ArticleEpidemiology and psychiatric sciences2023
Suicide rates among patients with first and second primary cancer.
Article in Epidemiology and psychiatric sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 4 citations in OpenAlex.
- Association between Metastatic Cancer, Chemotherapy, and Suicide Risks: An Analysis Across 700 U.S. Trauma Centers.Clinical medicine & research · 2026Article
- Racial and ethnic disparities in the risk of second primary malignancies in differentiated thyroid cancer patients: a population-based study.Endocrine · 2025Article
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11 authors at 2 institutions in 1 country.
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Abstract
aimsWith advancements in cancer treatments, the survival rates of patients with their first primary cancer (FPC) have increased, resulting in a rise in the number of patients with second primary cancer (SPC). However, there has been no assessment on the incidence of suicide among patients with SPC. This study assessed the occurrence of suicide among patients with SPC and compared them with that in patients with FPC.
methodsThis was a retrospective, population-based cohort study that followed patients with FPC and SPC diagnosed from the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) 17 registries database between 1 January 2000 and 31 December 2019.
resultsFor patients with SPC, an age of 85+ years at diagnosis was associated with a higher incidence of suicide death (HR, 1.727; 95% CI, 1.075-2.774), while the suicide death was not considerably different in the chemotherapy group (
conclusionThe risk of suicide was reduced in patients with SPC compared with patients with FPC, but increased year by year. Therefore, oncologists and related health professionals need to provide continuous psychological support to reduce the incidence of suicide. The highest suicide death was found among patients with female genital system cancer.
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