ArticleCancer2014
Suicide ideation and associated mortality in adult survivors of childhood cancer.
Article in Cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Suicide and Suicidal Ideation Among Survivors of Childhood Cancer: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Suicidal ideation and subsequent completed suicide in both psychiatric and non-psychiatric populations: a meta-analysis.Epidemiology and psychiatric sciences · 2018Pooled it
- Psychosocial Follow-Up in Survivorship as a Standard of Care in Pediatric Oncology.Pediatric blood & cancer · 2015Pooled it
- Evaluating sensitive symptoms in young adult cancer survivors: acceptability of suicidal ideation and sexual health items across administration modes.Journal of cancer survivorship : research and practice · 2024Trial
- The role of adult romantic attachment in long-term childhood cancer survivors' social relationships and help-seeking.Scientific reports · 2026Article
- Neurocognitive and Emotional Outcomes in Childhood Cancer: A Developmental Perspective.Current oncology (Toronto, Ont.) · 2025Review
- Suicide Ideation, Attempt and Mortality in Childhood Cancer Survivors a Scoping Review of the Literature.Psycho-oncology · 2025Article
- Prevalence and characteristics for mental health disorder before and after childhood cancer diagnosis-a statewide population-based study among Medicaid beneficiaries.Frontiers in psychology · 2025Article
- Exploring Sex-Based Neuropsychological Outcomes in Pediatric Brain Cancer Survivors: A Pilot Study.Diseases (Basel, Switzerland) · 2024Article
- Neurologic morbidity and functional independence in adult survivors of childhood cancer.Annals of clinical and translational neurology · 2024Article
- Improving quality and quantity of life for childhood cancer survivors globally in the twenty-first century.Nature reviews. Clinical oncology · 2023Review
- Children's Oncology Group 2023 blueprint for research: Cancer care delivery research.Pediatric blood & cancer · 2023Article
- A Scoping Review Exploring Access to Survivorship Care for Childhood, Adolescent, and Young Adult Cancer Survivors: How Can We Optimize Care Pathways?Adolescent health, medicine and therapeutics · 2023Review
- Article
- Long-Term Follow-Up of Pediatric CNS Tumor Survivors-A Selection of Relevant Long-Term Issues.Children (Basel, Switzerland) · 2022Review
- Suicidal ideation, distress, and related factors in a population of cancer patients treated in a general acute hospital.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Functional Outcomes and Social Attainment in Asian/Pacific Islander Childhood Cancer Survivors in the United States: A Report from the Childhood Cancer Survivor Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- Online Platform to Assess Complex Social Relationships and Patient-Reported Outcomes Among Adolescent and Young Adult Cancer Survivors.JCO clinical cancer informatics · 2021Article
- Health-Related Quality of Life among Cancer Survivors Depending on the Occupational Status.International journal of environmental research and public health · 2021Article
- Suicidality among adult survivors of childhood cancer: A report from the St. Jude Lifetime Cohort Study.Cancer · 2020Article
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundAdult survivors of childhood cancer are at risk for suicide ideation, although longitudinal patterns and rates of recurrent suicide ideation are unknown. This study investigated the prevalence of late report (ie, after initial assessment) and recurrent suicide ideation in adult survivors of childhood cancer, identified predictors of suicide ideation, and examined associations among suicide ideation and mortality.
methodsParticipants included 9128 adult survivors of childhood cancer and 3082 sibling controls enrolled in the Childhood Cancer Survivor Study who completed a survey question assessing suicide ideation on one or more occasions between 1994 and 2010. Suicide ideation was assessed using the Brief Symptom Inventory-18 instrument. Mortality data was ascertained from the National Death Index.
resultsSurvivors were more likely to report late (odds ratio [OR] =1.9, 95% confidence interval [CI] =1.5-2.5) and recurrent suicide ideation (OR=2.6, 95% CI=1.8-3.8) compared to siblings. Poor physical health status was associated with increased risk of suicide ideation in survivors (late report: OR=1.9, 95% CI=1.3-2.7; recurrent: OR=1.9, 95% CI=1.2-2.9). Suicide ideation was associated with increased risk for all-cause mortality (hazard ratio=1.3, 95% CI=1.03-1.6) and death by external causes (hazard ratio=2.4, 95% CI=1.4-4.1).
conclusionsAdult survivors of childhood cancer are at risk for late-report and recurrent suicide ideation, which is associated with increased risk of mortality. Routine screening for psychological distress in adult survivors appears warranted, especially for survivors who develop chronic physical health conditions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.