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Trends and Risk Factors for Suicide in Thoracic Transplantation.

Emily L Larson1, Alice L Zhou1, Jacob S Shaw2

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Suicide rates are higher in heart and lung transplant recipients than national averages. Male and white recipients face increased suicide risk, highlighting the need for targeted psychiatric care in transplant teams.

Keywords:
heart transplantationlung transplantationmental healthsuicide

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Area of Science:

  • Cardiology
  • Psychiatry
  • Transplantation Medicine

Background:

  • Transplant is a significant psychosocial challenge.
  • Elevated suicide rates are observed post-abdominal transplant.
  • This study focuses on thoracic transplant recipients.

Purpose of the Study:

  • To determine suicide rates in heart and lung transplant recipients.
  • To identify risk factors for suicide after thoracic transplantation.

Main Methods:

  • Utilized the UNOS/OPTN database (1995-2022).
  • Included adult recipients of isolated primary heart or lung transplants.
  • Employed multivariable logistic regression to identify suicide risk factors.

Main Results:

  • Overall suicide rate: 109.41 per 100,000 recipients.
  • Suicide deaths were more common in male (86.6%) and white (90.2%) recipients.
  • Male sex and white race were associated with increased suicide risk (aOR 4.42 and 3.98, respectively).

Conclusions:

  • Thoracic transplant recipients exhibit higher suicide rates than the general population.
  • White males are identified as a high-risk group.
  • Integrating psychiatric care into transplant teams is crucial for at-risk individuals.