The emergency department serves as the first point of contact for patients who have attempted suicide, playing a crucial role in identifying and managing their risk of subsequent suicide behaviours. However, evidence-based protocols for managing the repeat suicide risk are currently lacking in Chinese emergency departments. This study aimed to develop a preliminary, evidence-informed protocol for managing repeat suicide risk among emergency department patients who have already attempted suicide. A two-phase exploratory sequential mixed-methods design was employed. Phase 1 involved evidence synthesis and semi-structured interviews to develop a preliminary protocol draft. Phase 2 utilized a two-round Delphi expert consultation to revise and finalize the protocol. In the first phase, three themes were identified: behavioural attitudes toward suicide prevention, subjective norms of significant others and perceived behavioural control among healthcare providers. In the second phase, 19 experts completed two rounds of Delphi consultation. This resulted in a consensus protocol with 4 primary indicators (organiszational support, safety assurance, suicide assessment and intervention measures), 12 secondary indicators and 38 tertiary indicators. The expert panel demonstrated good authority and coordination (Cr = 0.927, Ca = 0.958), achieving a high level of consensus (Kendall's W = 0.292 and 0.385, p < 0.001) across two rounds. The risk management protocol developed in this study is actionable and focused. It provides a valuable reference for future clinical practice and related research in managing repeat suicide risk among such patients.

Background Humanistic caring in China has developed rapidly in recent years; however, patients' satisfaction with nurses' humanistic caring remains moderate. To date, there has been no nationwide, multi-centre, large-sample survey exploring nurses' knowledge, attitudes, and practices (KAP) regarding humanistic caring, which limits the identification of gaps and evidence-based strategies for improvement. Aim This study aimed to assess the levels of knowledge, attitude, and practices regarding humanistic caring among nurses in tertiary hospitals across China, and to analyze the associated influencing factors, thereby providing a data-driven foundation and practical evidence for developing targeted improvement strategies. Method A multi-centre cross-sectional survey was conducted from July to August 2022 in 25 provinces (cities and districts) across China. Nurses meeting the inclusion and exclusion criteria were recruited through convenience sampling in tertiary hospitals. Data were collected using a self-developed demographic questionnaire and The Knowledge, Attitudes and Practices of Clinical Nursing Staff on Humanistic Care Questionnaire developed by Li Yuqin. The original scale demonstrated excellent reliability and validity (content validity index = 0.980; Cronbach's alpha = 0.982; test-retest reliability = 0.983), and the Cronbach's alpha in the present study was 0.991 (P < 0.001). Questionnaires were distributed and collected via the online platform Questionnaire Star. A total of 14,305 valid responses were obtained, yielding an effective response rate of 99.72%. Data were analyzed using SPSS version 26.0 for descriptive and inferential statistics. Result Among the 14,305 participants from 25 provinces, 95.48% were female, with a mean age of 32.37 +/- 6.62 years; 85.53% held at least a bachelor's degree. Notably, 42.17% had never received humanistic caring training. The mean scores for knowledge, attitude, and practice were 80.24%, 83.62%, and 87.95%, respectively, with practice scoring highest and knowledge lowest. Significant differences in KAP scores were observed across gender, region, department, professional title, work experience, and job-related factors (all P < 0.05). Nurses who expressed love for nursing, engaged in self-caring, received family support, and were satisfied with their work and salary or had undergone humanistic caring training achieved significantly higher scores in all three dimensions (P < 0.001). Stepwise multiple regression identified job and salary satisfaction, enthusiasm for nursing, self-caring awareness, and prior training as major positive predictors of knowledge and attitude, whereas knowledge and attitude significantly predicted humanistic caring practices. Correlation analysis confirmed strong positive associations among the three dimensions (r = 0.636-0.827, P < 0.001), aligning with the KAP theoretical model. Conclusion Chinese clinical nurses demonstrate moderate levels of knowledge and attitudes toward humanistic caring but relatively strong humanistic caring behaviors. Training programs should be strengthened, with content emphasizing the concept, significance, and core competencies of humanistic caring. Hospitals are encouraged to integrate humanistic values into organizational management and promote a supportive humanistic caring culture to enhance nurses' humanistic practice.

Objective This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization. Methods A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0. Results Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71). Conclusions Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.

