Background:The study explores whether Polish cancer patients face elevated suicide risk, emphasizing the vital need to comprehend and mitigate their unique mental health struggles.Methods:We conducted a cohort study based on Polish National Cancer Registry data (diagnosis in 2009–2019). Age-, sex-, and year-standardized mortality ratios (SMR) are presented with 95% confidence intervals (CIs) overall and by sex.Results:The study included 1.43 million individuals diagnosed with cancer. There were 830 suicide cases in this group. The overall SMR for suicide was 1.34 (95% CI 1.25–1.43). The highest risk of suicide death was observed in the first six months after diagnosis (SMR = 1.94, 1.69–2.21): cancers of the heart and pleura (19.15, 2.32–69.18), an unspecified site (3.99, 1.09–10.22), and the esophagus (3.34, 1.08–7.79). The highest overall risk of suicide after cancer diagnosis was observed in esophageal (2.94, 1.47–5.26), gastric (2.70, 2.00–3.57), cervical (2.20, 1.06–4.05), and head and neck cancers (2.06, 1.52–2.72).Conclusions:Patients with cancer face significantly higher suicide risk, peaking within six months post-diagnosis. Urgent integration of suicide risk screening and prevention into cancer care is crucial, supporting mental well-being and guiding proactive healthcare strategies.
背景：本研究旨在探讨波兰癌症患者是否面临更高的自杀风险，强调理解并缓解其独特的心理健康困境至关重要。 方法：基于波兰国家癌症登记数据（2009-2019年确诊），我们开展了一项队列研究。按年龄、性别和年份计算了标准化死亡比（SMR），并提供了总体及分性别的95%置信区间（CI）。 结果：研究共纳入143万例癌症确诊患者，其中发生830例自杀事件。总体自杀标准化死亡比为1.34（95% CI 1.25-1.43）。确诊后前六个月的自杀死亡风险最高（SMR=1.94，1.69-2.21），其中心脏与胸膜癌（19.15，2.32-69.18）、原发部位不明癌症（3.99，1.09-10.22）及食管癌（3.34，1.08-7.79）风险尤为突出。确诊后总体自杀风险最高的癌症类型包括食管癌（2.94，1.47-5.26）、胃癌（2.70，2.00-3.57）、宫颈癌（2.20，1.06-4.05）及头颈部癌症（2.06，1.52-2.72）。 结论：癌症患者的自杀风险显著升高，确诊后六个月内达到峰值。亟需将自杀风险筛查与预防措施整合到癌症诊疗体系中，这对维护患者心理健康及制定前瞻性医疗策略具有关键意义。
Suicide after a Diagnosis of Cancer: Follow-Up of 1.4 Million Individuals, 2009–2019
肿瘤(癌症)患者之家