Suicide among cancer patients

Our purpose is to identify cancer patients at highest risk of suicide compared to the general population and other cancer patients. This is a retrospective, population-based study using nationally representative data from the Surveillance, Epidemiology, and End Results program, 1973-2014. Among 8,65...

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Vydáno v:Nature communications Ročník 10; číslo 1; s. 207 - 7
Hlavní autoři: Zaorsky, Nicholas G., Zhang, Ying, Tuanquin, Leonard, Bluethmann, Shirley M., Park, Henry S., Chinchilli, Vernon M.
Médium: Journal Article
Jazyk:angličtina
Vydáno: London Nature Publishing Group UK 14.01.2019
Nature Publishing Group
Nature Portfolio
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ISSN:2041-1723, 2041-1723
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Shrnutí:Our purpose is to identify cancer patients at highest risk of suicide compared to the general population and other cancer patients. This is a retrospective, population-based study using nationally representative data from the Surveillance, Epidemiology, and End Results program, 1973-2014. Among 8,651,569 cancer patients, 13,311 committed suicide; the rate of suicide was 28.58/ 100,000-person years, and the standardized mortality ratio (SMR) of suicide was 4.44 (95% CI, 4.33, 4.55). The predominant patients who committed suicide were male (83%) and white (92%). Cancers of the lung, head and neck, testes, bladder, and Hodgkin lymphoma had the highest SMRs ( > 5-10) through the follow up period. Elderly, white, unmarried males with localized disease are at highest risk vs other cancer patients. Among those diagnosed at < 50 years of age, the plurality of suicides is from hematologic and testicular tumors; if > 50, from prostate, lung, and colorectal cancer patients. Cancer patients are at an increased risk of suicide: elderly, white, unmarried males with localized disease are at highest risk vs other cancer patients. Among those diagnosed at < 50 years of age, the plurality of suicides is from hematologic and testicular tumors; if > 50, from prostate, lung, and colorectal cancer patients.
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ISSN:2041-1723
2041-1723
DOI:10.1038/s41467-018-08170-1