Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer
Purpose This study aimed to assess the association between the Distress Thermometer (DT) score and risk of suicide in patients with cancer. In addition, we aimed to determine the best cutoff score to predict patients at risk of suicide. Methods From 2015 to 2016, we retrospectively collected data on...
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| Veröffentlicht in: | Supportive care in cancer 2022-06, Vol.30 (6), p.5047-5053 |
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| creator | Chiang, Yung-Chih Couper, Jeremy Chen, Jing-Wen Lin, Ke-Jui Wu, Han-Ping |
| description | Purpose
This study aimed to assess the association between the Distress Thermometer (DT) score and risk of suicide in patients with cancer. In addition, we aimed to determine the best cutoff score to predict patients at risk of suicide.
Methods
From 2015 to 2016, we retrospectively collected data on patients with cancer. DT scores were collected, and the association between DT score and risk of suicide (suicide ideation or death ideation) was analyzed. Furthermore, receiver operating characteristic (ROC) analysis was performed to identify the appropriate cutoff score for predicting risk of suicide.
Results
A total of 260 patients with cancer were included, and suicidal ideation was identified in 33 cases referred for psychological intervention. The DT scores of the patients with suicidal ideation were significantly higher than those of patients without suicidal ideation (6.30±2.11 vs. 4.29±1.72,
p |
| doi_str_mv | 10.1007/s00520-022-06801-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9046327</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A701892201</galeid><sourcerecordid>A701892201</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-97bf2ed841fcafd5b522cdce36a86d658204f6202c6274f8e50cef958347279c3</originalsourceid><addsrcrecordid>eNp9kktvEzEUhS1ERUPgD7BAltiwmdbP8cwGqSpPqVJZlC2W47lOXGbsYHuC-Pc4pPSBEPLC0r3fOVfXPgi9oOSEEqJOMyGSkYYw1pC2I7QRj9CCCs4bxXn_GC1IL2qRS3mMnuZ8TQhVSrIn6JhXHeWdWKCvnxMM3ha_A7wz4ww4Olw2gN_6XBLkjK82kKY4QYGEs40JsIsJJ5-_7dE8e-sHwD7grSkeQsn4hy8bbE2wkJ6hI2fGDM9v7iX68v7d1fnH5uLyw6fzs4vGSkFL06uVYzB0gjpr3CBXkjE7WOCt6dqhlR0jwrWMMNsyJVwHklhwvey4UEz1li_Rm4Pvdl5NUJWhJDPqbfKTST91NF4_7AS_0eu40z0RLWeqGry-MUjx-wy56MlnC-NoAsQ5a1apjihCWUVf_YVexzmFul6lpOyZ6Pp71NqMoH1wsc61e1N9Vm0qsv-CJTr5B1XPAJO3MYDztf5AwA4Cm2LOCdztjpTofSr0IRW6pkL_ToUWVfTy_uvcSv7EoAL8AOTaCmtIdyv9x_YX5d7Brg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2655924892</pqid></control><display><type>article</type><title>Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Chiang, Yung-Chih ; Couper, Jeremy ; Chen, Jing-Wen ; Lin, Ke-Jui ; Wu, Han-Ping</creator><creatorcontrib>Chiang, Yung-Chih ; Couper, Jeremy ; Chen, Jing-Wen ; Lin, Ke-Jui ; Wu, Han-Ping</creatorcontrib><description>Purpose
This study aimed to assess the association between the Distress Thermometer (DT) score and risk of suicide in patients with cancer. In addition, we aimed to determine the best cutoff score to predict patients at risk of suicide.
Methods
From 2015 to 2016, we retrospectively collected data on patients with cancer. DT scores were collected, and the association between DT score and risk of suicide (suicide ideation or death ideation) was analyzed. Furthermore, receiver operating characteristic (ROC) analysis was performed to identify the appropriate cutoff score for predicting risk of suicide.
Results
A total of 260 patients with cancer were included, and suicidal ideation was identified in 33 cases referred for psychological intervention. The DT scores of the patients with suicidal ideation were significantly higher than those of patients without suicidal ideation (6.30±2.11 vs. 4.29±1.72,
p
<0.05). In addition, the area under the ROC curve for predicting risk for suicide was 0.758. The cutoff DT score of 3 had the highest sensitivity of 1.00 to rule out suicidal ideation, while 9 had the highest specificity of 1.00 to rule in suicidal ideation. Moreover, the appropriate cutoff DT score to predict patients with suicidal ideation was 5, with a sensitivity of 0.52, specificity of .84, positive likelihood ratio of 3.24, and negative likelihood ratio of 0.58.
