Henriksson M M, Isometsä E T, Hietanen P S, Aro H M, Lönnqvist J K
Department of Mental Health National Public Health Institute, Helsinki, Finland.
J Affect Disord. 1995 Dec 24;36(1-2):11-20. doi: 10.1016/0165-0327(95)00047-x.
Mental disorders among suicide victims who had suffered from cancer were investigated using psychological autopsy data on all suicides in Finland over 1 year. Retrospective DSM-III-R consensus diagnoses were assigned to all 60 cancer suicides and to 60 age- and sex-matched comparison suicides without a cancer history. Depressive syndromes were equally common along cancer suicides (80%) and others (82%). Alcohol dependence and personality disorders were more frequent among noncancer suicides. Major depression and substance abuse were more common among victims with cancer in remission than in terminal stages. Only a small minority of cancer suicides seem to occur in the absence of mental disorders.
利用芬兰1年以上所有自杀案例的心理解剖数据，对曾患癌症的自杀受害者的精神障碍进行了调查。对所有60例癌症自杀案例以及60例年龄和性别匹配、无癌症病史的对照自杀案例进行了回顾性DSM-III-R共识诊断。抑郁综合征在癌症自杀者（80%）和其他自杀者（82%）中同样常见。酒精依赖和人格障碍在非癌症自杀者中更为常见。与处于晚期的癌症患者相比，病情缓解的癌症患者中重度抑郁和药物滥用更为常见。似乎只有一小部分癌症自杀案例是在没有精神障碍的情况下发生的。
