Suicidal Ideation Factors and Coping Mechanisms Among Breast and Cervical Cancer Women in Harar, Ethiopia: A Qualitative Study

Background: Cancer-related suicidal ideations and coping mechanisms vary from country to country and region to region within a country. So, identifying these can help in interventions, thereby reducing suicidal risks, morbidity, and mortality. Purpose: The aim of this study was to explore suicidal ideation factors and coping mechanisms among breast and cervical cancer women in Harar, Ethiopia. Methods: A qualitative study was applied using an interview guide. The interviews were then transcribed verbatim and analyzed using an inductive thematic approach. The study was conducted in one large regional oncology center in Harar, Ethiopia. A purposive sample of 23 women (nine with cervical cancer and 14 with breast cancer) was individually interviewed, aided by a voice recorder and field notes between June and August 202023. Findings: Twenty-three women (nine with cervical cancer and 14 with breast cancer) were involved in the study. Six key suicidal ideation factors were explored, influenced by self-perception, family and society, income, cancer information, traditional healers, and witch doctors. Coping mechanisms included acceptance, religious practices, advice from friends, counseling from professionals, non-disclosure, and sports. Conclusion: Factors of suicidal ideation for cancer women (breast and cervical) emanated from self, family, society, income, and information, and they different coping mechanisms. Therefore, it is imperative to develop patient-family-societal, culturally sensitive, and inclusive programs that address factors contributing to suicide.