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Suicides and suicide attempts in cancer patients

Published online by Cambridge University Press:  09 July 2009

Peter Allebeck*
Affiliation:
Karolinska Institute; Department of Medicine, Section for Community Medicine, Huddinge University Hospital; Department of Oncology, Karolinska Hospital, Stockholm, Sweden
Christina Bolund
Affiliation:
Karolinska Institute; Department of Medicine, Section for Community Medicine, Huddinge University Hospital; Department of Oncology, Karolinska Hospital, Stockholm, Sweden
*
1Address for correspondence: Dr Peter Allebeck, Section for Community Medicine, Huddinge University Hospital, S-141 86 Huddinge, Sweden.

Synopsis

Suicides and suicide attempts in cancer patients were analysed by following all patients treated for cancer in Stockholm County from 1975 to 1985. Among 59845 patients we identified 144 suicides and 196 suicide attempts during the follow-up, which represents a more than two-fold excess mortality from suicide and a moderately increased rate of suicide attempts. Although the absolute number of deaths from suicide in cancer patients is low, the increased risk highlights the problems of coping with severe illness and the need for psychological and social support in cancer care.

Type
Original Articles
Copyright
Copyright © Cambridge University Press 1991

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References

Allebeck, P., Bolund, C. & Ringbäck, G. (1989). Increased suicide rate in cancer patients: a cohort study based on the Swedish Cancer-Environment Register. Journal of Clinical Epidemiology 42, 611616.CrossRefGoogle ScholarPubMed
Barraclough, B. M. (1973). Differences between national suicide rates. British Journal of Psychiatry 122, 9596.CrossRefGoogle ScholarPubMed
Bloom, J. R. (1982). Social support, accommodation to stress and adjustment to breast cancer. Social Science and Medicine 16, 13291338.CrossRefGoogle ScholarPubMed
Bolander, A.-M. & Ettlinger, R. (1980). Suicide in Sweden. In Health and Society. V. Different Aspects of Mortality in Sweden, pp. 3972. Forskningsradsnämnden: Committee for Future Oriented Research: Stockholm.Google Scholar
Bolund, C. (1985). Suicide and cancer. II. Medical and care factors in suicides by cancer patients in Sweden, 1973–1976. Journal of Psychological Oncology 3, 3152.CrossRefGoogle Scholar
Breslow, N. E. & Day, N. E. (1987). Statistical Methods in Cancer Research. Vol II. The Design and Analysis of Cohort Studies. IARC Scientific Publications No 82: Lyon.Google Scholar
Bukberg, J., Penman, D. & Holland, J. C. (1984). Depression in hospitalized cancer patients. Psychosomatic Medicine 46, 199212.CrossRefGoogle ScholarPubMed
Burgess, C., Morris, T. & Pettingale, K. W. (1988). Psychological response to cancer diagnosis. II. Evidence for coping styles. Journal of Psychosomatic Research 32, 263272.CrossRefGoogle ScholarPubMed
Cella, D. Orofiamma, R., Holland, J. C, Silberfarb, P. M., Tross, S., Feldstein, M., Perry, M., Maurer, H., Comis, R. & Orav, E. J. (1987). The relationship of psychological distress, extent of disease and performance status in patients with lung cancer. Cancer 60, 11611167.3.0.CO;2-4>CrossRefGoogle ScholarPubMed
Diekstra, R. F. W. (1982). Epidemiology of attempted suicide in the EEC. In New Trends in Suicide Prevention (ed. Wilmotte, J., Mendlewicz, C. and Mendlewicz, J.), pp. 116. Karger: New York.Google Scholar
Farberow, N. L. & Shneidman, E. S. (1961). The Cry for Help. McGraw Hill: New York.Google Scholar
Farberow, N., Ganzler, S., Cutter, F. & Reynolds, S. (1971). An eight-year survey of hospital suicides. Life-threatening Behaviour 1, 184202.Google Scholar
Fenna, D., Abrahamsson, S., Lööv, S. O. & Peterson, H. (1978). The Stockholm County Medical Information system. In Lecture Notes in Medical Informatics, Vol. 2, pp. 1163. Springer-Verlag: Berlin.Google Scholar
Fox, B. H., Stanek III, E. J., Boyd, S. C. and & Flannery, J. T. (1982). Suicide rates among cancer patients in Connecticut. Journal of Chronic Diseases 35, 89100.CrossRefGoogle ScholarPubMed
Grassi, L., Rosti, G., Albieri, G. & Marangolo, M. (1989). Depression and abnormal illness in cancer patients. General Hospital Psychiatry 11, 404411.CrossRefGoogle ScholarPubMed
Lehmann, J. (1972). Mental and neuromuscular symptoms in tryptophan deficiency. Acta Psychiatrica Scandinavica. Suppl 237.Google Scholar
Louhivuori, K. A. & Hakama, M. (1979). Risk of suicide among cancer patients. American Journal of Epidemiology 109, 5965.CrossRefGoogle ScholarPubMed
Pettingale, K. W., Burgess, C. & Greer, A. (1988). Psychological response to cancer diagnosis. I. Correlations with prognostic variables. Journal of Psychosomatic Research 32, 255261.CrossRefGoogle ScholarPubMed
Starkman, M. N., Stiengart, D. E. & Schork, M. N. (1981). Depressed mood and other psychiatric manifestations of Cushing's syndrome. Psychosomatic Medicine 43, 318.CrossRefGoogle ScholarPubMed