Suicidality in cancer patients

Abstract

Background: The diagnosis of cancer and its treatment can be a great strain for the affected patients. In addition to physical complaints, the psyche can also be gravely compromised. In the absence of appropriate coping strategies, self-determined death may appear to be the only way out. Objective: The current review article on suicidality in cancer patients addresses a topic that receives little attention in research and practice in Germany. Materials and methods: A topic-related literature search is the basis of the work. Results: Death wishes among cancer patients are not rare and may include suicidal thoughts/intentions. Psychological complaints, especially hopelessness and depression, are serious risk factors. Recognition of a high level of psychological distress/death wish is an important aspect of suicide prevention. In practice, the use of questionnaires is initially recommended. In the case of conspicuous values, suicidal tendencies must be proactively explored in a personal interview. Those affected are usually ambivalent about their decision for or against life. This represents a great opportunity for interventions. Conclusion: Suicidality can be prevented if the high burden is recognized. Even the conversation between doctor and patient about death wishes can provide initial relief.