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1971年至1986年丹麦癌症患者的自杀情况

Suicides among Danish patients with cancer: 1971 to 1986.

作者信息

Storm H H, Christensen N, Jensen O M

机构信息

Institute of Cancer Epidemiology, Copenhagen, Denmark.

出版信息

Cancer. 1992 Mar 15;69(6):1507-12. doi: 10.1002/1097-0142(19920315)69:6<1509::aid-cncr2820690632>3.0.co;2-j.

Abstract

The risk of suicide or other violent death was assessed among 296,331 patients with cancer in Denmark from 1971 to 1986 by linkage between the National Cancer Registry and mortality files. There were 1,637 violent deaths, of which 568 were suicides. The relative risk (RR) of suicide was significantly increased in the first 2 years after a cancer diagnosis, independent of age at cancer diagnosis. A lower suicide risk was seen after diagnosis of localized cancer (RR = 1.3; 95% confidence intervals [CI]: 1.1 to 1.4), compared with that seen after a nonlocalized cancer (RR = 1.9; 95% CI: 1.5 to 2.4). High risks for suicide were observed for patients of each sex after diagnoses of tumors of the brain and nervous system and with cancer of the lung, stomach, rectum, and kidney; high risks were found among male patients only after a diagnosis of lymphoma or pancreatic cancer. Surprisingly, the risk of suicide has increased significantly in more recent years.

摘要

1971年至1986年间,通过丹麦国家癌症登记处与死亡档案之间的关联,对296,331例癌症患者的自杀或其他暴力死亡风险进行了评估。共有1,637例暴力死亡,其中568例为自杀。癌症诊断后的头两年内,自杀的相对风险(RR)显著增加,与癌症诊断时的年龄无关。与非局限性癌症相比,局限性癌症诊断后的自杀风险较低(RR = 1.3;95%置信区间[CI]:1.1至1.4),非局限性癌症诊断后的自杀风险较高(RR = 1.9;95%CI:1.5至2.4)。脑和神经系统肿瘤以及肺癌、胃癌、直肠癌和肾癌诊断后的男女患者自杀风险均较高;仅在淋巴瘤或胰腺癌诊断后,男性患者的自杀风险较高。令人惊讶的是,近年来自杀风险显著增加。

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