Suicides among cancer patients in Lithuania: A population-based census-linked study

Smailytė, Giedrė; Jasilionis, Domantas; Kaceniene, Auguste; Krilavičiūtė, Agnė; Ambrozaitienė, Dalia

doi:10.1016/j.canep.2013.05.009

Cited by 32 publications

(24 citation statements)

References 31 publications

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“…Lithuanian health surveys systematically point to higher rates of smoking, alcohol consumption, and unhealthy food among lower educated people [17,18]. The cancer registry-based study found a significantly increased risk of suicide among the lower educated cancer patients in Lithuania [19]. This may indicate a higher prevalence of psychosocial problems in this group of patients.…”

Section: Discussionmentioning

confidence: 99%

Education, survival, and avoidable deaths in Lithuanian cancer patients, 2001–2009

et al. 2016

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Background Our aim in this study is to provide a systematic assessment of the site-specific cancer survival rates of patients with different educational levels, using population-based census-linked registry data covering the entire population of Lithuania. Material and methods The study is based on the linkage between all records of the 2001 population census and all records from Lithuanian Cancer Registry (cancer incidence) and Statistics Lithuania (deaths) for the period between 6 April 2001 and 31 December 2009. Results For the vast majority of cancer sites we found an inverse gradient in survival, with the worst survival indicators in the lowest educational group. We estimated that 18.6% of the deaths in Lithuanian cancer patients could have potentially been postponed, if all the patients had the same cancer mortality as the patients with the highest educational level. Conclusion Our findings offer a warning that although the survival rates of cancer patients are improving, this progress hides disparities between different groups of patients.

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Section: Discussionmentioning

confidence: 99%

Education, survival, and avoidable deaths in Lithuanian cancer patients, 2001–2009

et al. 2016

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“…We included sociodemographic and clinical SRF in the first group. The second group consisted of physical and psychosocial SRF ( • Atheism (Shim & Park, 2012) • White race (Misono et al, 2008) • Male gender (Leung et al, 2013;Misono et al, 2008) • Lower education (Ahn et al, 2010;Smailyte et al, 2013) • Living in rural areas (Smailyte et al, 2013) • Non-employment status (Ahn et al, 2010;Smailyte et al, 2013) • Non-marital relationship status (Ahn et al, 2010;Fang et al, 2010;Misono et al, 2008;Smailyte et al, 2013) • Older age at diagnosis (Kaceniene et al, 2017;Kendal & Kendal, 2012;Misono et al, 2008) 1.2 Clinical SRF…”

Section: Suicide Risk Factorsmentioning

confidence: 99%

Interventions for reducing suicide risk in cancer patients: A literature review

Bulotienė

Pociute

2019

Eur. J. Psychol.

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The suicide risk of people diagnosed with cancer is two times higher than the general population. The number of cases of diagnosed cancer is estimated to rise by 70% over the next two decades. Evidence-based prevention strategies are necessary to protect this vulnerable group of individuals. The purpose of this review was to find out the risk factors of suicide and which types of interventions can serve as prevention strategies. Psychosocial interventions, pharmacotherapy and physical activity can play a preventive role in reducing psychosocial and physical risk factors, such as mental disorders, poor social support, poor performance status and pain. Further research is needed to develop effective suicide prevention strategies for cancer patients.

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“…[4][5][6] The newly advanced modalities in cancer treatment have improved the quality of life and increased the survival rates for patients with cancer. 9 Higher rates of depression were reported among female patients with cancer, 10,11 whereas higher rates of suicide were observed in white males during the first 5 years after diagnosis, 5 with the suicide risk increasing within the first few weeks after the initial diagnosis of cancer. 7,8 In addition, previous studies have shown that the suicide rate depends on factors such as sex, age, the cancer site, the time since the initial diagnosis, and other demographic and biological factors.…”

Section: Introductionmentioning

confidence: 99%

“…7,8 In addition, previous studies have shown that the suicide rate depends on factors such as sex, age, the cancer site, the time since the initial diagnosis, and other demographic and biological factors. 9 Higher rates of depression were reported among female patients with cancer, 10,11 whereas higher rates of suicide were observed in white males during the first 5 years after diagnosis, 5 with the suicide risk increasing within the first few weeks after the initial diagnosis of cancer. 12 To our knowledge, there have been very few large population studies in the last 10 years that have assessed the incidence of suicidal death among patients diagnosed with cancer.…”

Section: Introductionmentioning

confidence: 99%

Suicidal death within a year of a cancer diagnosis: A population‐based study

Saad

Gad

Al‐Husseini

et al. 2019

Cancer

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BACKGROUND:The suicide risk after a new cancer diagnosis remains a controversial issue. This study examines the suicide risk within the year after a cancer diagnosis. This is the largest study to assess recent trends in suicide risk after a cancer diagnosis. METHODS: Data were obtained from the Surveillance, Epidemiology, and End Results Program. All patients diagnosed with cancer between 2000 and 2014 were selected. The event was defined as death due to suicide within the first year after a cancer diagnosis, and patients who experienced the event after their diagnosis were observed. The observed/expected (O/E) ratio was assessed as well as the excess risk per 10,000 person-years to determine the suicide risk change after the diagnosis in comparison with the general population. RESULTS: A total of 4,671,989 patients with cancer were included; 1585 committed suicide within 1 year of their diagnosis. The risk of suicide increased significantly with an O/E ratio of 2.52 and with an excess risk of 2.51 per 10,000 person-years. When the risk of suicide was studied according to the cancer site, the highest increases in the O/E ratio came after diagnoses of pancreatic cancer (8.01) and lung cancer (6.05). The risk of suicide also increased significantly after a diagnosis of colorectal cancer with an O/E ratio of 2.08. However, the risk of suicidal death did not increase significantly after breast and prostate cancer diagnoses. CONCLUSIONS: The risk of suicide increases significantly in the first year after a diagnosis of cancer in comparison with the general population, and this increase varies with the type and prognosis of cancer. Close observation and referral to mental health services, when indicated, are important for mitigating such risk. Cancer 2019;125:972-979.

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Suicides among cancer patients in Lithuania: A population-based census-linked study

Cited by 32 publications

References 31 publications

Education, survival, and avoidable deaths in Lithuanian cancer patients, 2001–2009

Education, survival, and avoidable deaths in Lithuanian cancer patients, 2001–2009

Interventions for reducing suicide risk in cancer patients: A literature review

Suicidal death within a year of a cancer diagnosis: A population‐based study

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