TY  - JOUR
PY  - 2022//
TI  - Cancer and psychiatric diagnoses in the year preceding suicide
JO  - Cancer medicine
A1  - Kahn, Geoffrey D.
A1  - Tam, Samantha H.
A1  - Felton, Julia W.
A1  - Westphal, Joslyn
A1  - Simon, Gregory E.
A1  - Owen-Smith, Ashli A.
A1  - Rossom, Rebecca C.
A1  - Beck, Arne L.
A1  - Lynch, Frances L.
A1  - Daida, Yihe G.
A1  - Lu, Christine Y.
A1  - Waring, Stephen
A1  - Frank, Cathrine B.
A1  - Akinyemi, Esther O.
A1  - Ahmedani, Brian K.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Patients with cancer are known to be at increased risk for suicide but little is known about the interaction between cancer and psychiatric diagnoses, another well-documented risk factor. <br><br>METHODS: Electronic medical records from nine healthcare systems participating in the Mental Health Research Network were aggregated to form a retrospective case-control study, with ICD-9 codes used to identify diagnoses in the 1 year prior to death by suicide for cases (N = 3330) or matching index date for controls (N = 297,034). Conditional logistic regression was used to assess differences in cancer and psychiatric diagnoses between cases and controls, controlling for sex and age. <br><br>RESULTS: Among patients without concurrent psychiatric diagnoses, cancer at disease sites with lower average 5-year survival rates were associated with significantly greater relative risk, while cancer disease sites with survival rates of >70% conferred no increased risk. Patients with most psychiatric diagnoses were at higher risk, however, there was no additional risk conferred to these patients by a concurrent cancer diagnosis. <br><br>CONCLUSION: We found no evidence of a synergistic effect between cancer and psychiatric diagnoses. However, cancer patients with a concurrent psychiatric illness remain at the highest relative risk for suicide, regardless of cancer disease site, due to strong independent associations between psychiatric diagnoses and suicide. For patients without a concurrent psychiatric illness, cancer disease sites associated with worse prognoses appeared to confer greater suicide risk.<p />  <p>Language: en</p>
LA  - en
SN  - 2045-7634
UR  - http://dx.doi.org/10.1002/cam4.5201
ID  - ref1
ER  -