Table 3 Suicide in Patients With Cancer by Site and Years Since Diagnosis
From: Incidence of suicide among adolescent and young adult cancer patients: a population-based study
Cancer sitea | 0–5 years | 5–10 years | 10–15 years | 15–30 years |
|---|---|---|---|---|
All | ||||
No of suicide | 352 | 194 | 132 | 153 |
Person-years | 2,413,420.2 | 1,785,358.3 | 1,369,803.9 | 1,264,207.9 |
SMR (95% CI)bc | 1.199 (1.080–1.331) | 0.903 (0.785–1.040) | 0.804 (0.678–0.954) | 1.012(0.864–1.185) |
Lung and bronchus | ||||
No of suicide | 4 | 1 | 3 | 1 |
Person-years | 21,310.5 | 12,794.1 | 10,188 | 9643.1 |
SMR (95% CI)bc | 1.348 (0.506–3.593) | 0.572 (0.081–4.062) | 2.168 (0.699–6.772) | 0.763 (0.107–5.413) |
Stomach | ||||
No of suicide | 5 | 0 | 0 | 0 |
Person-years | 7945.9 | / | / | / |
SMR (95% CI)bc | 4.223 (1.758–10.146) | / | / | / |
Oral cavity and pharynx | ||||
No of suicide | 9 | 6 | 4 | 6 |
Person-years | 40,367.3 | 31,639.7 | 25,408.4 | 24,024.3 |
SMR (95% CI)bc | 1.496 (0.779–2.876) | 1.279 (0.575–2.846) | 1.06 (0.398–2.823) | 1.683 (0.756–3.747) |
Larynx | ||||
No of suicide | 4 | 1 | 0 | 4 |
Person-years | 7397.3 | 5524.3 | / | 4105.4 |
SMR (95% CI)bc | 3.257 (1.223–8.679) | 1.103 (0.155–7.833) | / | 5.895 (2.213–15.708) |
Hodgkin lymphoma | ||||
No of suicide | 19 | 15 | 14 | 15 |
Person-years | 154,529.1 | 121,706.9 | 95,506.2 | 90,800.8 |
SMR (95% CI)bc | 0.882 (0.562–1.383) | 0.884 (0.533–1.467) | 1.048 (0.620–1.769) | 1.178 (0.710–1.954) |
Kidney | ||||
No of suicide | 5 | 3 | 1 | 0 |
Person-years | 34,213.4 | 21,394.6 | 13,296.1 | / |
SMR (95% CI)bc | 0.916 (0.381–2.202) | 0.881 (0.284–2.732) | 0.476 (0.067–3.376) | / |
Thyroid | ||||
No of suicide | 10 | 15 | 5 | 11 |
Person-years | 304,940.9 | 231,914.4 | 177,708.3 | 163,000.3 |
SMR (95% CI)bc | 0.36 (0.194–0.669) | 0.705 (0.425–1.170) | 0.305 (0.127–0.732) | 0.725 (0.401–1.309) |
Nervous system | ||||
No of suicide | 18 | 11 | 7 | 6 |
Person-years | 78,879.9 | 48,173.6 | 32,588 | 28,791.4 |
SMR (95% CI)bc | 1.598 (1.007–2.537) | 1.671 (0.926–3.018) | 1.604 (0.765–3.365) | 1.569 (0.705–3.493) |
Non-hodgkin lymphoma | ||||
No of suicide | 30 | 10 | 9 | 4 |
Person-years | 107,191.8 | 74,337.6 | 52,627.9 | 44,459 |
SMR (95% CI)bc | 1.789 (1.251–2.559) | 0.868 (0.467–1.613) | 1.102 (0.573–2.118) | 0.583 (0.219–1.552) |
Leukemias | ||||
No of suicide | 12 | 3 | 1 | 3 |
Person-years | 66,781.5 | 37,020.2 | 23,586.8 | 18,850.3 |
SMR (95% CI)bc | 1.242 (0.705–2.187) | 0.569 (0.183–1.763) | 0.3 (0.042–2.130) | 1.134 (0.366–3.516) |
Colorectal | ||||
No of suicide | 24 | 6 | 6 | 4 |
Person-years | 83,362.7 | 52,617.1 | 38,488.4 | 34,003.3 |
SMR (95% CI)bc | 1.981 (1.328–2.956) | 0.799 (0.359–1.778) | 1.111 (0.499–2.473) | 0.853 (0.320–2.273) |
Bladder | ||||
No of suicide | 5 | 5 | 2 | 3 |
Person-years | 36,080.1 | 31,857.8 | 28,210.3 | 28,337.9 |
SMR (95% CI)bc | 0.754 (0.314–1.813) | 0.854 (0.355–2.051) | 0.386 (0.096–1.542) | 0.574 (0.185–1.779) |
Gonad | ||||
No of suicide | 4 | 2 | 2 | 1 |
Person-years | 41,069.2 | 32,830.5 | 28,353.8 | 28,643.1 |
SMR (95% CI)bc | 1.498 (0.562–3.992) | 0.947 (0.237–3.786) | 1.108 (0.277–4.430) | 0.551 (0.078–3.909) |
Breastd | ||||
No of suicide | 21 | 16 | 10 | 6 |
Person-years | 302,555.6 | 209,432.5 | 154,023.4 | 140,039 |
SMR (95% CI)bc | 1.023 (0.667–1.569) | 1.124 (0.689–1.835) | 0.956 (0.515–1.778) | 0.632 (0.284–1.406) |
Cervix and uterusd | ||||
No of suicide | 19 | 9 | 7 | 6 |
Person-years | 190,234.6 | 154,903.8 | 129,910.9 | 126,362.5 |
SMR (95% CI)bc | 1.556 (0.992–2.439) | 0.91 (0.474–1.749) | 0.848 (0.404–1.780) | 0.75 (0.337–1.668) |
Nasopharyngeal | ||||
No of suicide | 5 | 0 | 0 | 1 |
Person-years | 8107.6 | / | / | 3563.3 |
SMR (95% CI)bc | 3.836 (1.597–9.217) | / | / | 1.832 (0.258–13.009) |
Osseous and chondrommatous | ||||
No of suicide | 8 | 2 | 3 | 3 |
Person-years | 30,477 | 21,211.8 | 16,519.3 | 15,391.4 |
SMR (95% CI)bc | 1.948 (0.974–3.895) | 0.708 (0.177–2.831) | 1.368 (0.441–4.240) | 1.458 (0.470–4.521) |
Soft tissue | ||||
No of suicide | 53 | 14 | 10 | 9 |
Person-years | 106,086.5 | 73,337.1 | 58,510.3 | 54,880.6 |
SMR (95% CI)bc | 3.229 (2.467–4.227) | 1.316 (0.779–2.222) | 1.202 (0.647–2.235) | 1.17 (0.609–2.248) |
Germ cell and trophoblastic | ||||
No of suicide | 40 | 34 | 19 | 27 |
Person-years | 236,632.7 | 189,951.7 | 152,340.3 | 145,582.2 |
SMR (95% CI)bc | 0.821 (0.602–1.119) | 0.872 (0.623–1.220) | 0.61 (0.389–0.957) | 0.909 (0.623–1.325) |
Melanoma and skin carcinomas | ||||
No of suicide | 26 | 17 | 23 | 25 |
Person-years | 284,288 | 231,236.7 | 184,811.7 | 174,225.1 |
SMR (95% CI)bc | 0.726 (0.494–1.066) | 0.587 (0.365–0.944) | 0.991 (0.658–1.491) | 1.139 (0.770–1.686) |