INCREASED SUICIDE RATE IN CANCER-PATIENTS - A COHORT STUDY BASED ON THE SWEDISH CANCER-ENVIRONMENT REGISTER
INCREASED SUICIDE RATE IN CANCER-PATIENTS - A COHORT STUDY BASED ON THE SWEDISH CANCER-ENVIRONMENT REGISTER
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DOI：
10.1016/0895-4356(89)90003-6
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发表时间：
1989-01-01
影响因子：
7.2
通讯作者：
RINGBACK, G
中科院分区：
文献类型：
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作者：
ALLEBECK, P;BOLUND, C;RINGBACK, G
利用瑞典癌症-环境登记册，在国家死因登记册中跟踪了424,127名癌症患者，目的是分析癌症患者与普通人群相比的自杀率。自杀的总体标化死亡率比(SMR)男性为1.9(95%可信区间1.8-2.1)，女性为1.6(1.5-1.8)。癌症确诊后第一年自杀率最高，男性SMR为16.0(13.5~18.9)，女性为15.4(11.2~20.6)。不同肿瘤部位的自杀率无显著差异，但肺癌和上呼吸道癌(男女)和胃肠道肿瘤(男性)的自杀率较高。我们的结果证实了癌症患者自杀率上升的先前发现，并表明需要进一步关注癌症患者护理和治疗的社会和心理方面。
Using the Swedish Cancer-Environment Register, 424,127 cancer patients were followed in the national cause-of-death register with the aim of analysing the suicide rate among cancer patients compared with the general population. The overall Standardized Mortality Ratio (SMR) in suicide was 1.9 (95% confidence interval 1.8-2.1) for males and 1.6 (1.5-1.8) for females. The suicide rate was highest during the first year after cancer diagnosis, with an SMR of 16.0 (13.5-18.9) in males and 15.4 (11.2-20.6) in females. There were no substantial differences in suicide rate between different sites of tumor, although higher suicide rates were observed in patients with cancer in the lungs and upper airways (both sexes) and with gastro-intestinal tumors (males). Our results corroborate previous findings of an increased suicide rate among cancer patients, and indicate a need for further attention to social and psychological aspects of the care and treatment of cancer patients.