hospital, Tianjin, People's Republic of China.|Department of Psychiatry, Wenzhou Seventh People's Hospital, Wenzhou, Zhejiang Province, People's Republic of China.
authors.forename: Chuan-Jun
authors.initials: CJ
authors.lastname: Zhuo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006769:Hospitals, General; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology* / Q000523:psychology*; D015995:Prevalence; D012307:Risk Factors; D059020:Suicidal Ideation; D055815:Young Adult
keywords: cancer; correlate; inpatient; prevalence; suicidal ideation