癌症患者自杀风险:全国的队列研究
Jung Eun Yoo1,2, Wonyoung Jung3,4, Jin Hyung Jung5
1Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Republic of Korea.
The British journal of psychiatry : the journal of mental science
|November 3, 2025
概括
癌症患者在诊断后的几年内面临自杀风险升高,但随着时间的推移,这种风险会降低. 然而,血液癌症患者的自杀风险持续高,需要持续查.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 癌症诊断是与增加自杀风险相关的重要压力因素.
- 了解癌症诊断后自杀风险的时间动态至关重要.
研究的目的:
- 为了检查癌症诊断后自杀风险如何演变.
- 为了确定癌症患者的自杀风险何时恢复到基线水平,与匹配的对照组相比.
主要方法:
- 利用了全国人口数据库,其中包括2009-2017年间诊断的171,474名癌症患者.
- 癌症患者的自杀风险与1:5年龄和性别匹配的对照进行比较,使用带有滞后期的调整危险比率 (aHR).
主要成果:
- 与对照组相比,癌症患者的自杀风险高出1.64倍 (aHR为1.64).
- 自杀风险升高在诊断后的1-2年内持续存在 (aHR分别为1.38和1.32).
- 血液癌症患者,特别是霍奇金淋巴瘤患者,即使在诊断5年后,也显示出明显更高的自杀风险.
结论:
- 癌症患者的自杀风险随着时间的推移而降低,在大多数情况下在诊断后5年左右恢复正常.
- 血液癌症是高风险群体,需要长期监测自杀风险.
- 持续的自杀风险查是从诊断到整个生存过程中至关重要的,特别是在高危人群中.
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