Suicide in cancer patients in South East England from 1996 to 2005: a population-based study

被引:57
作者
Robinson, D. [1 ]
Renshaw, C. [1 ]
Okello, C. [1 ]
Moller, H. [1 ]
Davies, E. A. [1 ]
机构
[1] Kings Coll London, Div Canc Studies, Thames Canc Registry, London SE1 3QD, England
关键词
suicide; standardised mortality ratio; fatality; deprivation; RISK; DIAGNOSIS; MORTALITY; REGISTER; IDEATION; WOMEN;
D O I
10.1038/sj.bjc.6605110
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BACKGROUND: Studies from around the world have shown that suicide risk is increased in cancer patients, but no previous detailed analysis has been carried out in England. METHODS: We calculated standardised mortality ratios (SMRs) for suicide in 206 129 men and 211 443 women diagnosed with cancer in South East England between 1996 and 2005, relative to suicide rates in the general population. RESULTS: We found a significantly increased risk of suicide in men (SMR 1.45, 95% confidence interval (CI) 1.20-1.73) and a moderately increased risk in women (SMR 1.19, 95% CI 0.88-1.57). In both sexes, relative risk of suicide was greatest in the first year after cancer diagnosis (SMR for men 2.42, 95% CI 1.84-3.13; SMR for women 1.44, 95% CI 0.82-2.33), and was also greater in individuals diagnosed with types of cancer with high fatality (SMR for men 2.67, 95% CI 1.71-3.97; SMR for women 2.17, 95% CI 0.80-4.73). CONCLUSION: There is a critical period immediately after the diagnosis of cancer during which the excess risk of suicide is particularly high. Carers need to be aware of the importance of attending to both the physical and emotional needs of cancer patients and cancer survivors. British Journal of Cancer (2009) 101, 198-201. doi: 10.1038/sj.bjc.6605110 www.bjcancer.com Published online 26 May 2009 (C) 2009 Cancer Research UK
引用
收藏
页码:198 / 201
页数:4
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