A powerful safety net : social support moderates the association of quality of life deficits with suicidal ideation in long-term childhood cancer survivors
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Abstract
Objectives:
Cancer survivors are at risk for suicidality. We aimed to expand the knowledge about protective factors and their interplay with risk factors by testing social support as a modifier of the association of Quality of Life (QoL) deficits with suicidal ideation.
Research approach:
We surveyed N = 633 childhood cancer survivors (CCS) using validated questionnaires (EORTC Core Quality of Life questionnaire QLQ-C30, Patient Health Questionnaire PHQ-9). The interaction of QoL and social support was investigated using multiple linear regression analysis.
Findings:
CCS reporting suicide attempts and current suicidal ideation (SI) had lower QoL. CCS with SI reported less social support. QoL and social support were independently associated with SI and interacted: among CCS with less social support, low QoL was more strongly associated with SI.
Conclusion:
The results highlight the need for interdisciplinary survivorship care, and to focus on risk and protective factors to strengthen suicide prevention.
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Journal of psychosocial oncology, Version of Record (VoR), Taylor & Francis, Philadelphia, Pa, 2024, https://doi.org/10.1080/07347332.2024.2379827