Suicidal Ideation and Attempts in Adult Survivors of Childhood Cancer

2006 ◽  
Vol 24 (24) ◽  
pp. 3852-3857 ◽  
Author(s):  
Christopher J. Recklitis ◽  
Rebecca A. Lockwood ◽  
Monica A. Rothwell ◽  
Lisa R. Diller
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Physical Health ◽  
Childhood Cancer ◽  
Suicide Ideation ◽  
Adult Survivors ◽  
Well Being ◽  
Survivors Of Childhood Cancer ◽  
Relationship Of ◽  
The Relationship

Purpose This study examined the prevalence of suicidal ideation and past suicide attempt in adult survivors of childhood cancer and investigated the relationship of suicidal symptoms to cancer treatment and current health. The hypothesis that poor physical health would be significantly associated with suicidality after adjusting for mental health variables was specifically tested. Methods Two hundred twenty-six adult survivors of childhood cancer (mean age, 28 years) seen in a survivor clinic completed the Short Form-36 and the Beck Depression Inventory (BDI), as well as suicide items from the Symptom Checklist-90 Revised, and Beck Scale for Suicide Ideation. Participants reporting current suicide ideation or any past suicide attempt were classified as suicidal. Results Twenty-nine participants (12.83%) reported suicidality, although only 11 of these were significantly depressed by BDI criteria. Univariate analyses found suicidality unrelated to age or sex but positively associated with younger age at diagnosis, longer time since diagnosis, cranial radiation treatment, leukemia diagnosis, depression, hopelessness, pain, and physical appearance concern. A hierarchical logistic regression showed that current physical functioning, including pain, was significantly associated with suicidality even after adjusting for treatment and depression variables. Conclusion Suicidal symptoms, which are reported by a significant minority of adult survivors of childhood cancer, are related to cancer treatments and post-treatment mental and physical health. Association of suicidal symptoms with physical health problems is important because these represent treatable conditions for which survivors may seek follow-up care. The relationship of physical well-being to suicidality underscores the need for a multidisciplinary approach to survivor care.

scholarly journals Suicide Ideation in Adult Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study

2010 ◽  
Vol 28 (4) ◽  
pp. 655-661 ◽  
Author(s):  
Christopher J. Recklitis ◽  
Lisa R. Diller ◽  
Xiaochun Li ◽  
Julie Najita ◽  
Leslie L. Robison ◽  
...  
Keyword(s):  
Physical Health ◽  
Childhood Cancer ◽  
Cancer Survivor ◽  
Cancer Diagnosis ◽  
Suicide Ideation ◽  
Adult Survivors ◽  
Childhood Cancer Survivor ◽  
Recurrence Time ◽  
Childhood Cancer Survivor Study ◽  
Survivors Of Childhood Cancer

Purpose To evaluate risk of suicide ideation (SI) after childhood cancer, prevalence of SI in a cohort of adult survivors of pediatric cancers was compared with prevalence in a sibling comparison group. The relationship of SI to cancer treatment and current health was examined, and the hypothesis that poor physical health is significantly associated with suicidality, after adjusting for depression, was specifically tested. Methods Nine thousand one hundred twenty-six adult survivors of childhood cancer and 2,968 siblings enrolled onto the Childhood Cancer Survivor Study completed a survey describing their demographics and medical and psychological functioning, including SI in the prior week. Results Of survivors, 7.8% reported SI compared with 4.6% of controls (odds ratio = 1.79; 95% CI, 1.4 to 2.4). Suicidality was unrelated to age, age at diagnosis, sex, cancer therapy, recurrence, time since diagnosis, or second malignancy. SI was associated with primary CNS cancer diagnosis, depression, and poor health outcomes including chronic conditions, pain, and poor global health rating. A logistic regression analysis showed that poor current physical health was significantly associated with SI even after adjusting for cancer diagnosis and depression. Conclusion Adult survivors of childhood cancers are at increased risk for SI. Risk of SI is related to cancer diagnosis and post-treatment mental and physical health, even many years after completion of therapy. The association of suicidal symptoms with physical health problems is important because these may be treatable conditions for which survivors seek follow-up care and underscores the need for a multidisciplinary approach to survivor care.

