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癌症患者的自杀事件及早期预防的重要性:一篇叙述性综述。

Suicidal events in cancer patients and the importance of an early prevention: a narrative review.

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.

Medical Oncology Unit, Department of Human Pathology "G. Barresi", University of Messina, Messina, Italy.

出版信息

Clin Ter. 2024 Nov-Dec;175(6):391-398. doi: 10.7417/CT.2024.5145.

DOI:10.7417/CT.2024.5145
PMID:39584758
Abstract

Suicide is now considered a public health problem as millions of people die this way every year. Although there are numerous conditions that can lead to the occurrence of this event, it has been possible to observe that it occurs more frequently in particular categories of individuals, such as cancer patients. Studies conducted on this type of population over long periods have also made it possible to evaluate a variation in the incidence of suicidal events in relation to the type of tumor, probably due to the perception of a different severity of the pathology or to the idea of an inevitable worsening of the quality of life. This is why the incidence of suicide is higher in the case of prostate, lung, and colorectal cancer, being less common in other types. In recent years, the improvement of both curative and palliative therapies and therefore of life expectancy have led to a change in the incidence rate of these events, in support of what was said previou-sly. Today, suicide is considered a public health problem: since it is known that the population suffering from cancer is at greater risk, it is necessary to improve prevention, trying to intercept the most fragile subjects early and thus avoid the occurrence of these events.

摘要

自杀现在被认为是一个公共卫生问题,因为每年都有数百万人因此而死亡。尽管有许多情况可能导致这种事件的发生,但人们已经注意到,它在某些特定人群中更为常见,例如癌症患者。对这类人群进行的长期研究也使得人们有可能评估与肿瘤类型相关的自杀事件发生率的变化,这可能是由于对病理严重程度的不同感知,或者是由于对生活质量不可避免恶化的看法。这就是为什么前列腺癌、肺癌和结直肠癌的自杀发生率较高,而其他类型的癌症则较少见。近年来,治愈和姑息治疗的改善,以及因此预期寿命的延长,导致这些事件的发生率发生了变化,这支持了之前的说法。如今,自杀被认为是一个公共卫生问题:由于已知患有癌症的人群面临更大的风险,因此有必要加强预防,试图及早发现最脆弱的人群,从而避免这些事件的发生。

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