A Study On The Influencing Factors Of Suicidal Ideation In Hospitalized Patients

Objective:By investigating the occurrence rate of suicide ideation of hospitalized patients with malignant tumor in two tertiary comprehensive hospitals,learning about the occurrence of suicide idea and demographic characteristics,disease condition,health status,response style and social support,discussing the correlation between suicide idea and health status,response style of patients and social support,then analysing and classifying the above factors to dangerous factors and protective factors of causing suicide ideation,thus provide basis for the formulation of health education and suicide intervening measure of hospitalized patients with malignant tumor.Method:Research is carried out in two levels.First,to investigate the occurrence of suicidal ideation of hospitalized patients with malignant tumor,understand and analyze their suicidal thoughts and the feature of demographic characteristics,disease condition,analyzes the factors that influence the occurrence of suicidal ideation;Second through questionnaire like the medical coping questionnaire(MCMQ),SF-26(concise health questionnaire),social support rating scale(SSRS)and so on,to analyze and discuss the relationship between the occurrence of suicidal ideation and patient health,response style and social support.Here's the research method:Study 1:Using convenient sampling method,select hospitalized patients with malignant tumor who are willing and able to fill out a form as the research object from Kunming Medical University Second Affiliated Clinical Hospital and Wenzhou Central Hospital(2 independent 3-A-grade hospital)between January 2016 and December 2016.There are 1000 patients in totalfrom22 departments of internal medicine,surgery,female tumor,radiotherapy,chemotherapy,etc.,applying general information questionnaire and suicidal ideation self rating scale(SIOSS),SF-26(concise health questionnaire),medical coping questionnaire(MCMQ)and social support rating scale(SSRS)to investigate.The contents of the survey questionnaire include:?general demographic data:age,gender,marital status,cultural degree,residence,family income per capita,etc.?Clinical data of diseases:disease diagnosis,tumor staging,diagnosis time,appearance,disease treatment confidence,sleep condition,etc.The paper uses SPSS22.0 to carry out descriptive statistical analysis,variance analysis,Logistic regression analysis,correlation analysis,and chi-square test to analyze the influence factors of suicidal ideation.Study 2:By analyzing the survey resultsand discussing and learning the relationship between occurrence of suicidal ideation and the patient's health status,coping style and social support,data using SPSS22.0 and AMOS 18.0 software for statistical analysis,statistical methods including t test,Logistic regression analysis,correlation analysis and path analysis,etc.Result:1.Study 1 finds,?There are 1000questionnaire in total,finally there are 940 people accept the suicide survey,108 people have suicidal ideation,the occurrence rate of suicidal ideation of hospitalized patients with malignant tumor was 11.48%,29 cases have suicidal plans,21 cases have committed suicide.There was no significant difference in incidence of suicidal ideation(P>0.05)among the patients in different departments.?The general data of single factor analysis of patients with suicidal ideation showed that:it is statistically significant(P<0.05)that differenceexists in age,place of residence,disease diagnosis,tumor staging,diagnosis time,appearance,physical change,treatment of confidence,sleep and etc.between the malignant tumor inpatients with suicidal ideation and thesewithout suicide ideation.Suicidal ideation of general information Logistics regression analysis showed that the factors influencing suicidal ideation of hospitalized patients with malignant tumors are residence,tumor staging,treatment,confidence,sleep,etc.2.The study about the occurrence of suicidal ideation and patients' health status,medical coping style and social support analyzes that compared with patients without suicide ide,yield dimension scores of patients withsuicidal ideation is higher(P<0.05),while the total health and five dimension score(physiological function,physiological function,emotional status,body pain,mental health),social support income total score and three dimension score(subjective support,objective support,to support the use of degrees)are lower(P<0.05).3.Path analysis showed that:the coping style of facing disease has a direct positive effect on social support(? = 0.17,P<0.01)and has a direct negative effect on health(?= 0.078,P<0.05);Thecoping style of yielding has a direct negative effect on social support(? ? 0.226,P<0.01),has a direct negative effect on health(?= 0.532,P<0.01)and has a direct positive effect on suicidal ideation(? = 0.313,P<0.01);The avoidance coping style has a positive effect on social support(?= 0.112,P<0.01);Direct positive effects on health(?= 0.068,P<0.05);Social support has a direct positive effect on health outcomes(?= 0.224,P<0.01);Coping styles of facing,yielding and avoiding can indirectly affect suicidal ideation through health and social support;Social support can indirectly affect suicidal ideation through health.From above,we can see health status is both a mediation variable and a direct variable,and social support is a mediation variable.Result:(1)The occurrence rate of suicidal ideation of hospitalized patients in the above two mixed malignancies hospitals is higher than that of the general population.(2)The place of residence,tumor stage,face physical change,sleep,confidence after prognosis,health status,social support and coping style are the influence factors of suicidal ideation of hospitalized patients with malignant tumor.After multiariable logistic regression analysis,finally concluded that suicide risk factors of hospitalized patients with malignant tumor are four variables:living in the countryside,low family income,having no confidence in disease treatment,insomnia.(3)Coping style has direct and indirect effects on suicidal ideation;Patients' social support has a negative indirect effect on suicidal ideation,health has a direct negative effect on suicidal ideation;as the intermediary variable,social support and health condition regulates the relationship betweenmedical coping style and suicidal ideation.Through path analysis,we can see that positive attitude in facing of disease,support and care from family members,friends or relatives,reducing patient's pain and other diseases of discomfort for malignant tumor are protective factorsfor hospitalized patients with suicidal ideation.