J Korean Acad Nurs.  2010 Aug;40(4):524-532. 10.4040/jkan.2010.40.4.524.

Relationship of Social Support and Meaning of Life to Suicidal Thoughts in Cancer Patients

• Kim YJ
• Lee KJ

• KMID: 1073074
• DOI: http://doi.org/10.4040/jkan.2010.40.4.524

Abstract

PURPOSE
This study was done to explore the relationship of social support and meaning of life to suicidal thoughts among patients with cancer.
METHODS
Data were collected by questionnaires from 138 patients who had been in cancer treatment at medical clinics and 8 patients who were members of an internet cancer association. The data were collected between August and November 2009 and analyzed using SPSS 12.0.
RESULTS
Of the participants, 47.3% reported having had suicidal thoughts and 16.4% had attempted suicide since the diagnosis of cancer. The study participants received most support from family members, but 73.3% reported experiencing an existential vacuum. The suicide attempt group had significantly higher scores according to gender, age, level of education, diagnosis, treatment modality, level of activity, caregiver and social support compare to the suicide thought group. Suicidal thoughts were negatively related to social support and meaning of life was positively associated with social support. Support from family and friends and diagnosis explained 50.0% of variance for suicidal thoughts with 36.0% of variance being explained by family support.
CONCLUSION
Nurses should be able to identify risk factors for suicide in cancer patients. Prevention and intervention efforts need to be directed toward improving social support, family support in particular, and assisting patients finding meaning in life after a diagnosis of cancer.

Keyword

Neoplasms; Suicide; Social support

MeSH Terms

Adult
Age Factors
Aged
Breast Neoplasms/*psychology
Female
Humans
Liver Neoplasms/*psychology
Male
Middle Aged
*Quality of Life
Questionnaires
Sex Factors
*Social Support
Suicide, Attempted/*prevention & control

Reference

1. Bottomley A, Jones L. Social support and cancer patient-A need for clarity. European Journal of Cancer Care. 1997. 6:72–77.

2. Cho H, Shin HC. The influence of stress on suicide ideation: Meaning in life as mediator or moderator. Korean Journal of Biological and Physiological Psychology. 2009. 21:1011–1026.

3. Crumbaugh JC, Maholick LT. An experimental study in existentialism: The psychometric approach to Frankl's concept of noogenic neurosis. Journal of Clinical Psychology. 1964. 20:200–207.

4. Frankl VE. Man's search for meaning. 1984. Washington Square Press.

5. Harlow LL, Newcomb MD, Bentler PM. Purpose in life test assessment using latent variable methods. British Journal of Clinical Psychology. 1987. 26:235–236.

6. Hur JW, Choi KY, Lee BH, Shin SH, Yang JC, Kim YK. The psychosocial factors affecting suicide attempt. Journal of Korean Neuropsychiatric Association. 2007. 46:129–135.

7. Jang HS. A comparative study on satisfaction level of the inpatients cared by family members and professional caregivers. 2002. Daejeon: Mokwon University;Unpublished master's thesis.

8. Jung BL, Lee EH. Symptom experience, mood disturbance and social support in breast cancer patients undergoing radiotherapy. Journal of Korean Oncology Nursing. 2006. 6:172–180.

9. Jo NO, Hong YS, Han SS, Eom YL. Attributes perceived by cancer patients as a good nurse. Clinical Nursing Research. 2006. 11:149–162.

10. Kim BY, Lee JS. A meta-analysis of variables related to suicidal ideation in adolescents. Journal of Korean Academy of Nursing. 2009. 39:651–661.

11. Kim EA. Be concerned about 'Illness of the mind' in cancer patient. Doctor's News. 2007. 11. 26. 8.

12. Kim HJ. (The) Study of relationship between meaning of life and suicide ideation: The mediating effects of perceived social support and avoidance coping style. 2008. Seoul: Korea University;Unpublished master's thesis.

13. Kim HS. A study on epistemology of Korean elder's suicidal thought. Journal of the Korean Gerontological Society. 2002. 22:159–172.

14. Kim YJ. A study on cancer patients' and their family members' depression and suicidal ideation. 2008. Seoul: Hang Yang University;Unpublished master's thesis.

15. Korea National Statistical Office. Death cause figures. 2009. Seoul: Author.

16. Lefetz C, Reich M. Suicidal crisis in oncology: Assessment and care. Bulletin du Cancer. 2006. 93:709–713.

17. Lee JG. (The) effect of nursing-logotherapy on self-esteem, purpose in life and finding meaning, and hope of the patients of mental illness. 1995. Deagu: Kyung Pook University;Unpublished doctoral dissertation.

18. Lim JS. Study on investigating suicide causes and developing suicide prevention programs in Korea. 2008. Seoul: Ministry for Health.

19. Ministry for health. Plans for suicidal prevention. 2005. Seoul: Author.

20. Misono S, Weiss NS, Fann JR, Redman M, Yueh B. Incidence of suicide in persons with cancer. Journal of Clinical Oncology. 2008. 26:4731–4738.

21. National Cancer Information Center. Cancer survival statistics. 2009. Seoul: Author.

22. Ohaeri BM, Oladele EO, Ohaeri JU. Social support needs and adjustment of cancer patients. East African Medical Journal. 2001. 78:641–645.

23. Schairer C, Brown LM, Chen BE, Lynch CF, Strom PHH, Pukala E, et al. Suicide after breast cancer: An international population-based study of 723, 810 women. Journal of National Cancer Institute. 2006. 98:1416–1419.

24. Schneider KL, Shenassa E. Correlates of suicide ideation in a population-based sample of cancer patients. Journal of Psychosocial Oncology. 2008. 26(2):49–62.

25. Shin JS, Lee YB. The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare. 1999. 37:241–269.

26. Simonelli LE, Fowler J, Maxwell GL, Andersen BL. Physical sequelae and depressive symptoms in gynecologic cancer survivors: Meaning in life as a mediator. Annals of Behavioral Medicine. 2008. 35:275–284.

27. Stiefel F. Suicide and euthanasia: Patient attitudes in the context of cancer. Support Care Cancer. 1993. 1:169–170.

28. Yoon MO. The effect of spiritual nursing intervention on the meaning of life and spiritual distress of the terminal cancer patients. Korean Journal of Hospice and Palliative Care. 2004. 8:54–67.

29. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988. 52:30–41.