Conclusion
The DT score may be a helpful clinical tool to evaluate emotional distress and risk of suicide in patients with cancer. Clinically, for DT scores greater than 5 in patients with cancer, the risk of suicide greatly increases. In view of the DT’s widespread use internationally by non-mental health clinicians in cancer to guide the need for specialist mental health interventions, its potential utility in also predicting suicide risk is of great interest.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-022-06801-4</identifier><identifier>PMID: 35201384</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accuracy ; Cancer ; Cancer patients ; Care and treatment ; Health aspects ; Health risks ; Humans ; Measuring instruments ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Mental health ; Neoplasms - psychology ; Nursing ; Nursing Research ; Oncology ; Original ; Original Article ; Pain Medicine ; Questionnaires ; Rehabilitation Medicine ; Retrospective Studies ; Risk factors ; Stress, Psychological - diagnosis ; Stress, Psychological - epidemiology ; Stress, Psychological - etiology ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Suicides & suicide attempts ; Thermometers</subject><ispartof>Supportive care in cancer, 2022-06, Vol.30 (6), p.5047-5053</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-97bf2ed841fcafd5b522cdce36a86d658204f6202c6274f8e50cef958347279c3</citedby><cites>FETCH-LOGICAL-c541t-97bf2ed841fcafd5b522cdce36a86d658204f6202c6274f8e50cef958347279c3</cites><orcidid>0000-0002-0069-4183</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-022-06801-4$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-022-06801-4$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35201384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiang, Yung-Chih</creatorcontrib><creatorcontrib>Couper, Jeremy</creatorcontrib><creatorcontrib>Chen, Jing-Wen</creatorcontrib><creatorcontrib>Lin, Ke-Jui</creatorcontrib><creatorcontrib>Wu, Han-Ping</creatorcontrib><title>Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
This study aimed to assess the association between the Distress Thermometer (DT) score and risk of suicide in patients with cancer. In addition, we aimed to determine the best cutoff score to predict patients at risk of suicide.
Methods
From 2015 to 2016, we retrospectively collected data on patients with cancer. DT scores were collected, and the association between DT score and risk of suicide (suicide ideation or death ideation) was analyzed. Furthermore, receiver operating characteristic (ROC) analysis was performed to identify the appropriate cutoff score for predicting risk of suicide.
Results
A total of 260 patients with cancer were included, and suicidal ideation was identified in 33 cases referred for psychological intervention. The DT scores of the patients with suicidal ideation were significantly higher than those of patients without suicidal ideation (6.30±2.11 vs. 4.29±1.72,
p
<0.05). In addition, the area under the ROC curve for predicting risk for suicide was 0.758. The cutoff DT score of 3 had the highest sensitivity of 1.00 to rule out suicidal ideation, while 9 had the highest specificity of 1.00 to rule in suicidal ideation. Moreover, the appropriate cutoff DT score to predict patients with suicidal ideation was 5, with a sensitivity of 0.52, specificity of .84, positive likelihood ratio of 3.24, and negative likelihood ratio of 0.58.
Conclusion
The DT score may be a helpful clinical tool to evaluate emotional distress and risk of suicide in patients with cancer. Clinically, for DT scores greater than 5 in patients with cancer, the risk of suicide greatly increases. In view of the DT’s widespread use internationally by non-mental health clinicians in cancer to guide the need for specialist mental health interventions, its potential utility in also predicting suicide risk is of great interest.</description><subject>Accuracy</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Health aspects</subject><subject>Health risks</subject><subject>Humans</subject><subject>Measuring instruments</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Mental health</subject><subject>Neoplasms - psychology</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Questionnaires</subject><subject>Rehabilitation Medicine</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Stress, Psychological - diagnosis</subject><subject>Stress, Psychological - epidemiology</subject><subject>Stress, Psychological - etiology</subject><subject>Suicidal behavior</subject><subject>Suicidal Ideation</subject><subject>Suicide</subject><subject>Suicides & suicide