Psychosomatics 39:366-370, August 1998
© 1998 The Academy of Psychosomatic Medine
Depression, Hopelessness, and Suicidal Ideation in the Terminally Ill
Harvey Max Chochinov, M.D., Ph.D.,
Keith G. Wilson, Ph.D.,
Murray Enns, M.D., and
Sheila Lander, R.N.
Received September 19, 1997; revised January 28, 1998; accepted February 11, 1998. From the Departments of Psychiatry and Medicine, University of Manitoba; the Manitoba Cancer Treatment and Research Foundation, Winnipeg; the Department of Medicine and School of Psychology, University of Ottawa; and the Rehabilitation Centre, Ottawa. Address reprint requests to Dr. Chochinov, Department of Psychiatry, University of Manitoba, 771 Bannatyne Avenue, Winnipeg, Manitoba, Canada R3E 3N4.
This study investigated the mediational hypothesis of hopelessness in predicting suicidal ideation in a group of 196 patients with advanced terminal cancer. Each patient underwent a semistructured interview to assess hopelessness and suicidal ideation, and also completed the Beck Depression Inventory (short form). Hopelessness was correlated more highly with suicidal ideation than was the level of depression. In multiple linear-regression analyses, hopelessness contributed uniquely to the prediction of suicidal ideation when the level of depression was controlled. For health care providers attending to the needs of dying patients, hopelessness appears to be an important clinical marker of suicidal ideation in this vulnerable patient population.
Key Words: Suicide • Terminally Ill • Death and Dying • Depression
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