Cancer patients at increased risk of suicide
In a survey of 2924 cancer outpatients treated at one regional cancer center, Dr. Jane Walker,
cheap jerseys, from the Royal Edinburgh Hospital in the UK, and colleagues found that 7.8 percent of the patients thought they would be "better off dead" or had considered hurting themselves in some way within the last 2 weeks.Emotional distress was the strongest predictor of suicidal thoughts, followed by substantial pain, and older age, the report indicates."Management of emotional distress and pain should be a central aspect of cancer care," the investigators emphasize.In another study, Dr. Stephanie Misono, from the University of Washington in Seattle,
cheap soccer jerseys, and colleagues assessed the cancer-related suicide rates using the Surveillance, Epidemiology, and End Results program,
wholesale jerseys, a large national database containing information for nearly 3.6 million patients diagnosed with a malignancy between 1973 and 2002.A total of 5838 suicides occurred, yielding a rate of 31.4 suicides per 100,000 people per year,
cheap soccer jerseys, which is nearly twice as high as the rate of 16.7 suicides per 100,000 people per year in the general population.Male gender, white race, and older age at diagnosis were all linked with an increased risk of suicide. Patients with lung cancer had the highest suicide risk, followed by patients with malignancies of the stomach, mouth, throat and windpipe. The suicide risk was greatest within the first 5 years of diagnosis.In a third study, Dr. Matthew Miller, from Harvard School of Public Health in Boston, and colleagues show that cancer is the only common medical condition that carries an elevated risk of suicide among older adults. His group noted that the rate was more than twice as high as that of the general population.Their study included over 1400 patients with a variety of illnesses, such as diabetes, heart disease, and chronic lung disease. All of the subjects were at least 65 years old and New Jersey residents.The risk of suicide was also increased among those with psychiatric diagnoses, primarily mood disorders, such as depression; these patients had 2.3 times the risk. Anxiety and personality disorders were linked with a 2.2 times increased risk of suicide.Antidepressant use and treatment with opioid pain medications, such as morphine,
wholesale soccer jerseys, were also tied to an increased risk.The higher risk of suicide among cancer patients persisted even after concurrent psychiatric illness and the risk of dying with 1 year were considered.In a related editorial, Dr. Timothy E. Quill, from the University of Rochester Medical Center in New York, comments that "lessening suffering of seriously ill patients though the diligent application of palliative measures and alleviating their aloneness and despair by maintaining an open, committed, receptive relationship may be the most important preventive measures with regard to suicide."SOURCE: Journal of Clinical Oncology,
wholesale soccer jerseys, August 11, 2008.
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