To explore the role of culture in communicating with cancer patients about mental health distress and suicidality. The Grounded Theory method of data collection and analysis was used. Healthcare professionals (HCPs) reported that language competency was a facilitator while being unable to speak the language or understand the nuances of their patient's communication could be a barrier. HCPs noted that being culturally matched with their patients helped them communicate effectively. HCPs also spoke about religious taboos on suicide as being a barrier to having conversations, either because patients did not feel comfortable discussing these issues, or because they perceived that this was not a topic they could bring up. Some HCPs reported that the culture/ethnicity of their patients had no effect on their ability to communicate effectively with them about mental health distress or suicidality. Advancing effective cross-cultural communication is a challenge faced by HCPs. Raising awareness about communication styles is an important step in addressing communication gaps about mental health and suicide with cancer patients. Training should facilitate skill development to engage in a culturally humble approach to cross-cultural communication including diversity training which encourages asking and actively listening to patients' needs and preferences.

中文翻译：

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文化/民族在与癌症患者沟通有关心理健康困扰和自杀的作用。

探索文化在与癌症患者沟通有关心理健康困扰和自杀的作用。使用了数据收集和分析的扎根理论方法。医护人员（HCP）报告说，语言能力是一个促进因素，而又不会说语言或无法理解患者沟通的细微差别可能会成为障碍。HCP指出，与患者进行文化匹配可以帮助他们有效沟通。HCP还谈到宗教上的自杀禁忌是进行对话的障碍，这可能是因为患者对讨论这些问题感到不舒服，或者是因为他们认为这不是他们可以提出的话题。一些HCP报告说，患者的文化/种族对他们与精神健康困扰或自杀的有效沟通能力没有影响。推进有效的跨文化交流是HCP面临的挑战。提高对沟通方式的意识是解决与癌症患者有关心理健康和自杀的沟通差距的重要一步。培训应促进技能发展，以一种文化上谦逊的方式进行跨文化交流，包括多元化培训，以鼓励提出并积极倾听患者的需求和喜好。提高对沟通方式的意识是解决与癌症患者有关心理健康和自杀的沟通差距的重要一步。培训应促进技能发展，以一种文化上谦逊的方式进行跨文化交流，包括多元化培训，以鼓励提出并积极倾听患者的需求和喜好。提高对沟通方式的意识是解决与癌症患者有关心理健康和自杀的沟通差距的重要一步。培训应促进技能发展，以一种文化上谦逊的方式进行跨文化交流，包括多元化培训，以鼓励提出并积极倾听患者的需求和喜好。