Department of Urology, University of California San Francisco, San Francisco, CA, USA.
Department of Urology, University of Washington, Seattle, WA, USA.
Eur Urol Focus. 2020 Nov 15;6(6):1155-1157. doi: 10.1016/j.euf.2019.08.017. Epub 2019 Sep 19.
Patients with chronic disease and mental illness are at higher risk of depression and suicide. Many who have been diagnosed with genitourinary cancers are at higher risk of suicide, even among those who have sought out mental health services. Under-represented populations (African-American, Hispanic, elderly, disabled) suffer disproportionately from a lack of mental health services. However, not much is reported on the interplay of mental health and genitourinary cancer in these populations. This review aims to identify the relevant literature and describe a path forward to address and alleviate this disparity. PATIENT SUMMARY: Patients with chronic disease and mental illness are at higher risk of depression and suicide. Little is known about the complex interplay between race and mental health in patients with urologic cancers and more research is needed.
患有慢性疾病和精神疾病的患者有更高的抑郁和自杀风险。许多被诊断患有泌尿生殖系统癌症的患者有更高的自杀风险,即使他们已经寻求过心理健康服务。代表性不足的人群(非裔美国人、西班牙裔、老年人、残疾人)不成比例地缺乏心理健康服务。然而,在这些人群中,关于心理健康和泌尿生殖系统癌症之间相互作用的报道并不多。本综述旨在确定相关文献,并描述解决和缓解这一差异的前进道路。患者总结:患有慢性疾病和精神疾病的患者有更高的抑郁和自杀风险。在患有泌尿系统癌症的患者中,种族和心理健康之间的复杂相互作用知之甚少,需要更多的研究。