Suicide rates among cancer patients in Connecticut

Fox, Bernard H.; Stanek, Edward J.; Boyd, Suellyn C.; Flannery, John

doi:10.1016/0021-9681(82)90110-2

Cited by 129 publications

(71 citation statements)

References 16 publications

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“…The risk was elevated in both genders and across subsequent age groups. These results are consistent with the main results of other population-based studies carried out in Connecticut (Campbell, 1996;Fox et al, 1982), Scandinavia (Louhivuori and Hakama, 1979;Olafsen, 1981;Storm et al, 1992;Louhivuori, 1993), Switzerland (Chatton-Reith, 1990; Levi et al, 1991) and Japan (Tanaka et al, 1996).…”

Section: Discussionsupporting

confidence: 90%

“…The risk was highest near the time of cancer diagnosis, as in some other studies (Fox et al, 1982;Allebeck et al, 1989;Storm et al, 1992;Tanaka et al, 1996). During the first year after cancer diagnosis, a relative risk of 18.8 was shown, exceeding results in the Swedish study (Allebeck et al, 1989), which had been the highest previously reported.…”

Section: Discussionsupporting

confidence: 65%

“…Thus, the present study suggests that, in Italy, risk of suicide after a cancer diagnosis may be, in comparison with the general population, greater than previously estimated. As suggested by Allebeck and Fox (Fox et al, 1982;Allebeck et al, 1989), these results could be related to the so-called 'Law of the Initial Values', according to which the effect of cancer on suicide mortality would be higher if the initial suicide rates in the general population were lower. In fact, in the area of the Tuscany Cancer Registry, suicide rates in the general population are notably lower than in the areas where similar studies have been carried out.…”

Section: Discussionmentioning

confidence: 83%

“…Forty-one suicides were observed (SMR = 2.36) which were only 0.2% of all deaths. However, the highest risk (SMR = 27.7) during the first 6 months after diagnosis, represents a greater contrast with the general population than has been observed in other studies.Keywords: suicide; mortality An increased suicide risk has been shown for cancer patients in some population-based studies (Campbell, 1966;Louhivuori and Hakama, 1979;Olafsen, 1981;Fox et al, 1982;Allebeck et al, 1989;Chatton-Reith et al, 1990;Allebeck and Bolund, 1991;Levi et al, 1991; Storm et al, 1992;Louhivuori, 1993;Tanaka et al, 1996). All these studies have been carried out in countries with suicide rates in the general population that are from two to five times greater than in Italy (La Vecchia et al, 1994).…”

mentioning

confidence: 99%

“…Some of these studies evidenced a high risk near the time of cancer diagnosis (Fox et al, 1982;Allebeck and Bolund, 1991;Chatton-Reith et al, 1990;Levi et al, 1991; Storm et al, 1992;Tanaka et al, 1996). During the first year after diagnosis the risk varied from two to five times the expected (Allebeck et al, 1989;Allebeck and Bolund, 1991;Levi et al, 1991; Storm et al, 1992;Tanaka et al, 1996), but among Swedish cancer patients it was considerably higher (SMR = 16.0 for men and SMR = 15.4 for women) (Allebeck et al, 1989).…”

mentioning

confidence: 99%

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High suicide mortality soon after diagnosis among cancer patients in central Italy

Crocetti¹,

Arniani²,

Acciai³

et al. 1998

Br J Cancer

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Summary A high suicide mortality risk has been documented among a population-based cohort of 27 123 cancer patients resident in central Italy where the general suicide rate is low. Forty-one suicides were observed (SMR = 2.36) which were only 0.2% of all deaths. However, the highest risk (SMR = 27.7) during the first 6 months after diagnosis, represents a greater contrast with the general population than has been observed in other studies.Keywords: suicide; mortality An increased suicide risk has been shown for cancer patients in some population-based studies (Campbell, 1966;Louhivuori and Hakama, 1979;Olafsen, 1981;Fox et al, 1982;Allebeck et al, 1989;Chatton-Reith et al, 1990;Allebeck and Bolund, 1991;Levi et al, 1991; Storm et al, 1992;Louhivuori, 1993;Tanaka et al, 1996). All these studies have been carried out in countries with suicide rates in the general population that are from two to five times greater than in Italy (La Vecchia et al, 1994).Some of these studies evidenced a high risk near the time of cancer diagnosis (Fox et al, 1982;Allebeck and Bolund, 1991;Chatton-Reith et al, 1990;Levi et al, 1991; Storm et al, 1992;Tanaka et al, 1996). During the first year after diagnosis the risk varied from two to five times the expected (Allebeck et al, 1989;Allebeck and Bolund, 1991;Levi et al, 1991; Storm et al, 1992;Tanaka et al, 1996), but among Swedish cancer patients it was considerably higher (SMR = 16.0 for men and SMR = 15.4 for women) (Allebeck et al, 1989).The purpose of the present study was to estimate the risk of suicide among cancer patients resident in a low-risk area for suicide mortality, and its relationship with time since diagnosis. MATERIALS AND METHODSIn the provinces of Florence and Prato, central Italy (about 1 200 000 inhabitants), a population-based cancer registry, the Tuscany Cancer Registry (RTT), has been active since 1984 (Buiatti et al, 1992).After the exclusion of non-melanomatous skin cancers (2361 cases, 7.6%), cancers known from the death certificate only (DCO = 1355 cases, 4.4%) or from autopsy only (69 cases, 0.2%), 27 123 incident cancer cases (14 683 men and 12 440 women) The suicide risk was significantly elevated in all age groups relative to the general population, except for persons younger than 54 years of age.According to time since cancer diagnosis, the highest risk was observed during the first 6 months (SMR = 27.7, 95% CI 13.8-49.6). This finding was confirmed in both genders (men: SMR = 22.9, 95% CI 9.9-45.2; women: SMR = 62.6, 95% CI 9.4-133.6). During the second period, the risk was still significantly increased in men (SMR = 11.36, 95% CI 3.7-26.5) but not in women (SMR = 15.23,). Overall, the SMR for the first year was 18.8 (95%

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 83%

mentioning

confidence: 99%

mentioning

confidence: 99%

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High suicide mortality soon after diagnosis among cancer patients in central Italy

Crocetti¹,

Arniani²,

Acciai³

et al. 1998

Br J Cancer

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Depression in Patients With Cancer

McDaniel

Musselman

Porter

et al. 1995

Arch Gen Psychiatry

473

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This article reviews the challenge of diagnosing depression in patients with cancer. Major depression and depressive symptoms, although commonly encountered in medical populations, are frequently underdiagnosed and undertreated. This is especially true for patients with cancer in whom the diagnosis of major depression is clouded by neurovegetative symptoms that may be secondary to either cancer or depression. Well-established biological markers for major depression are proposed as diagnostic adjuncts in patients with cancer. Studies using biological markers in depressed patients with and without cancer are reviewed, and the implications of diminished immune function in depressed patients with cancer are discussed. The limited database on treatment of depression in patients with cancer also is reviewed. Treatment of depression in these patients improves their dysphoria and other signs and symptoms of depression, improves quality of life, and may improve immune function and survival time. Guidelines for future research are proposed.

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