ArticleEClinicalMedicine2022
Subsequent risk of suicide among 9,300,812 cancer survivors in US: A population-based cohort study covering 40 years of data.
Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Suicide and Head and Neck Cancer: A Systematic Review With Meta-Analysis and Narrative Synthesis.Psycho-oncology · 2025Pooled it
- Long-term comparative trajectories of health, behavioral, and economic outcomes: From pre-diagnosis to survivorship.PloS one · 2026Article
- Suicide mortality and suicidal ideation among patients with colorectal cancer: a systematic review and meta-analysis.EClinicalMedicine · 2025Article
- Patient-reported Outcome Measures in Head and Neck Reconstruction: A Systematic Review Across Disciplines and Geographical Locations.Plastic and reconstructive surgery. Global open · 2025Article
- Mental and Physical Health-Related Risk Factors Among Females Who Died by Firearm Suicide.JAMA network open · 2025Article
- Association between depression and osteoporosis in a population of cancer survivors: results from the NHANES 2005-2020.Frontiers in medicine · 2025Article
- Construction and evaluation of leukemia suicide risk predictive model based on SEER database.Frontiers in psychiatry · 2025Article
- Suicide Risk Among Patients With Cancer by Sex in Japan: A Population-based Study.Journal of epidemiology · 2024Article
- Recommendations for broadening eligibility criteria in esophagus cancer clinical trials: the mortality disparity of esophagus cancer as a first or second primary malignancy.Journal of thoracic disease · 2024Article
- Development of a prediction model for suicidal ideation in patients with advanced cancer: A multicenter, real-world, pan-cancer study in China.Cancer medicine · 2024Article
- Trends in cancer-related suicide in the United States: a population-based epidemiology study spanning 40 years of data.Translational psychiatry · 2024Article
- Risk of suicide in patients with thyroid cancer: protocol for a systematic review and meta-analysis.BMJ open · 2024Article
- Article
- Article
- Suicide among Cancer Patients: Current Knowledge and Directions for Observational Research.Journal of clinical medicine · 2023Review
- Biological Factors Underpinning Suicidal Behaviour: An Update.Brain sciences · 2023Review
- Incidence, Timing, and Factors Associated With Suicide Among Patients Undergoing Surgery for Cancer in the US.JAMA oncology · 2023Article
- Suicide trends among patients with cancer in India over the past 24 years.General psychiatry · 2023Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLarge cohort studies that estimate the variation in suicide risk among cancer patients, depending on disease type and patient characteristics, are lacking. We aimed to investigate suicide risk among patients with different cancers types in the United States (US) and to identify subsets of patients at particularly high risk.
methodsA total of 9,300,812 cases of cancer in the Surveillance, Epidemiology, and End Results (SEER) database that were diagnosed between 1975 and 2016 were included in the study. Standardized mortality ratio (SMR) and absolute excess risk (AER) of suicide were estimated.
findingsFrom the included cases, 14,423 cancer patients were identified as having died by suicide, representing 0.26% of all deaths. We found that cancer patients had a higher risk of suicide compared with the general population, which equated to 0.8 excess deaths per 10,000 person-years. Greater suicide risk was correlated with the following: specific cancer sites, male sex, American Indian/Alaskan Native ancestry, being divorced, being uninsured, distance of metastasis, aged between 60 and 69 at diagnosis, and having a more recent diagnosis. The greatest SMR and AER were found in patients with cancers of the respiratory system, followed by those of the oral cavity and pharynx, myeloma, bones and joints, digestive system, and brain and other nervous system cancers.
interpretationSuicide risk among cancer patients varies greatly and depends on both disease type and patient characteristics. A tailored clinical management should be considered for patients at a higher risk of suicide.
fundingNatural Science Foundation of China.
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