The purpose of this study is to examine the validity, reliability and methodological quality of delirium scales that have been translated and adapted in China using quality assessment tools. A comprehensive search was conducted in PubMed, Embase, Web of Science, China Knowledge Network (CNKI), VIP database, Wanfang database, and China Biomedical Literature Database. The search covered the period from the establishment of the database until September 1, 2023. Two researchers independently screened the literature and extracted data. Studies were included if they focused on the translation of a delirium scale from English into simplified or traditional Chinese, with a study population aged ≥ 18 years and full text available. The risk of bias was assessed through the QUADAS-2 instrument. Level of evidence recommendation is completed with the GRADE and performed with GRADE GPT. Due to high heterogeneity across studies, a random-effects model was applied to calculate diagnostic accuracy indicators (sensitivity, specificity, and area under the curve index). This study has registered in the prospero. Thirteen studies were included, of which 2 were case–control studies and 11 were cross-sectional studies. These studies involved 13 adult delirium assessment tools, and were all translated following the Brislin or ISPOR principle. The results of the methodological quality assessment showed that 3D-CAM, 4AT, CAM-ICU, CAM-ICU-7, and S-PTD had higher quality ratings, with 4AT being the highest quality. 4AT, CAM, 3D-CAM, CAM-CR, CAM-ICU, CAM-ICU-7, and Nu-DESC were recommended at a level B. The Cronbach’s coefficient of most studies is over 0.8, and the inter-rater reliability of most studies is near or over 0.9, indicating good internal consistency and stability. Besides, a significant inverse correlation was found between these 13 Chinese-adapted delirium scales and their reference tests, with most studies were over 0.7, and especially 3 studies offered S-CVI and I-CVI value that were all larger than 0.9, indicating a good discriminate validity and content validity, though different cut-off points were recommended by different scales. Moreover, the sensitivity and specificity of these studies were mainly larger than 0.9, which proved the good diagnostic accuracy of these included scales. The pooled sensitivity of 7 Chinese delirium adaption scales that provided statistical data is 0.93 (95

Objective:This study was aimed at exploring the real-world self-care experiences and challenges encountered by hospice nurses caring for terminally ill patients at general hospitals in mainland China. Methods:Semi-structured interviews were conducted with 15 hospice care nurses at 10 general hospitals in China from June 2022 to February 2023. Using Colaizzi's seven-step method, we analyzed and distilled the data into key themes. Results:Three themes were identified: 1) benefits of self-care (personal growth and self-worth affirmation); 2) effective self-care strategies (physical health management, psychological resilience building, support resource mobilisation, and gaining spiritual consolation); and 3) challenges in self-care (professional development-related challenges and work environment-related challenges). The participants consisted of 14 women and 1 man, with the nurses having a maximum of 5 years of hospice experience. Despite efforts to balance participant numbers from different levels of hospital-based hospice care units, more hospice nurses from provincial tertiary general hospitals were recruited. This imbalance may limit the generalizability of the findings to other health care settings. Conclusions:This study highlighted the importance and benefits of self-care for hospice nurses. Implementing effective self-care strategies can strengthen hospice nurses' well-being and psychological resilience, expand their access to support resources, and ultimately improve the quality of care. Health care institutions and hospice providers should prioritize understanding and promotion of self-care practices among hospice nurses.

Objective To investigate whether the relationship between social support and demoralization in Chinese patients with lung cancer is mediated. Methods Between January and June of 2024, a comprehensive cross-sectional investigation was carried out at three top-tier hospitals in Hubei Province, China. A grand total of 418 individuals diagnosed with lung cancer participated in the research by filling out confidential self-assessment questionnaires. To gauge the mediating and moderating influences, the bootstrapping technique was applied for regression analysis. Results Among 418 patients with cancer, demoralization was negatively correlated with both social support (ρ ​= ​0.638, P ​< ​0.01) and self-efficacy (ρ ​= ​-0.749, P ​< ​0.01). Social support significantly predicted self-efficacy (B ​= ​0.334, P ​< ​0.01), which in turn was strongly associated with reduced demoralization (B ​= ​-1.130, P ​< ​0.001). Additionally, symptom distress moderated the effect of social support on self-efficacy (B ​= ​-0.003, P ​< ​0.05), with higher distress weakening the positive impact of social support on self-efficacy. Conclusions Social support plays a crucial role in enhancing self-efficacy, which subsequently contributes to the reduction of demoralization. However, it is important to note that symptom distress significantly undermines these beneficial effects, leading to heightened feelings of helplessness and hopelessness.