attempts</subject><subject>Thermometers</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kktvEzEUhS1ERUPgD7BAltiwmdbP8cwGqSpPqVJZlC2W47lOXGbsYHuC-Pc4pPSBEPLC0r3fOVfXPgi9oOSEEqJOMyGSkYYw1pC2I7QRj9CCCs4bxXn_GC1IL2qRS3mMnuZ8TQhVSrIn6JhXHeWdWKCvnxMM3ha_A7wz4ww4Olw2gN_6XBLkjK82kKY4QYGEs40JsIsJJ5-_7dE8e-sHwD7grSkeQsn4hy8bbE2wkJ6hI2fGDM9v7iX68v7d1fnH5uLyw6fzs4vGSkFL06uVYzB0gjpr3CBXkjE7WOCt6dqhlR0jwrWMMNsyJVwHklhwvey4UEz1li_Rm4Pvdl5NUJWhJDPqbfKTST91NF4_7AS_0eu40z0RLWeqGry-MUjx-wy56MlnC-NoAsQ5a1apjihCWUVf_YVexzmFul6lpOyZ6Pp71NqMoH1wsc61e1N9Vm0qsv-CJTr5B1XPAJO3MYDztf5AwA4Cm2LOCdztjpTofSr0IRW6pkL_ToUWVfTy_uvcSv7EoAL8AOTaCmtIdyv9x_YX5d7Brg</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Chiang, Yung-Chih</creator><creator>Couper, Jeremy</creator><creator>Chen, Jing-Wen</creator><creator>Lin, Ke-Jui</creator><creator>Wu, Han-Ping</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0069-4183</orcidid></search><sort><creationdate>202206</creationdate><title>Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer</title><author>Chiang, Yung-Chih ; Couper, Jeremy ; Chen, Jing-Wen ; Lin, Ke-Jui ; Wu, Han-Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-97bf2ed841fcafd5b522cdce36a86d658204f6202c6274f8e50cef958347279c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Accuracy</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Humans</topic><topic>Measuring instruments</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Mental health</topic><topic>Neoplasms - psychology</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Questionnaires</topic><topic>Rehabilitation Medicine</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - epidemiology</topic><topic>Stress, Psychological - etiology</topic><topic>Suicidal behavior</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicides & suicide attempts</topic><topic>Thermometers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiang, Yung-Chih</creatorcontrib><creatorcontrib>Couper, Jeremy</creatorcontrib><creatorcontrib>Chen, Jing-Wen</creatorcontrib><creatorcontrib>Lin, Ke-Jui</creatorcontrib><creatorcontrib>Wu, Han-Ping</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiang, Yung-Chih</au><au>Couper, Jeremy</au><au>Chen, Jing-Wen</au><au>Lin, Ke-Jui</au><au>Wu, Han-Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2022-06</date><risdate>2022</risdate><volume>30</volume><issue>6</issue><spage>5047</spage><epage>5053</epage><pages>5047-5053</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
This study aimed to assess the association between the Distress Thermometer (DT) score and risk of suicide in patients with cancer. In addition, we aimed to determine the best cutoff score to predict patients at risk of suicide.
Methods
From 2015 to 2016, we retrospectively collected data on patients with cancer. DT scores were collected, and the association between DT score and risk of suicide (suicide ideation or death ideation) was analyzed. Furthermore, receiver operating characteristic (ROC) analysis was performed to identify the appropriate cutoff score for predicting risk of suicide.
Results
A total of 260 patients with cancer were included, and suicidal ideation was identified in 33 cases referred for psychological intervention. The DT scores of the patients with suicidal ideation were significantly higher than those of patients without suicidal ideation (6.30±2.11 vs. 4.29±1.72,
p
<0.05). In addition, the area under the ROC curve for predicting risk for suicide was 0.758. The cutoff DT score of 3 had the highest sensitivity of 1.00 to rule out suicidal ideation, while 9 had the highest specificity of 1.00 to rule in suicidal ideation. Moreover, the appropriate cutoff DT score to predict patients with suicidal ideation was 5, with a sensitivity of 0.52, specificity of .84, positive likelihood ratio of 3.24, and negative likelihood ratio of 0.58.
Conclusion
The DT score may be a helpful clinical tool to evaluate emotional distress and risk of suicide in patients with cancer. Clinically, for DT scores greater than 5 in patients with cancer, the risk of suicide greatly increases. In view of the DT’s widespread use internationally by non-mental health clinicians in cancer to guide the need for specialist mental health interventions, its potential utility in also predicting suicide risk is of great interest.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35201384</pmid><doi>10.1007/s00520-022-06801-4</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-0069-4183</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Accuracy Cancer Cancer patients Care and treatment Health aspects Health risks Humans Measuring instruments Medical research Medicine Medicine & Public Health Medicine, Experimental Mental health Neoplasms - psychology Nursing Nursing Research Oncology Original Original Article Pain Medicine Questionnaires Rehabilitation Medicine Retrospective Studies Risk factors Stress, Psychological - diagnosis Stress, Psychological - epidemiology Stress, Psychological - etiology Suicidal behavior Suicidal Ideation Suicide Suicides & suicide attempts Thermometers |
| title | Predictive value of the Distress Thermometer score for risk of suicide in patients with cancer |
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