Relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea: A national survey analysis

Asia Pac J Oncol Nurs. 2024 Oct 31:12:100611. doi: 10.1016/j.apjon.2024.100611. eCollection 2025 Dec.

Abstract

Objective: This study aimed to investigate the relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea, with a focus on sociodemographic and employment-related factors.

Methods: A secondary analysis of data from 874 cancer survivors, retrieved from the 2015, 2017, and 2019 Korean National Health and Nutrition Examination Surveys, was conducted. Key variables included employment status, household income, marital status, perceived depression, and suicidal ideation. Data were analyzed using descriptive statistics and chi-square tests.

Results: Female cancer survivors reported higher rates of perceived depression compared to male survivors. Survivors with lower household incomes or without spouses experienced elevated levels of both perceived depression and suicidal ideation. Those in the nonworking group exhibited significantly higher rates of these psychological challenges compared to those who had returned to work. However, the type of job performed was not associated with perceived depression or suicidal ideation.

Conclusions: Returning to work, regardless of job type, is associated with improved psychological health among cancer survivors, emphasizing the importance of employment in fostering social interaction and emotional stability. Interventions supporting the return-to-work process and addressing the specific needs of vulnerable groups are critical for improving the overall well-being of cancer survivors.

Keywords: Cancer survivors; Perceived depression; Return to work; Suicidal ideation.