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Suicide in men with testis cancer
1Division of Urology, Surgery Department, Memorial Sloan-Kettering Cancer Centre, New York, NY, USA. alanees@mskcc.org
European Journal of Cancer Care
|May 26, 2012
Summary
Testis cancer patients have a 20% higher suicide risk than the general population. Younger patients and those of non-White/Black races face even greater risks, highlighting a need for targeted mental health support.
Area of Science:
- Oncology
- Psychiatry
- Epidemiology
Background:
- Testis cancer patients experience documented depression, anxiety, and aggression.
- The specific suicide risk for testis cancer patients remains undefined.
- Understanding suicide risk factors is crucial for patient care.
Purpose of the Study:
- To determine suicide rates among testis cancer patients in the USA.
- To identify patient and disease characteristics associated with elevated suicide risk.
Main Methods:
- Utilized the Surveillance, Epidemiology, and End Results (SEER) database.
- Identified patients diagnosed with testis cancer between 1995 and 2008.
- Employed multivariate analysis to assess factors influencing suicide rates.
Main Results:
- Identified 23,381 testis cancer patients with 126,762 person-years of follow-up.
- Suicide rate was 26.0 per 100,000 person-years, compared to 21.5 in the general US population (ages 25-44).
- Standardized mortality ratio for suicide was 1.2 (95% CI: 1.1-2.1); higher in younger patients (<30 years) and non-White/Black races.
Conclusions:
- Testis cancer patients face a 20% increased suicide risk compared to the general population.
- Younger patients and those of races other than White and Black exhibit higher suicide rates.
- These findings underscore the need for enhanced mental health surveillance and support for at-risk testis cancer patient subgroups.
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