ObjectiveThe objective of this scoping review was to explore, appraise and synthesize the current literature regarding the incidence, factors influencing, and prevention strategies related to suicide risk among nurses.MethodsAn extensive literature search was conducted using databases such as PubMed, Web of Science, Medline, and Embase from its formation to June 20, 2024, specifically focusing on the suicide-related behaviors of nurses written in Chinese or English. Two researchers independently screened the literature, and disagreements were debated until a consensus was reached. Data extraction was conducted for the studies that were included. The process of data synthesis was carried out using narrative analysis.ResultsThe study encompassed 40 papers from 15 different countries. This study found that nurses’ suicide ideation ranged from 4.3 to 44.58%, while suicide attempts ranged from 2.9 to 12.6%. Based on the stress-vulnerability model, factors influencing nurses’ suicide-related behaviors include vulnerability (personality traits, coping styles), stressors (mental disorders, workplace bullying, etc.) and protective factors (social support, resilience, etc.). The strategies for preventing nurse suicide encompass primary prevention (for all nurses), secondary prevention (for nurses at risk of suicide), and tertiary prevention (for nurses who have attempted suicide).ConclusionThe suicide rate among nurses exceeds that of the general population. Mental disorders and workplace bullying are significant stressors that contribute to nurse suicide. Suicide-related behaviors among nurses can be effectively prevented and managed through the implementation of the tertiary prevention strategies. Primary prevention is essential in reducing suicide. Cognitive exercises and schedule shifts reasonably are primary preventive measures tailored for nurses. This study addresses the gaps in influencing factors about suicide-related behaviors among nurses and the strategies for preventing suicide, and provides a complete review of the current situation of nurses’ suicide-related behaviors, providing references for the safe management of nurses’ suicide.

Background:Given the suboptimal quality of end-of-life care among patients with cancer in China, promoting living wills is critical in this population. Living wills ensure that individuals can receive the medical care they desire during the terminal phase of an illness, maintain their dignity, and ultimately achieve a good death. However, current awareness and attitudes about living wills among Chinese patients with cancer remain unclear. We administered a questionnaire survey on living wills to patients with malignant tumors to assess their most important needs and increase understanding about living wills. Methods:In this cross-sectional study using convenience sampling, inpatients with malignant tumors in Wuhan completed our questionnaire between July 2020 and June 2021. We collected patients' sociodemographic characteristics and details regarding their knowledge and attitudes about living wills. Results:Among 213 patients with malignant tumors, 114 (53.52%) had heard of living wills; 125 (58.69%) expressed their willingness to sign the "Five Wishes" living will document after learning about it through the questionnaire. Patients with malignant tumors had a high level of desire for the following living will items: the lives of family and friends return to normal as soon as possible after their death, maintaining personal hygiene and dignity, and remaining pain-free. The knowledge level of patients with malignant tumors was related to their educational level (p < 0.05) and self-care ability (p < 0.05). Conclusions:Patients with malignant tumors have a high need for comfort, cleanliness, and pain relief in the terminal stages. Patients with a higher level of education and those with poorer self-care ability had greater knowledge and acceptance of living wills. Promotion can first be targeted toward more highly educated patients and can then be gradually expanded to other groups.

ObjectiveThe objective of this review was to provide a comprehensive summary and analysis of the risk factors associated with suicidal ideation among cancer patients.MethodsThis review adhered to the PICO/S framework and guidelines outlined in the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) framework (PROSPERO CRD42023433639). We searched Web of Science, PubMed, Embase, Scopus, PsycINFO, and Cochrane Library from the establishment date of the databases until June 9, 2023 for observational studies that reveal risk factors associated with suicidal ideation among cancer patients. Software Review Manager 5 (vision 5.4) was used for Meta-analyses.Results4,921 studies were obtained through the search of the databases, 40 of which were eligible. Meta-analysis revealed that suicidal ideation in cancer patients was significantly associated with marital status, living alone, post-traumatic stress disorder (PTSD), panic disorder, education, psychiatric illness history, social functioning, childhood adversity experience, financial problems, pain, depression, demoralization, vomiting, residence and anxiety.ConclusionBeing unmarried, living alone, less educated, living in rural, financial problems, pain, vomiting, PTSD, psychiatric illness history, lower social functioning, childhood adversity experience, anxiety, depression, demoralization, panic disorder were risk factors for suicidal ideation among cancer patients. This review provided evidence-based information for identifying and reducing the risk of suicide in cancer survivors.Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, CRD42023433639.

