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Understanding the Increased Risk of Depression and Suicide in Cancer Patients

Dec 22, 2023 By Nancy Miller

Cancer is one of the most difficult journeys an individual, family and friends can face. Along with physical pain comes not only emotional distress but also a greater risk of developing depression or thoughts of suicide. Unfortunately, cancer patients are twice as likely to experience depression than people without cancer – making it even more important for those directly affected by this condition to be aware of the additional risks they may face.

It’s important for loved ones to understand how their presence in a patient's life could make all the difference when it comes to managing feelings associated with their diagnosis. In this blog post, we'll discuss why individuals diagnosed with cancer have an increased risk of depression and suicide and provide some tips on what you can do if someone close to you has been diagnosed with cancer.

Link between Cancer and Depression

Research has found that depression is the most common emotional reaction to a cancer diagnosis. It’s believed that it may be linked to changes in hormones, brain chemistry and other biological processes that can cause individuals to feel overwhelmed or helpless. Additionally, physical symptoms associated with the disease, such as pain and fatigue, could lead to depression as well.

The risk of depression is higher in those with more advanced stages of cancer. This could be because they are dealing with a greater degree of physical pain and disability, as well as concerns about the future.

Increased Risk of Suicide

The idea that individuals diagnosed with cancer may have an increased risk of suicide has been studied extensively over the past few decades. The vast majority of studies have found that patients with cancer are two to three times more likely to die by suicide than individuals who don’t have the condition.

Depression and suicide rates in cancer patients

The risk of depression and suicide are higher among cancer patients than in the general population. The risk is also greater in people who have been newly diagnosed, those currently undergoing treatment, or those with advanced stages of the illness.

Studies have shown that up to 40% of cancer patients experience suicidal ideation during their lifetime. In addition, 10-20% of cancer patients die by suicide, compared to 2-3% for people without the condition. Factors that may contribute to an increased risk of suicide in cancer patients include age, gender (men are at a higher risk), family history of mental illness, physical pain and disability, and previous suicidal behavior.

Factors Contributing to Depression in Cancer Patients

The potential factors contributing to depression in cancer patients are numerous. Some of these include:

  • Treatment side effects
  • Pain and disability from the disease
  • Fear of recurrence and death
  • Stress, fatigue, and sleep disturbances resulting from treatment or the disease itself
  • Feeling overwhelmed by medical information given during diagnosis or treatment
  • Financial strains
  • Social isolation or disruption of daily routines
  • Difficulty adjusting to a new diagnosis
  • Relationship and family problems

These factors can be especially difficult for those who have been newly diagnosed with cancer, as they are often dealing with a range of emotions all at once. It’s important for loved ones to provide support during this time so that the patient is able to manage their emotions more effectively.

Why depression may lead to suicide in cancer patients?

Depression can lead to suicidal thoughts and behaviour in cancer patients for a variety of reasons. The most common reason is because they feel hopeless about their situation or are overwhelmed by the physical and emotional pain that comes with living with cancer. Additionally, individuals may be suffering from financial strain brought on by medical costs or feel like they are burdening those around them.

Tips for Supporting a Loved One with Cancer

If you know someone who has been diagnosed with cancer, there are a few things that you can do to provide the best support possible.

  • Listen: Offer an empathetic ear without judgement or criticism. Ask questions and let them talk about their feelings if they want to.
  • Educate yourself: Learn as much as you can about the disease and its treatments. This will help you provide better advice and support.
  • Offer practical assistance: Help with everyday tasks such as grocery shopping, cleaning or transportation to medical appointments.
  • Be positive: Encourage them to stay positive by focusing on their strength and resilience.
  • Maintain communication: Try to keep in touch regularly – even if it’s just a quick phone call.
  • Connect them with resources: If appropriate, refer the individual to mental health services or support groups that can help them cope with their feelings.

Identifying Depression in Cancer Patients

It’s important to be aware of the signs and symptoms of depression in cancer patients, as early intervention is key to managing this condition. Common signs include:

  • Persistent sadness or a feeling of hopelessness
  • Loss of interest in activities they used to enjoy
  • Changes in sleep patterns – either insomnia or sleeping too much
  • Loss of appetite or changes in eating habits
  • Fatigue and lack of energy
  • Difficulty concentrating and making decisions
  • Aches and pains that have no physical cause
  • Irritability or agitation
  • Thoughts of death or suicide

If you notice any of these signs in someone close to you, it’s important to get them help as soon as possible.

Conclusion

Cancer patients are at an increased risk of depression and suicide due to the physical, emotional, and financial strain that comes with the diagnosis. If you know someone who has been diagnosed, it’s important to provide support in any way you can. Remember to listen without judgement and be positive when communicating with them. Additionally, be aware of the signs and symptoms of depression so that you can help get them the care they need.

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