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全球癌症患者自杀的流行率:一项系统评价和荟萃分析。

Global Prevalence of Suicide in Patients With Cancer: A Systematic Review and Meta-Analysis.

出版信息

Arch Suicide Res. 2024 Jul-Sep;28(3):723-736. doi: 10.1080/13811118.2023.2240870. Epub 2023 Aug 14.


DOI:10.1080/13811118.2023.2240870
PMID:37578189
Abstract

AIM: Given that patients with cancer may commit suicide due to physical and mental problems, the present study objectives were to identify particular risk factors of different subgroup of patients including type of cancer, gender, age, type and time of suicide, and geographical region to facilitate early care and psychosocial support. METHODS: A comprehensive review of databases including Embase, Scopus, PubMed, and Web of Science was conducted for original articles published in English from January 2000 to March 2022. It is based on the PRISMA checklist. RESULTS: After reviewing 69 articles selected from 15 countries, the total prevalence rate of suicide among 34,157,856 patients with cancer was estimated 67,169, at 0.013 (95% CI, 0.008-0.021). The highest suicide prevalence was related to gastrointestinal cancer, estimated at 0.204 (95% CI, 0.161-0.255). A gender-based meta-analysis showed that the prevalence of suicide/suicidal ideation was higher among men, estimated at 0.013 (95% CI, 0.008-0.023) compared with women, at 0.006 (95% CI, 0.002-0.017). CONCLUSION: Based on study results, suicide-prevention strategies should be aimed at patients younger than 40 years of age to effectively resolve their mental health disorders and promote their self-efficacy in successful management of the disease.

摘要

目的:由于癌症患者可能会因身心问题而自杀,本研究旨在确定不同亚组患者(包括癌症类型、性别、年龄、自杀类型和时间以及地理区域)的特定风险因素,以便提供早期护理和社会心理支持。

方法:从 2000 年 1 月至 2022 年 3 月,对 Embase、Scopus、PubMed 和 Web of Science 等数据库中的原始英文文章进行全面综述。这是基于 PRISMA 清单进行的。

结果:从 15 个国家的 69 篇文章中进行回顾后,估计在 34157856 名癌症患者中,自杀的总患病率为 67169 例,为 0.013(95%CI,0.008-0.021)。最高的自杀患病率与胃肠道癌症有关,估计为 0.204(95%CI,0.161-0.255)。基于性别的荟萃分析显示,男性自杀/自杀意念的患病率高于女性,估计为 0.013(95%CI,0.008-0.023),而女性为 0.006(95%CI,0.002-0.017)。

结论:根据研究结果,预防自杀策略应针对 40 岁以下的患者,以有效解决他们的心理健康障碍,并提高他们成功管理疾病的自我效能。

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引用本文的文献

[1]
Suicide and Head and Neck Cancer: A Systematic Review With Meta-Analysis and Narrative Synthesis.

Psychooncology. 2025-7

[2]
Suicide Ideation, Attempt and Mortality in Childhood Cancer Survivors a Scoping Review of the Literature.

Psychooncology. 2025-7

[3]
Suicidal Ideation, Suicide Attempts, and Suicide Mortality in Cancer: An Overview of Systematic Reviews with Meta-Analysis.

Cancers (Basel). 2025-5-27

[4]
Trends in cancer-related suicide in the United States: a population-based epidemiology study spanning 40 years of data.

Transl Psychiatry. 2024-5-27

[5]
Risk of suicide in patients with thyroid cancer: protocol for a systematic review and meta-analysis.

BMJ Open. 2024-1-24

[6]
Exploring the determinants influencing suicidal ideation and depression in gastrointestinal cancer patients.

Sci Rep. 2023-10-25

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