BACKGROUND:A growing body of literature has shown a higher risk of suicide in cancer patients compared with the general population. Early detection of factors related to suicide resilience in cancer patients could prevent loss of life.OBJECTIVE:The study aimed to investigate the serial-multiple mediation of self-care self-efficacy and meaning in life in the relationship between social support and suicide resilience among Chinese cancer patients.METHODS:A cross-sectional investigation of 287 cancer patients using a battery of self-reported questionnaires was performed. For preliminary analyses, descriptive, univariate, and Pearson correlation analyses were performed. Mediation analyses were tested using a serial-multiple mediation model (PROCESS model 6).RESULTS:Mediation analysis indicated the indirect effects of social support on suicide resilience mediated solely by either self-care self-efficacy (point estimate = 0.20; 95% confidence interval [CI], 0.12-0.30), or by meaning in life (point estimate = 0.06; 95% CI, 0.01-0.12), or by the multiple mediation of self-care self-efficacy to meaning in life (point estimate = 0.03; 95% CI, 0.01-0.06).CONCLUSIONS:The findings demonstrated the crucial direct or indirect effects of social support, self-care self-efficacy, and meaning in life on facilitating cancer patients' suicide resilience.IMPLICATIONS FOR PRACTICE:Oncology nurses, as 24-hour care providers for cancer patients, may interact with and be important sources for the psychosocial care of cancer patients at risk of suicide. Prevention and intervention efforts must be directed at assisting cancer patients, improving self-care self-efficacy, and finding meaning in life after a cancer diagnosis.

Objective:To explore the current situation of nursing human caring in hospital wards and analyze its influencing factors, so as to facilitate the development of nursing human caring practice.Methods:From July to November 2022, a total of 107 hospitals were surveyed through stratified convenience sampling method, and 4 072 ward nursing managers were recruited to finish the general information questionnaire and the ward nursing human caring status questionnaire. The general information included the region, class and type of the hospital, etc. The ward nursing human caring status questionnaire included 38 items in 5 dimensions of nursing human caring system and process, humanistic quality and training of nursing staff, humanistic environment and facilities, human caring procedures and measures, and human caring quality evaluation and improvement, with a full score of 190 points. Descriptive statistics were used to analyze the general data, independent samples t-test, ANOVA and correlation analysis were used to analyze the factors influencing the current status of nursing human caring in the ward, while multiple linear regression analysis was used to conduct a multivariate analysis. Results:The score of nursing human caring in hospital wards was 156.91±27.78. Whether the hospital had carried out nursing human caring pilot(demonstration) wards, whether the ward had previously been a hospital nursing human caring pilot(demonstration) nursing unit, the type of ward, and whether nursing managers had participated in human caring training were the influencing factors of the implication of nursing humanistic caring in wards( P<0.05). Conclusions:The practice of nursing human caring in hospital wards is at a good level, but needs to be further strengthened. Nursing managers should take systematically strategies to promote the development of nursing human caring practice.

Objective The aim of this study was to examine whether depression mediates the relationship between symptom distress and suicidal ideation in Chinese patients with ovarian cancer, and whether this mediating effect was moderated by suicide resilience. Methods From March to October 2022, this cross-sectional study was performed in a three Grade 3A hospital and an oncology specialty hospital in Wuhan, Hubei Province, China. Ultimately, 213 ovarian cancer patients completed anonymous self-report. Bootstrapping method was used for regression analysis to test the mediating and moderating effects. Results Among the 213 participants, 29.58% ( n = 63) exhibited significant suicidal ideation. Symptom distress was positively associated with suicidal ideation, and depression partially mediated this relationship. Suicide resilience moderated the relationship between depression and suicidal ideation. In ovarian cancer patients with low suicide resilience, the effect of symptom distress on suicidal ideation through depression was greater, while in patients with high suicide resilience, this effect was attenuated. Conclusion Our study suggests that symptom distress could be more likely to lead to suicidal ideation as depression levels increase in ovarian cancer patients. Fortunately, suicide resilience could attenuate this negative effect.

