Suicidal ideation in patients undergoing brain tumor surgery: prevalence and risk factors

Abstract

SI was self-reported by 6 % of BT patients before surgical intervention and was associated with a past history of psychiatric disorders and worse perceived health status. Poor mental health was an independent correlate of SI. The perception of health status by a patient should be considered as an important determinant of poor mental health in BT patients.

Suicidal ideation, depression, and health-related quality of life in patients with benign and malignant brain tumors: a prospective observational study in 83 patients

“…The percentage / assessment reported here is comparable. However, the percentage of patients with SI (with / without plans) is twice as high (21 %) during the study period and 3.6 times higher than that reported by Pranckeviciene et al (5.7 %) [33]. One should consider that most of the studies regarding SI in cancer and brain tumor patients were either cross-sectional [6,13,34], investigated SI prior to surgery [33], did not utilize a questionnaire with items asking directly about SI [17], or assessed SI not as frequently as in this study [22].…”

“…Furthermore, SI in primary brain tumors had only been investigated retrospectively in mixed cohorts [5]. In 2016, Pranckeviciene et al published their data on suicidal ideation in patients undergoing surgery for an intracranial tumor, yet the data was collected once prior to surgery, before pathological diagnosis was known and no long-term results are reported [33]. In concordance with their results, during the course of this study we also realized that facing the diagnosis of a an intracranial tumor irrespective of the histopathological results, leads to decreased HRQoL, depressive symptoms, and SI [36].…”

“…Knowing that suicidal ideation (SI) increases in patients with cancer compared to the general population [34,49], especially in cancers associated with physical impairment and dismal prognosis [2,3], one might assume that the incidence of SI in patients with malignant brain tumors is high. So far, this has been investigated only in survivors of childhood brain cancer [6], preoperatively in adults with intracranial tumors using a cross-sectional design [33], as well as in some retrospective studies evaluating SI in mixed cancer populations [5]. Even though prospective studies on anxiety, depression, and quality of life after surgery are available [20,37], to our knowledge, no prospective, controlled, observational studies have been conducted previously, with emphasis on SI in patients with primary intracranial tumors.…”

Factors associated with anxiety and depression level in patients with a suicide attempt

“…Statistical analysis: All data were transferred to the statistical package for Social Science 18.0 (SPSS Inc, Chicago, Illinois, USA) portable for Windows and analyzed. The risk of suicidal tendencies was determined using the anxiety (1-18) and depression (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) scores of the individuals with suicide attempts.…”

“…It is stated that suicide, which may have many reasons such as rates of suicide. Besides, it is established that individuals with problems such as dermatological disease cancer, pre-brain tumor surgery, and post-traumatic stress disorder have a higher tendency to commit suicide [3][4][5][6][7]. The aim of this study was to make a prediction about whether the suicide attempt can be predicted in advance through determining the anxiety and depression levels and the factors affecting the patients who were admitted to the emergency department of a hospital with suicide attempt and who were treated in an inpatient toxicology intensive care unit with the Hospital Anxiety and Depression Scale (HADS) also recommended in the literature [3,4,8,9].…”