scholarly journals Growing up after childhood cancer: maturity and life satisfaction in young adulthood

2021 ◽  
Author(s):  
Taylor M. Dattilo ◽  
Randal S. Olshefski ◽  
Leena Nahata ◽  
Jennifer A. Hansen-Moore ◽  
Cynthia A. Gerhardt ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Childhood Cancer ◽  
Satisfaction With Life ◽  
Adult Survivors ◽  
Well Being ◽  
Future Research ◽  
Growing Up ◽  
Young Adult Survivors ◽  
Survivors Of Childhood Cancer ◽  
Linear Regressions

Abstract Purpose Young individuals face a variety of developmental tasks as they mature into adulthood. For survivors of childhood cancer, growing up may be more difficult due to their illness and late effects from treatment. This study is the first to quantitatively examine perceptions of maturity and how these perceptions contribute to satisfaction with life among young adult survivors of childhood cancer. Methods Ninety survivors of childhood cancer (Mage = 29.8; 7–37 years post-diagnosis) were recruited to complete online surveys on how mature they felt relative to peers, their perceived maturity on three domains (financial, personal, social), and life satisfaction. Results Most survivors (62%; n = 56) felt they grew up faster than their peers, and over half (56%; n = 50) felt more mature. Perceived maturity was high on all three domains, but brain tumor survivors reported significantly lower maturity than other survivors (d = 0.76–1.11). All maturity domains were positively associated with life satisfaction (r = .49–.56). Hierarchical linear regressions indicated that 44% of the variance in life satisfaction was explained by perceptions of growing up slower (β =  − 1.08, p = .004) and marginally by greater perceived personal maturity (β = 0.45, p = .061). Conclusions Childhood cancer can influence development, with most survivors feeling that they grew up faster and were more mature than peers. Personal maturity was related to life satisfaction, with survivors of brain tumors or those who felt they grew up slower at greatest risk for lower life satisfaction. Future research and clinical practice should consider survivors’ development and maturation across the life span to promote overall well-being.

scholarly journals Depression and Suicidal Ideation among Older Adults of Kashmir

2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Shabnum Ara ◽  
Rakshanda Ahad
Keyword(s):  
Older Adults ◽  
Suicidal Ideation ◽  
Suicide Ideation ◽  
Sampling Technique ◽  
Demographic Variables ◽  
Mean Difference ◽  
Rural And Urban ◽  
Elderly Males ◽  
Relationship Of ◽  
The Relationship

The present study was undertaken to map the ground trends of depression and suicidal ideation among elderly Kashmiris in association with connected socio-demographic variables and also to find the relationship of depression with suicidal ideation. The sample consisted of 184 older adults (102 elderly males & 82 elderly females) taken from different districts of Kashmir. The age of the sample group ranged from 58-76 years with mean age of 67 years. Purposive sampling technique was used for research purpose. Aaron Beck’s Depression Inventory (BDI-II 1996) and Beck & Steer’s Suicide Ideation scale (BSSI 1991) was used. T-test was used to test the significance of difference in depression and suicidal ideation between various groups and Pearson’s Product Moment Correlation was used to determine the relationship between depression and suicidal ideation. The findings of the present study revealed that there is no significant mean difference in the depression level of older adults with respect to various socio-demographic variables. Further, the findings of the present study reveal that there is significant mean difference in the suicidal ideation of educated and uneducated elderly as is true for rural and urban older adults. However, no significant mean difference was found in suicidal ideation of male & female older adults and also no significant mean difference was found in the suicidal ideation of those elderly whose spouse are alive and those who are widowed. Results further reveal that depression has significant positive correlation with suicidal ideation indicating that depression acts as risk factor for suicidal ideation.

scholarly journals Suicide ideation and associated mortality in adult survivors of childhood cancer

Cancer ◽  
2013 ◽  
Vol 120 (2) ◽  
pp. 271-277 ◽  
Author(s):  
Tara M. Brinkman ◽  
Nan Zhang ◽  
Christopher J. Recklitis ◽  
Cara Kimberg ◽  
Lonnie K. Zeltzer ◽  
...  
Keyword(s):  
Childhood Cancer ◽  
Suicide Ideation ◽  
Adult Survivors ◽  
Survivors Of Childhood Cancer