Objective To investigate the status quo of nurse-to-nurse lateral violence（LV） and nurses′ perceived managerial caring from head nurses in general hospitals, and to analyze the influence of nurses′ perception of head nurses′ managerial caring on nurse-to-nurse LV.Methods Clinical nurses were conveniently selected from six general hospitals in Hubei province, and a cross-sectional survey was conducted by using the general demographic questionnaire, the Caring Assessment Tool-administration, and the Ne-gative Acts Questionnaire.Results A total of 1 905 valid questionnaires were collected.Of the 1 905 participants, 59.11%（1 126/1 905） reported they had experienced LV at least once in the past 6 months.The median total score of nurse-to-nurse LV was 20（IQR:19-26） points, and the total score of nurses′ perceived managerial caring from head nurses averaged（147.24±25.78） points.Multivariate logistic regression analysis showed that high level of shared decision making, and moderate to high levels of respect were protective factors of nurse-to-nurse LV, while moderate to high levels of non-caring were risk factors（all P＜0.05）.Conclusion Nurse-to-nurse LV is common.Nurses perceive high level of managerial caring from head nurses.Head nurses′ caring for nurses is a protective factor for nurse-to-nurse LV.Nursing managers are recommended to reduce the prevalence of nurse-to-nurse LV by increasing their caring for nurses.

To evaluate the national prevalence depression of Chinese cancer patients and clarify its potential associated factors. Twelve databases were searched from database inception through October 31, 2022 for relevant studies published in English (PubMed MEDLINE, Ovid MEDLINE, Embase, Scopus, PsycINFO, and Cochrane and Web of Science) and Chinese (China National Knowledge Infrastructure, Wanfang, Weipu, Chinese Biomedical Literature Service System, Duxiu) that estimated point or period prevalence of depression, depressive disorder, or suicidal ideation as assessed by self-report scale or structured interview. 201 studies were eligible for inclusion in our meta-analyses. We found the national pooled prevalence rates of depression and suicidal ideation were 44.63 % (95 % CI 42.24 %-47.01 %) and 24.95 % (95 % CI 10.96 %-38.95 %), respectively. The pooled prevalence of depression was associated with study location, cancer type, comorbid chronic disease, and female sex (all P < 0.05). The distribution of the depression prevalence among cancer patients in mainland China was characterized by significant geographical variation and clustering. The highest pooled prevalence of depression was among gynecologic oncology patients. We recommend that more attention and resources be given to mental health problems such as depression and suicidal ideation among Chinese cancer patients, and that prevention programs be developed, especially in areas with a high prevalence of depression.

Background Numerous studies have confirmed that patients with ovarian cancer have a relatively high risk of suicidality. Early identification of psychological factors related to suicidal ideation in patients with ovarian cancer may provide effective information for suicide prevention strategies. This study aimed to investigate whether and how suicide resilience and meaning in life moderate the relationship between entrapment and suicidal ideation in patients with ovarian cancer. Methods This was a cross-sectional investigation was conducted in 505 Chinese patients with ovarian cancer. Patients completed a battery of self-reported questionnaires that included the General Information Questionnaire, and Chinese versions of the Entrapment Scale, Scale for Suicidal Ideation, Suicide Resilience Inventory-25, and Meaning in Life Scale. Descriptive statistics, Pearson’ s chi-square, Pearson’ s correlation, and hierarchical multiple linear regression analysis were performed. Results In this study, the prevalence of suicidal ideation reported by patients with ovarian cancer was 32.07%. Patients’ suicidal ideation could be explained by the following three predictors: entrapment × suicide resilience × meaning in life (β = -0.169, p < 0.001), entrapment × suicide resilience (β = -0.148, p < 0.001), and entrapment × meaning in life (β = -0.107, p = 0.005). Conclusion These findings suggest that ovarian cancer patients are prone to suicidal ideation when they feel a sense of entrapment. Enhancing patients’ suicide resilience and meaning in life may be two targeted interventions to reduce suicidal ideation in ovarian cancer patients. In particular, considering both the protective effects of suicide resilience and meaning in life may yield better suicide prevention outcomes than considering only one of these factors.

