Thoughts of death and suicidality among patients with cancer: Examining subtypes and their association with mental disorders

Objective Cancer is associated with an increased risk for completed suicide. We explored subtypes of thoughts of death, death wishes, suicidal ideation and behavior and their association with mental disorders and demographic and disease‐related characteristics. Methods We studied 2,141 cancer patien...

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Bibliographic Details
Published in:Psycho-oncology (Chichester, England) England), 2021-12, Vol.30 (12), p.2023-2031
Main Authors: Vehling, Sigrun, Mehnert‐Theuerkauf, Anja, Glaesmer, Heide, Bokemeyer, Carsten, Oechsle, Karin, Härter, Martin, Koch, Uwe
Format: Article
Language:English
Subjects:
Adjustment
Adjustment disorder
Cancer
Death & dying
Death anxiety
death wishes
Demography
Emotional disorders
Humans
Latent class analysis
Mental disorders
Mental Disorders - epidemiology
Mental Disorders - psychology
Neoplasms
Oncology
Psychological distress
Risk Factors
Subtypes
Suicidal Ideation
suicidal ideation and behavior
suicidality
Suicide
Suicide, Attempted - psychology
Suicides & suicide attempts
thoughts of death
Wish to die
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Summary:Objective Cancer is associated with an increased risk for completed suicide. We explored subtypes of thoughts of death, death wishes, suicidal ideation and behavior and their association with mental disorders and demographic and disease‐related characteristics. Methods We studied 2,141 cancer patients with the standardized Composite International Diagnostic Interview‐Oncology (CIDI‐O). Assessment included 4‐weeks‐prevalences of thoughts of death, wish to die, suicidal ideation, suicide plans, and lifetime suicide attempts. We further assessed 4‐weeks‐prevalences of mood, anxiety, adjustment, somatoform, substance use, and disorders due to general medical condition. We conducted latent class analyses (LCA). Results The LCA identified three classes with distinct patterns of suicidality. Class 1 (89.0% of the sample) showed no suicidality. Class 2 (6.9%) was characterized by thoughts of death without suicidal ideation. Class 3 (4.1%) was characterized by thoughts of death, suicidal ideation, and suicide plans. Death wishes occurred in both classes 2 and 3. Classes 2 and 3 were associated with a significantly higher risk for any mental disorder (OR from 4.22, adjustment disorder, to 10.20, mood disorders, p 
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.5706