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Incidence and risk factors for suicide and attempted suicide following a diagnosis of hematological malignancy.

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Authors
Hultcrantz, Malin
Svensson, Tobias
Derolf, Åsa R
Kristinsson, Sigurdur Y
Lindqvist, Ebba K
Ekbom, Anders
Granath, Fredrik
Björkholm, Magnus
Issue Date
2015-01

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Citation
Cancer Med. 2015, 4 (1):147-54
Abstract
Solid tumors are associated with an increased risk of suicide, however, there is limited detailed information on the risk of suicide in patients with hematological malignancies. Therefore, we conducted a population-based study including 47,220 patients with hematological malignancies (diagnosed 1992-2006) and their 235,868 matched controls to define the incidence and risk factors for suicide and suicide attempt. Information on suicides, suicide attempts, and preexisting psychiatric disorders was obtained from Swedish registers and individual medical records. There was a twofold increased (hazard ratio [HR] = 1.9, 95% confidence interval 1.5-2.3, P < 0.0001) risk of suicide/suicide attempt during the first 3 years after diagnosis in patients with hematological malignancies compared to matched controls. Of all hematological malignancies, multiple myeloma was associated with the highest risk (HR = 3.4; 2.3-5.0, P < 0.0001). Patients with a preexisting psychiatric disorder were at a very high risk of suicide and suicide attempt (HR = 23.3; 16.6-32.6, P < 0.0001), regardless of type of hematological malignancy. Among patients who committed suicide, 19% were in a palliative phase and 44% were in remission with no active treatment. In conclusion, the risk of suicide and suicide attempt is elevated in patients with hematological malignancies. Certain high-risk patients may benefit from early detection and preventive measures.
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To access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Files. This article is open access.
Additional Links
http://dx.doi.org/ 10.1002/cam4.316
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312128/
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Archived with thanks to Cancer medicine
ae974a485f413a2113503eed53cd6c53
10.1002/cam4.316
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English Journal Articles (Peer Reviewed)

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