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Background: Suicide is a major cause of death among young adults, and elucidating their experiences of suicidal behavior is important in suicide prevention. This study aimed to explore the factors related to suicidal ideation and behavior in college students. Students’ responses and coping strategies for distress caused by these factors were also explored.Methods: The study conducted semi-structured interview with 24 college students (mean age=21.3, 75% female) who were at elevated risk of suicide. The transcripts were analyzed based on the consensual qualitative research method.Results: The participants reported experiencing repeated frustrations in pursuing academic and career paths, as well as social isolation, conflict, or social comparison. In response to these stressors, they experienced negative emotions, such as depression and feeling of being a burden. Negative thoughts about the self and future also emerged. A lack of understanding of why they experienced distress and how to manage the distress led the participants to engage in maladaptive responses, such as avoidance. These factors contributed to increasing their risk of suicidal ideation and behavior. Meanwhile, the factors that deterred them from making a lethal suicide attempt were their lack of capability, their concern about their family and friends, and social support from the latter.Conclusions: Repeated frustration and interpersonal distress were major factors related to increased suicidal ideation and behavior in college students. Suicide prevention in young adults may benefit from addressing negative impact of these factors.

In this study, we evaluated the incidence and outcomes of pregnancy after breast cancer was diagnosed in women of childbearing age. Additionally, we evaluated the prognosis of patients who became pregnant after breast cancer, according to the treatment.This was a retrospective cohort study of women aged 20-45 years who were surgically treated for breast cancer between 2004 and 2014 using the Korean National Health Insurance database. The patients were classified into six groups according to the treatment. Propensity score matching was applied to the cohort to analyze the risk of breast cancer-associated mortality after pregnancy and childbirth.Of the 45,765 patients who had been newly diagnosed with breast cancer, 1826 (4%) became pregnant after breast cancer diagnosis. Among the pregnant group, the HR of the risk of death was 0.15 (95% CI, 0.06 to 0.36) for patients who became pregnant ≥49 months after the diagnosis. In patients who received endocrine therapy and chemotherapy, the pregnant group had better prognosis than the non-pregnant group. There was no significant difference between the pregnant group and the non-pregnant group in patients who received chemotherapy and trastuzumab with or without endocrine therapy.The risk of death was low in women who became pregnant ≥49 months after the diagnosis of breast cancer. The prognosis of pregnant women was non-inferior to that of non-pregnant women, even in women who received trastuzumab. These findings provide reassurance to patients with HER2-positive cancer who are considering future pregnancy.

Cancer patients and their family caregivers have reported various needs that are not met. Recognition of the unmet needs by healthcare professionals may be a first step to adequately and systematically addressing them. Thus, the International Psycho-Oncology Society Survivorship Online Survey was developed to measure healthcare professionals' evaluation about the unmet needs of their patients and family caregivers around the globe.The survey was developed in English and translated to additional 14 different languages. The survey was distributed on the web-based REDCap application to over 50 psycho-oncology societies and their networking platforms as well as social media and to authors who have published in psycho-oncology journals globally.A total of 1472 participants from 36 countries at least partially completed the survey. Healthcare professionals evaluated needs for managing one's emotional distress and patients' medical care and symptoms as the most common concerns for both patients and their family caregivers across all patient age groups. Less than two-thirds of the participating healthcare professionals reported that their institution had services or programs to address the needs of the patients or caregivers.Findings suggest several directions for further analyses to provide more specific information that would be readily translated into clinical practices, research, and policy aimed to enhance the quality of life of cancer patients, survivors, and family caregivers around the globe. In addition, this collaborative effort also hints at the importance of establishing international networks to promote equity in care for people touched by cancer worldwide.

To examine the trajectory of anger and its psychosocial predictors (i.e., perceived social inequality, relative deprivation, and loneliness) as well as its association with anxiety and depression.Students (Three trajectories of anger were identified by growth mixture modeling:These results suggest that interventions targeted at anger may benefit from addressing perceptions of relative deprivation and loneliness.

Despite an established relationship between financial stress and suicide risk, factors that may influence this relationship are unclear. This study examined whether the belief that the world is fair and people generally get what they deserve (i.e., belief in a just world: BJW) moderates the financial stress-suicide risk relationship in university students. A total of 365 university students completed an online survey three times between May 2019 and April 2020. Multilevel model analyses indicated that financial stress increased suicide risk, after controlling for demographic factors and depression. The level of BJW-self and BJW-others moderated the relationship between financial stress and suicide risk. Specifically, the negative impact of financial stress on suicide risk was significant in students with a low or mean level of BJW-self, but not in those with a high level of BJW-self. Financial stress had a significant negative impact at all levels of BJW-others, with a stronger impact on students with lower levels of BJW others. These results suggest a need to address lower BJW, as it may worsen the financial stress-suicide risk relationship.

Using a parallel-process latent growth model (LGM), this study examined whether posttraumatic stress symptoms (PTSS) are associated with the trajectory of sleep disturbance (SD) and fatigue and whether the SD trajectory mediates the PTSS-fatigue relationship.Data were from 215 patients with breast cancer recruited from a tertiary hospital in South Korea. A self-report survey was administered at four time points during the course of adjuvant chemotherapy.The mean age of the participants was 46.69 (SD = 9.08) and the majority was at stage I and the average months since diagnosis was 1.33 (SD = 1.43). Unconditional parallel-process LGM indicated that SD and fatigue were positively associated with each other, both in terms of initial status and growth rate. Then, the conditional parallel-process LGM with baseline PTSS (i.e., avoidance, intrusion, and hyperarousal) as predictors were examined and anxiety, depressive symptoms and chronotype were entered as covariates in the model. Results indicated that a higher initial status and faster growth of SD were associated with a faster increase in fatigue. Greater baseline hyperarousal was directly related to a higher initial status and a slower increase in SD, and higher initial fatigue. Furthermore, a higher hyperarousal was associated with a greater initial SD, which was related to a faster increase in fatigue. Additionally, the late chronotype was related to a faster increase in fatigue through its impact on the initial SD.The detrimental impact of hyperarousal on the SD trajectory and fatigue suggests the need to intervene in PTSS and SD early and throughout the course of cancer treatments to prevent fatigue.