Heinrich, Michael and Hofmann, Luisa and Baurecht, Hansjoerg and Kreuzer, Peter M. and Knuettel, Helge and Leitzmann, Michael F. and Seliger, Corinna (2022) Suicide risk and mortality among patients with cancer. NATURE MEDICINE, 28 (4). 852-+. ISSN 1078-8956, 1546-170X
Full text not available from this repository. (Request a copy)Abstract
Despite substantial progress in cancer therapy in recent decades, patients with cancer remain at high suicide risk. Data from individual studies have not been comprehensively quantified and specific risk factors are ill-defined. We assessed suicide mortality risk according to cancer prognosis, stage, time since diagnosis, gender, ethnicity, marital status, year of recruitment and geographic region. We searched EMBASE, MEDLINE, PsycINFO, Web of Science, CINAHL and Google Scholar for relevant articles up to February 2021. We used a random effects model, performed meta-regression meta-analysis and assessed heterogeneity and publication bias using I-2, funnel plots and Egger's and Begg's tests. We performed a systematic review including 62 studies and 46,952,813 patients. To avoid patient sample overlap, the meta-analysis was performed on 28 studies, involving 22,407,690 patients with cancer. Suicide mortality was significantly increased compared with the general population (standardized mortality ratio = 1.85, 95% confidence interval = 1.55-2.20). Risk was strongly related to cancer prognosis, cancer stage, time since diagnosis and geographic region. Patients with cancer, particularly those with specific risk factors, should be closely monitored for suicidality and need specialized care to reduce short- and long-term risks of suicide. A global analysis across 62 studies, of which 28 were meta-analyzed, reveals an increased risk of death by suicide in patients with cancer and underscores the need for comprehensive psycho-oncological therapy during clinical routine to improve the quality of life of patients.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | AFRICAN-AMERICAN SUICIDE; 1ST YEAR; CARE; STRATEGIES; LITHUANIA; DIAGNOSIS; SUPPORT; COHORT; DEATH; LIFE; |
| Subjects: | 000 Computer science, information & general works > 020 Library & information sciences 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie Medicine > Institut für Epidemiologie und Präventivmedizin Central Institutions > University Library |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 21 Nov 2023 15:25 |
| Last Modified: | 21 Nov 2023 15:25 |
| URI: | https://pred.uni-regensburg.de/id/eprint/56763 |
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