概述了人文护理临床实践对象、范畴,从实践主题、实践内涵、实践理念、实践标准、实践目标5个方面阐述了人文护理临床实践的基本要素,提出人文护理实践程序包括人文护理评估、计划、实施与评价,以期为人文护理临床实践规范落实提供借鉴与参考.

Objective:Several studies reported that adverse reactions to treatment, neuroticism, marital relations, and quality of life may impact the development of depression in cervical cancer patients treated with radiotherapy and/or chemotherapy, but the associations between them remained unclear. This study investigated the associations between these factors using moderated mediation models.Methods:Data were extracted from a survey involving cervical cancer patients treated with radiotherapy and/or chemotherapy at five tertiary hospitals in Hubei Province, China, from June to December 2022. The SPSS-PROCESS program was used to develop a moderated mediation model to study the roles of neuroticism, quality of life, and marital relations in the association between adverse reactions and depression in the study population.Results:A total of 802 cervical cancer patients treated with radiotherapy and/or chemotherapy (54.84 ± 9.68 years) were recruited. The prevalence of depression among these patients was 72.72%, with four symptom clusters of dizziness-ringing in the ears, digestive system-related symptoms, skin dryness and itching, and urinary frequency-urgency-leakage. Adverse reactions directly and positively affected the occurrence of depression, neuroticism mediated the association between adverse reactions and depression, while this association varied according to the quality of life and marital relations.Conclusion:Our findings suggest that depression is common among cervical cancer patients receiving radiotherapy and/or chemotherapy. Intervention targets for depression in cervical cancer patients should be precisely selected and targeted according to the quality of life and marital relations differences in patients, taking into account the cost of the intervention and the benefit to the patient.

目的 评估妇科肿瘤患者心理弹性水平,并探讨与家庭关怀度、应对方式、负性情绪之间的关系.方法 采用家庭关怀度指数量表、医学应对量表、抑郁-焦虑-压力量表、心理弹性量表对224例妇科肿瘤患者进行调查.结果 妇科肿瘤患者心理弹性总分(50.88±15.17)分.家庭关怀度、医学应对的面对、回避维度与心理弹性呈正相关,负性情绪与心理弹性呈负相关(均P＜0.05).结构方程模型显示,家庭关怀度对妇科肿瘤患者心理弹性的直接预测作用不显著;应对方式、负性情绪在患者家庭关怀度与心理弹性间起完全中介作用,并存在链式中介作用.家庭关怀度、屈服、回避、面对、负性情绪对心理弹性的总效应值分别为0.413、-0.356、0.200、0.186、-0.564.结论 家庭关怀度可以通过应对方式和负性情绪预测妇科肿瘤患者的心理弹性.医护人员可通过实施家庭干预为患者构筑家庭支持网络,指导患者采取合适的应对方式,科学管理负性情绪,以提高其心理弹性水平.

Digestive system cancers are important causes of morbidity and mortality worldwide. Cancer patients are more likely to commit suicide. The objective of this scoping review is to provide a comprehensive and updated sum-mary of the existing literature on suicide among patients with digestive system cancers to identify the incidence and risk factors relevant to suicide in these populations. The PRISMA-Scr (Preferred Reporting Items for Sys-tematic reviews and Meta-Analyses extension protocol for scoping reviews) protocol was used. The review was based on relevant articles published prior to January 2022 in databases of Web of Science and PubMed. The authors identified 21 records that met the criteria for inclusion. Among the 21 articles, 18 (n = 85.7%) reported suicide risk factors, 21 (n = 100%) evaluated the incidence of suicide and 16 (n = 76.2%) involved the variation in suicide rates. Only one study comprehensively reported that the suicide rate for this population was 32.8 per 100,000 years and the standardized mortality ratio (SMR) was 1.91. Most suicides occurred in patients with pan-creatic, esophageal, and gastric cancers. The factors associated with suicide in digestive system cancers included male gender, older age, the white race, single status, advanced stage of disease, and cancer metastasis. The most critical time for suicide was in the early post-diagnostic period. It is indispensable to identify suicide in these can-cer patients, especially those with high-risk factors. In the future, more prospective research may be needed to provide more reliable support and care to prevent suicide.