Allebeck P, Bolund C, Ringbäck G
Department of Medicine, Huddinge University Hospital, Sweden.
J Clin Epidemiol. 1989;42(7):611-6. doi: 10.1016/0895-4356(89)90003-6.
Using the Swedish Cancer-Environment Register, 424,127 cancer patients were followed in the national cause-of-death register with the aim of analyzing the suicide rate among cancer patients compared with the general population. The overall Standardized Mortality Ratio (SMR) in suicide was 1.9 (95% confidence interval 1.8-2.1) for males and 1.6 (1.5-1.8) for females. The suicide rate was highest during the first year after cancer diagnosis, with an SMR of 16.0 (13.5-18.9) in males and 15.4 (11.2-20.6) in females. There were no substantial differences in suicide rate between different sites of tumor, although higher suicide rates were observed in patients with cancer in the lungs and upper airways (both sexes) and with gastro-intestinal tumors (males). Our results corroborate previous findings of an increased suicide rate among cancer patients, and indicate a need for further attention to social and psychological aspects of the care and treatment of cancer patients.
利用瑞典癌症-环境登记册，在国家死亡原因登记册中对424,127名癌症患者进行了跟踪，目的是分析癌症患者与普通人群相比的自杀率。男性自杀的总体标准化死亡率（SMR）为1.9（95%置信区间1.8 - 2.1），女性为1.6（1.5 - 1.8）。自杀率在癌症诊断后的第一年最高，男性的SMR为16.0（13.5 - 18.9），女性为15.4（11.2 - 20.6）。不同肿瘤部位的自杀率没有实质性差异，尽管肺部和上呼吸道癌症患者（男女皆有）以及胃肠道肿瘤患者（男性）的自杀率较高。我们的结果证实了先前关于癌症患者自杀率增加的研究发现，并表明需要进一步关注癌症患者护理和治疗的社会及心理方面。
