20.500.12556/ReVIS-14200 Ugotavljanje samomorilnih misli pri onkoloških bolnikih Identifying suicidal thoughts in oncology patients Uvod: Rak močno obremeni duševno zdravje. Psihološka stiska je ključna komponenta celostne obravnave, vendar v klinični praksi pogosto ostane spregledana. Namen raziskave je bil oceniti prevalenco samomorilnih misli pri odraslih onkoloških bolnikih, hkrati pa izmeriti prevalenco depresije in preučiti povezave z demografskimi ter kliničnimi dejavniki. Metode: V prospektivno raziskavo je bilo vključenih 972 ambulantnih bolnikov. Depresivne simptome smo ocenili z Vprašalnikom o zdravju bolnikov – 9 postavk (Patient Health Questionnaire-9; PHQ-9), samomorilno tveganje pa z nizom vprašanj za presejanje samomora (Ask Suicide-Screening Questions; ASQ). Statistična analiza je vključevala deskriptivne metode ter primerjalne teste za opredelitev dejavnikov, povezanih s samomorilnostjo. Rezultati: V zadnjih dveh tednih je o samomorilnih mislih poročalo 27,7 % bolnikov; 0,5 % jih je ob izpolnjevanju vprašalnika aktivno razmišljalo o samomoru. Z orodjem ASQ je 17,4 % izrazilo željo po smrti, 14,7 % občutek, da bi bili oni ali njihovi bližnji »na boljšem«, če bi bili mrtvi, in 10,6 % je v preteklosti poskusilo samomor. Klinično pomembna depresija (PHQ-9 ? 10) je bila prisotna pri 11,4 % udeležencev. Samomorilne misli so bile pogostejše pri bolnikih, ki živijo sami, poročajo o bolečini, imajo slabšo prognozo in prejemajo sistemsko zdravljenje in prisotne simptome depresije; velik delež bolnikov ni prejelo psihološke podpore po postavitvi diagnoze (88,7 %), čeprav bi jo v 43,5 % potrebovalo. Zaključki: Rezultati raziskave potrjujejo prisotnost samomorilnih misli in tesno prepletenost depresije in samomorilnih misli v onkološki populaciji ter podpirajo uvedbo rutinskega presejanja duševne stiske kot »šestega vitalnega znaka« z uporabo PHQ-9 in ASQ. Pozitivni izvidi naj sprožijo stopnjevan klinični odziv (takojšnji varnostni protokol, hitra napotitev v psihoonkologijo) ter sočasno optimizacijo obvladovanja bolečine. Introduction: Cancer places a substantial burden on mental health. Psychological distress is a key component of comprehensive care, yet in clinical practice it often remains overlooked. The aim ofthe study was to assess the prevalence of suicidal ideation in adult oncology patients, while also measuring the prevalence of depression and analysing the associations with demographic and clinical factors. Methods: The prospective study included 972 outpatients. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), and suicide risk using the Ask Suicide-Screening Questions (ASQ). Statistical analysis included descriptive methods and comparative tests to identify factors associated with suicidality. Results: Within the previous two weeks, 27.7% of patients reported suicidal thoughts; 0.5% were actively thinking about suicide while completing the questionnaire. Using the ASQ, 17.4% expressed a wish to die, 14.7% felt that they or their relatives would be “better off” if they were dead, and 10.6% had previously attempted suicide. Clinically significant depression (PHQ-9 ≥ 10) was present in 11.4% of participants. Suicidal thoughts were more common among patients living alone, reporting pain, having a poorer prognosis, receiving systemic treatment, and presenting symptoms of depression; a large proportion of patients did not receive psychological support after diagnosis (88.7%), although 43.5% would have needed it. Conclusions: The study results confirm the close interrelationship between depression and suicidal ideation in the oncology population and support the introduction of routine screening for psychological distress as the “sixth vital sign” using PHQ-9 and ASQ. Positive findings should trigger an escalated clinical response (immediate safety protocol, rapid referral to psycho-oncology) together with optimisation of pain management. rak samomor onkološki bolnik samomorilne misli cancer suicide oncology patient suicidal ideation true false false Slovenski jezik Angleški jezik Doktorsko delo/naloga 2026-07-10 09:19:12 2026-07-10 09:19:12 2026-07-11 03:17:46 0000-00-00 00:00:00 2026 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 1970-01-01 25235 4305$$Sabina_Medjedovic_19-03-2026.pdf 4305$$Sabina_Medjedovic_19-03-2026.pdf 1 4131312A975C738FD32E7365475233B1 310612f1e8ffd8297bad154b0a4bbe7b7cb584b3e1822845c4416d035ef62bc4 a68cf4e5-7c2f-11f1-b663-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17219 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0