Increased suicide risk among Danish women with non-melanoma skin cancer, 1971–1999

Christensen, Marie-Louise Muff; Yousaf, Umbreen; Engholm, Gerda; Storm, Hans H.

doi:10.1097/01.cej.0000195712.64448.ba

Cited by 17 publications

(16 citation statements)

References 4 publications

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“…Seventeen studies 1, 16–18, 20, 21, 23, 24, 27, 28, 30, 31, 33, 40, 41, 44, 46 reported the incidence of suicide in cancer patients using a standardised mortality ratio (SMR: ratio of observed deaths to expected deaths) and results ranged from 1 to 11. The wide range of results may be attributable to variations in methodology, cultural differences between countries, sampling frames, populations or sample size.…”

Section: Resultsmentioning

confidence: 99%

The risk of suicide in cancer patients: a review of the literature

et al. 2010

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Section: Resultsmentioning

confidence: 99%

The risk of suicide in cancer patients: a review of the literature

et al. 2010

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“…The latter explanation is supported by a Danish study, which showed that location of NMSC on the face was more frequent in the suicide group. 25 …”

Section: Discussionmentioning

confidence: 99%

Mortality in Danish patients with nonmelanoma skin cancer, 19782001

Jensen

Bautz

Olesen

et al. 2008

British Journal of Dermatology

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Summary Background Nonmelanoma skin cancer (NMSC) is a growing public health problem among Caucasians, thus mortality data that may provide insight into the clinical course and foster our understanding of NMSC are important. Objectives We examined total and cause-specific mortality among patients with NMSC registered in the Danish Cancer Registry from 1978 to 2001. Methods A total of 82 837 patients with basal cell carcinoma (BCC) and 13 453 patients with squamous cell carcinoma (SCC) were followed through the National Death Registry for specific causes of death. Standardized mortality ratios (SMRs) were computed based on mortality rates in the general population. Results Among patients with BCC, we found a slightly reduced total mortality [SMR 0·97, 95% confidence interval (CI) 0·96–0·98] with decreased SMRs seen for chronic obstructive pulmonary disease (COPD), cardiovascular disease (CVD) and diabetes mellitus. The SMR for suicide was increased. Among patients with SCC, we found an increased total mortality (SMR 1·30, 95% CI 1·26–1·33) due primarily to excess deaths from cancers, COPD, CVD and infectious diseases. Conclusions We found markedly different mortality patterns among patients with BCC and those with SCC, suggesting important differences in the clinical course of these patients.

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“…Suicide deaths are a significant health burden, which is magnified when also considering suicidal ideation and suicide attempts . Furthermore, approximately 70% of suicides occurring in patients aged >60 years are associated with medical illness, with higher rates among patients who have cancer . Malignancies that are associated with a particularly high risk of suicidal death include head and neck cancers, bladder cancer, lung cancer, foregut cancers, and gynecologic malignancies …”

Section: Introductionmentioning

confidence: 99%

Cancer diagnosis and risk of suicide after accounting for prediagnosis psychiatric care: A matched‐cohort study of patients with incident solid‐organ malignancies

Klaassen

Wallis

Chandrasekar

et al. 2019

Cancer

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Background Previous studies have demonstrated an association between a diagnosis of cancer and the risk of suicide; however, they failed to account for psychiatric care before a cancer diagnosis, which may confound this relationship. The objective of this study was to assess the effect of a cancer diagnosis on the risk of suicide, accounting for prediagnosis psychiatric care utilization. Methods All adult residents of Ontario, Canada who were diagnosed with cancer (1 of prostate, breast, colorectal, melanoma, lung, bladder, endometrial, thyroid, kidney, or oral cancer) between 1997 and 2014 were identified. Noncancer controls were matched 4:1 based on sociodemographics, including a psychiatric utilization gradient (PUG) score (with 0 indicating none; 1, outpatient; 2, emergency department; and 3, hospital admission). A marginal, cause‐specific hazard model was used to assess the effect of cancer on the risk of suicidal death. Results Among 676,470 patients with cancer and 2,152,682 matched noncancer controls, there were 8.2 and 11.4 suicides per 1000 person‐years of follow‐up, respectively. Patients with cancer had an overall higher risk of suicidal death compared with matched patients without cancer (hazard ratio, 1.34; 95% CI, 1.22‐1.48). This effect was pronounced in the first 50 months after cancer diagnosis (hazard ratio, 1.60; 95% CI, 1.42‐1.81); patients with cancer did not demonstrate an increased risk thereafter. Among individuals with a PUG score 0 or 1, those with cancer were significantly more likely to die of suicide compared with controls. There was no difference in suicide risk between patients with cancer and controls for those who had a PUG score of 2 or 3. Conclusions A cancer diagnosis is associated with increased risk of death from suicide compared with the general population even after accounting for precancer diagnosis psychiatric care utilization. The specific factors underlying the observed associations remain to be elucidated.

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Increased suicide risk among Danish women with non-melanoma skin cancer, 1971–1999

Cited by 17 publications

References 4 publications

The risk of suicide in cancer patients: a review of the literature

The risk of suicide in cancer patients: a review of the literature

Mortality in Danish patients with nonmelanoma skin cancer, 19782001

Cancer diagnosis and risk of suicide after accounting for prediagnosis psychiatric care: A matched‐cohort study of patients with incident solid‐organ malignancies

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