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

IF 2.5 3区医学 Q2 PSYCHIATRY Archives of Suicide Research Pub Date : 2024-07-01 Epub Date: 2023-08-14 DOI:10.1080/13811118.2023.2240870

Sima Rafiei, Fatemeh Pashazadeh Kan, Samira Raoofi, Farnoosh Shafiee, Maryam Masoumi, Farzaneh Bagheribayati, Akbar Javan Biparva, Zahra Noorani Mejareh, Mohaddeseh Sanaei, Yasamin Dolati, Bahare Abdollahi, Saghar Khani, Elaheh Parnian, Elmira Nosrati Sanjabad, Ahmad Ghashghaee

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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.

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全球癌症患者自杀率：系统回顾与元分析》。

目的：鉴于癌症患者可能因身体和精神问题而自杀，本研究旨在确定不同亚组患者的特定风险因素，包括癌症类型、性别、年龄、自杀类型和时间以及地理区域，以促进早期护理和社会心理支持：对 Embase、Scopus、PubMed 和 Web of Science 等数据库中 2000 年 1 月至 2022 年 3 月期间发表的英文原创文章进行了全面回顾。结果：在对来自 15 个国家的 69 篇文章进行综述后，发现这些文章都是在 2000 年 1 月至 2022 年 3 月期间发表的英文原创文章：在对选自 15 个国家的 69 篇文章进行审查后，估计 34,157,856 名癌症患者中有 67,169 人自杀，自杀率为 0.013（95% CI，0.008-0.021）。胃肠道癌症的自杀率最高，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/自杀意念的发生率较高，估计为0.013（95% CI，0.008-0.023），而女性为0.006（95% CI，0.002-0.017）：根据研究结果，自杀预防策略应针对40岁以下的患者，以有效解决他们的心理健康问题，提高他们成功控制疾病的自我效能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Archives of Suicide Research Multiple-

CiteScore

6.10

自引率

7.10%

发文量

期刊介绍： Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.