Correlations between interpersonal and cognitive difficulties: Relationship to suicidal ideation in military suicide attempters

2014 ◽  
Vol 29 (8) ◽  
pp. 498-502 ◽  
Author(s):  
L. Shelef ◽  
E. Fruchter ◽  
J.J. Mann ◽  
A. Yacobi
Keyword(s):  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Suicide Ideation ◽  
Negative Emotion ◽  
Suicide Attempters ◽  
Cognitive Difficulties ◽  
Suicide Screening ◽  
Military Suicide ◽  
The Military ◽  
The Relationship

AbstractBackgroundUnderstanding suicidal ideation may help develop more effective suicide screening and intervention programs. The interpersonal and the cognitive-deficit theories seek to describe the factors leading to suicidal behavior. In the military setting it is common to find over- and under-reporting of suicidal ideation. This study sought to determine the relationship between these two models and determine to what degree their components can indirectly predict suicidal ideation.MethodsSuicide attempters (n = 32) were compared with non-suicidal psychologically treated peers (n = 38) and controls (n = 33), matched for sex and age (mean 19.7 years). Pearson's analysis was used to quantify the relationship between the variables from the two models and hierarchal regression analysis was used to determine the explanation of suicidal ideation variance by these variables.ResultsSuicide attempters have more difficulties in problem-solving, negative emotion regulation and burdensomeness compared with their peers (P < .001). These variables are all closely correlated with each other and to suicide ideation (r > ± 0.5; P < .001). Prior suicide attempt, loneliness and burdensomeness together explain 65% (P < .001) of the variance in suicidal ideation.ConclusionsSuicidal ideation is strongly correlated with components of interpersonal and cognitive difficulties. In addition to assessing current suicidal ideation, clinicians should assess past suicide attempt, loneliness and burdensomeness.

From Adjustment to Thriving: Exploring Well-Being in Young Adult Survivors of Childhood Cancer and Their Siblings

2016 ◽  
Vol 5 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Marta Scrignaro ◽  
Francesca Nichelli ◽  
Laura Cattaneo ◽  
Marco Spinelli ◽  
Maria Elena Magrin ◽  
...  
Keyword(s):  
Young Adult ◽  
Childhood Cancer ◽  
Adult Survivors ◽  
Well Being ◽  
Young Adult Survivors ◽  
Survivors Of Childhood Cancer

Attachment Organization in Suicide Prevention Research

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Amanda Venta ◽  
Carla Sharp
Keyword(s):  
Risk Factors ◽  
Suicidal Ideation ◽  
Suicide Attempt ◽  
Interpersonal Relationships ◽  
Suicide Ideation ◽  
Suicide Attempts ◽  
Critical Role ◽  
Self Report ◽  
Future Research ◽  
Self Harm

Background: Identifying risk factors for suicide-related thoughts and behaviors (SRTB) is essential among adolescents in whom SRTB remain a leading cause of death. Although many risk factors have already been identified, influential theories now suggest that the domain of interpersonal relationships may play a critical role in the emergence of SRTB. Because attachment has long been seen as the foundation of interpersonal functioning, we suggest that attachment insecurity warrants attention as a risk factor for SRTB. Aims: This study sought to explore relations between attachment organization and suicidal ideation, suicide attempts, and self-harm in an inpatient adolescent sample, controlling for demographic and psychopathological covariates. Method: We recruited 194 adolescents from an inpatient unit and assigned them to one of four attachment groups (secure, preoccupied, dismissing, or disorganized attachment). Interview and self-report measures were used to create four variables reflecting the presence or absence of suicidal ideation in the last year, single lifetime suicide attempt, multiple lifetime suicide attempts, and lifetime self-harm. Results: Chi-square and regression analyses did not reveal significant relations between attachment organization and SRTB, although findings did confirm previously established relations between psychopathology and SRTB, such that internalizing disorder was associated with increased self-harm, suicide ideation, and suicide attempt and externalizing disorder was associated with increased self-harm. Conclusion: The severity of this sample and methodological differences from previous studies may explain the nonsignificant findings. Nonsignificant findings may indicate that the relation between attachment organization and SRTB is moderated by other factors that should be explored in future research.

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