Suicide risk after head and neck cancer diagnosis in Taiwan: A retrospective cohort study

医学 危险系数 头颈部癌 内科学 癌症 比例危险模型 队列研究 队列 回顾性队列研究 萧条(经济学) 置信区间 人口 毒物控制 人口学 急诊医学 环境卫生 社会学 经济 宏观经济学
作者
Fu-Hsuan Liu,Jing‐Yang Huang,Lin Che,Tsu‐Jen Kuo
出处
期刊:Journal of Affective Disorders [Elsevier BV]
卷期号:320: 610-615 被引量:6
标识
DOI:10.1016/j.jad.2022.09.151
摘要

The diagnosis of head and neck cancer (HNC) may lead to exhaustion and depression. Therefore, the suicide risk of patients with HNC is high. This study aimed to understand the suicide risk of patients with HNC in Taiwan compared with patients with other-cancer and general population during the period from 2010 to 2019.A total of 74,495 patients with HNC were compared against the other two cohort consisting 148,878 patients with other-cancer and 595,512 individual without cancer by age, sex, and index year from the Taiwan National Health Insurance Research Database. The multivariate Cox proportional hazard regression analysis was performed to estimate the risk of all-cause or suicide mortality.Compared to the non-cancer group, the all-cause mortality risk of the HNC group (the adjusted hazard ratio (aHR), 7.72; 95 % confidence interval (CI), 7.60-7.83) is lower than that of the other-cancer group (aHR, 8.87; 95 % CI, 8.77-8.98). However, the suicide mortality risk compared with non-cancer group in the HNC group (aHR, 3.89; 95 % CI, 3.46-4.37) is much higher than other-cancer group (aHR, 1.86; 95 % CI, 1.64-2.10). HNC only has the seventh highest all-cause mortality risk, but HNC has the second highest suicide mortality risk. Men always have a higher suicide mortality risk than women. Middle-aged patients (age 50-60 years) have the highest suicide mortality risk, whereas younger patients (age < 40 years) have the lowest suicide mortality risk.In this study, some factors and information needed were limited to the existing database; thus, preventing recall bias was difficult.This study indicates that patients with HNC did not have a higher risk of all-cause mortality than patients with other cancers. However, the risk of suicide mortality in patients with HNC was higher than that of patients without cancer and patients with other cancers in Taiwan.
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