“Our findings illustrate that suicide is an important risk following cancer surgery and highlight the need to develop and implement distress screening programs in surgical oncology practices.”

—Chi-Fu Jeffrey Yang, MD

A new study finds that patients with cancer who have under gone surgery have a greater suicide risk than the general population. Also, the researchers found that patients with deadlier solid-organ cancers committed suicide much sooner after surgery than other patients with cancers who also committed suicide after cancer surgery. Heading the list of the cancers leading to suicide within the first year after surgery are brain and larynx cancers; the least likely of the 15 sites examined is cervical cancer. Particularly vulnerable, the study shows, are unmarried White males.

In light of these findings, the study authors suggest that better distress screening access and improved availability of psychosocial support for at least the most vulnerable high-risk patients with cancer, both before and after surgery, are urgently needed to reduce the risks of suicide in this patient population.

The study appears in JAMA Oncology (doi:10.1001/jamaoncol.2022.6549).

中文翻译：

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需要更好的解决方案来减少癌症患者的自杀率

“我们的研究结果表明，自杀是癌症手术后的一个重要风险，并强调需要在肿瘤外科实践中制定和实施痛苦筛查计划。”

—Chi-Fu Jeffrey Yang，医学博士

一项新的研究发现，接受手术的癌症患者比一般人群有更高的自杀风险。此外，研究人员发现，患有更致命的实体器官癌症的患者在手术后自杀的速度比其他在癌症手术后自杀的癌症患者要早得多。手术后第一年内导致自杀的癌症名列前茅的是脑癌和喉癌。在检查的 15 个部位中，最不可能是宫颈癌。研究表明，未婚白人男性尤其容易受到伤害。

鉴于这些发现，研究作者认为，迫切需要至少对最脆弱的高危癌症患者在手术前和手术后进行更好的痛苦筛查并提高心理社会支持的可用性，以降低自杀风险这个患者群体。

该研究发表在《JAMA Oncology》杂志上 (doi:10.1001/jamaoncol.2022.6549)。