Abstract

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.

Original languageEnglish (US)
Article number207
JournalNature communications
Volume10
Issue number1
DOIs
StatePublished - Dec 1 2019

Fingerprint

Suicide
cancer
Epidemiology
Neoplasms
lungs
Lung Neoplasms
SEER Program
epidemiology
testes
bladder
mortality
Head and Neck Neoplasms
surveillance
Hodgkin Disease
Population
Testis
Colorectal Neoplasms
Prostatic Neoplasms
Urinary Bladder
Mortality

All Science Journal Classification (ASJC) codes

  • Chemistry(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Physics and Astronomy(all)

Cite this

@article{1020269bac0a45779910b562a0a5f473,
title = "Suicide among cancer patients",
abstract = "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.",
author = "Nicholas Zaorsky and Ying Zhang and Leonard Tuanquin and Shirley Bluethmann and Park, {Henry S.} and Vernon Chinchilli",
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Suicide among cancer patients. / Zaorsky, Nicholas; Zhang, Ying; Tuanquin, Leonard; Bluethmann, Shirley; Park, Henry S.; Chinchilli, Vernon.

In: Nature communications, Vol. 10, No. 1, 207, 01.12.2019.

Research output: Contribution to journalArticle

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