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Oncology healthcare professionals’ perceptions, explanatory models, and moral views on suicidality

  • Leeat GranekEmail author
  • Ora Nakash
  • Samuel Ariad
  • Shahar Shapira
  • Merav Ben-David
Original Article
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Abstract

Purpose

To explore how oncologists, oncology nurses, and oncology social workers perceive suicidality (suicidal ideation, suicidal acts, and completed suicides) in patients with cancer that they are in contact with.

Methods

The grounded theory method of data collection and analysis was used. Sixty-one oncology healthcare professionals from two university-affiliated cancer centers in Israel were interviewed.

Results

The findings resulted in three main categories that included perceptions of suicidality, explanatory models of suicidality, and moral views on suicide. Healthcare professionals considered suicidality in their patients to be a cry for help, a sign of distress, or an attempt at attention seeking. Participants explained suicidality as stemming from a biological disease, from mental illness, as an aberration, or as an impulsive, irrational act. Moral views on suicidality were split among those who were mostly accepting of these patients’ actions versus those who rejected it outright. A third group of healthcare professionals expressed ambivalence about suicidality in their patients.

Conclusions

Healthcare professionals vary greatly in their perceptions on suicide. Some view the act as part of a patient’s choice and autonomy while others view it negatively. Healthcare providers should receive support in handling patient’s suicidality.

Keywords

Cancer Oncology Suicide Oncologists Nurses Social workers 

Notes

Funding

This work was supported by the American Foundation for Suicide Prevention (Pilot Research Grant to Granek).

Compliance with ethical standards

Approvals were obtained from the Research Ethics Board prior to launching the study (IRB numbers 2105-13 and 2345-15). Participants signed a consent form and agreed to the interview being audio recorded.

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Public Health, Faculty of Health SciencesBen-Gurion University of the NegevBeer ShevaIsrael
  2. 2.School for Social WorkSmith CollegeNorthamptonUSA
  3. 3.Baruch Ivcher School of PsychologyInterdisciplinary CenterHerzilyaIsrael
  4. 4.Department of Oncology, Soroka University Medical CenterBen-Gurion University of the NegevBeer ShevaIsrael
  5. 5.Gender Studies ProgramBen-Gurion University of the NegevBeer ShevaIsrael
  6. 6.Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
  7. 7.Radiation OncologySheba Medical CenterRamat-GanIsrael

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