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Suicide in cancer patients: incidence and risk factors (literature review)

Published online by Cambridge University Press:  19 July 2023

H. Abrebak*
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
F. Z. Chamsi
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
A. Essafi
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
A. Taqui
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
S. Radi
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
A. El Ammouri
Affiliation:
Psychiatric department, faculty of medicine of tangier, Tangier, Morocco
*
*Corresponding author.

Abstract

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Introduction

Suicide is considered an important public health problem in contemporary society. Over 800,000 deaths by suicide are estimated each year and the mortality rate is 11.4 per 100,000 people.

In people with cancer, depression is a high-prevalence disorder that affects patients’ ability to cope with illness, decreases treatment acceptance, prolongs hospitalization, reduces quality of life, and increases the risk of suicide. In turn, the diagnosis of cancer is a serious stressor, with many physical and psychological consequences, and is thought to be a risk factor for suicide.

Objectives

This study aimed to perform a literature review on the incidence and risk factors of suicide in cancer patients

Methods

the search for articles was carried out in the electronic scientific databases PubMed, ScienceDirect and Scopus. Variables studied included suicide rate, type of cancer, demographic characteristics, and signs and symptoms associated with suicide using the descriptors “suicide” and “cancer”.

Results

42 articles were selected. As in the general population, the risk of suicide was higher in men with cancer than in women with cancer. Cancer patients aged 65 or older have a higher suicide rate than those under 65. Prostate, lung, pancreatic, bladder and colorectal cancers are the types most at risk for suicide. The first year after diagnosis carries a higher risk of completed suicide. Multiple risk assessment tools have been developed and are effective in identifying patients with depression or hopelessness, factors associated with a higher risk of suicide. However, there are no tools that can sensitively and specifically predict suicide.

Conclusions

The incidence of suicide in a person diagnosed with cancer is approximately double the incidence of suicide in the general population. Early detection of depression in particular cancer populations, such as older male patients, can help identify those most at risk for suicide.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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