Artikel: Negative religious coping as a correlate of suicidal ideation in patients with advanced cancer

Methods: Adult patients with advanced cancer (life expectancy ≤6 months) were recruited from seven medical centers in the northeastern and southwestern USA (n = 603). Trained raters verbally adminis- tered the examined measures to patients upon study entry. Multivariable logistic regression analyses regressed suicidal ideation on NRC controlling for significant demographic, disease, risk, and protective factors.

Results: Negative religious coping was associated with an increased risk for suicidal ideation (OR, 2.65 [95% CI, 1.22, 5.74], p = 0.01) after controlling for demographic and disease characteristics, men- tal and physical health, self-efficacy, secular coping, social support, spiritual care received, global re- ligiousness and spirituality, and positive religious coping.

Conclusions: Negative religious coping is a robust correlate of suicidal ideation. Assessment of NRC in patients with advanced cancer may identify patients experiencing spiritual distress and those at risk for suicidal ideation. Confirmation of these results in future studies would suggest the need for inter- ventions targeting the reduction of NRC to reduce suicidal ideation among advanced cancer patients.