Suicide in head and neck cancer patients.
Identifieur interne : 000570 ( Main/Exploration ); précédent : 000569; suivant : 000571Suicide in head and neck cancer patients.
Auteurs : J M Henderson [États-Unis] ; R A OrdSource :
- Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons [ 0278-2391 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Assistance (MeSH), Attitude envers la mort (MeSH), Attitude envers la santé (MeSH), Cause de décès (MeSH), Chirurgie stomatologique (spécialité) (MeSH), Communication (MeSH), Douleur (psychologie), Dépression (psychologie), Facteurs de risque (MeSH), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Maryland (épidémiologie), Mâle (MeSH), Refus du traitement (MeSH), Relations dentiste-patient (MeSH), Suicide (statistiques et données numériques), Sujet âgé (MeSH), Tumeurs (épidémiologie), Tumeurs de la tête et du cou (psychologie), Tumeurs de la tête et du cou (thérapie), Tumeurs de la tête et du cou (épidémiologie), Études rétrospectives (MeSH).
- MESH :
- psychologie : Douleur, Dépression, Tumeurs de la tête et du cou.
- statistiques et données numériques : Suicide.
- thérapie : Tumeurs de la tête et du cou.
- épidémiologie : Maryland, Tumeurs, Tumeurs de la tête et du cou.
- Adulte d'âge moyen, Assistance, Attitude envers la mort, Attitude envers la santé, Cause de décès, Chirurgie stomatologique (spécialité), Communication, Facteurs de risque, Femelle, Humains, Incidence, Mâle, Refus du traitement, Relations dentiste-patient, Sujet âgé, Études rétrospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Attitude to Death (MeSH), Attitude to Health (MeSH), Cause of Death (MeSH), Communication (MeSH), Counseling (MeSH), Dentist-Patient Relations (MeSH), Depression (psychology), Female (MeSH), Head and Neck Neoplasms (epidemiology), Head and Neck Neoplasms (psychology), Head and Neck Neoplasms (therapy), Humans (MeSH), Incidence (MeSH), Male (MeSH), Maryland (epidemiology), Middle Aged (MeSH), Neoplasms (epidemiology), Pain (psychology), Retrospective Studies (MeSH), Risk Factors (MeSH), Suicide (statistics & numerical data), Surgery, Oral (MeSH), Treatment Refusal (MeSH).
- MESH :
- geographic , epidemiology : Maryland.
- epidemiology : Head and Neck Neoplasms, Neoplasms.
- psychology : Depression, Head and Neck Neoplasms, Pain.
- statistics & numerical data : Suicide.
- therapy : Head and Neck Neoplasms.
- Aged, Attitude to Death, Attitude to Health, Cause of Death, Communication, Counseling, Dentist-Patient Relations, Female, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Risk Factors, Surgery, Oral, Treatment Refusal.
Abstract
PURPOSE
It has been well documented that patients with a diagnosis of cancer are at an increased risk of committing suicide. However, there is a paucity of literature on the risk of suicide in the head and neck cancer patient. The purpose of this investigation was to determine the incidence of suicide and expressed suicidal intent in a series of such cancer patients.
PATIENTS AND METHODS
A retrospective chart review of 241 patients who were diagnosed with head and neck cancer at the University of Maryland Oral and Maxillofacial Surgery Oncology Division was done.
RESULTS
Three patients were identified who committed suicide, 1.2% of the series. Two patients expressed suicidal intent, and four patients refused all treatment and counseling, preferring to die of their disease.
CONCLUSIONS
Head and neck cancer patients have many of the same risk factors for suicide as patients with other forms of cancer. To reduce this risk, it is essential that the surgeon maintain good rapport with the patient, because this serves as a foundation for all other aspects of their therapy. In addition, these patients need to be fully evaluated for depression, hopelessness, pain, and other factors important in raising the possibility of suicide, and appropriate, aggressive management must be provided.
DOI: 10.1016/s0278-2391(97)90170-1
PubMed: 9371110
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Henderson, J M" sort="Henderson, J M" uniqKey="Henderson J" first="J M" last="Henderson">J M Henderson</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Attitude to Death (MeSH)</term>
<term>Attitude to Health (MeSH)</term>
<term>Cause of Death (MeSH)</term>
<term>Communication (MeSH)</term>
<term>Counseling (MeSH)</term>
<term>Dentist-Patient Relations (MeSH)</term>
<term>Depression (psychology)</term>
<term>Female (MeSH)</term>
<term>Head and Neck Neoplasms (epidemiology)</term>
<term>Head and Neck Neoplasms (psychology)</term>
<term>Head and Neck Neoplasms (therapy)</term>
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<term>Incidence (MeSH)</term>
<term>Male (MeSH)</term>
<term>Maryland (epidemiology)</term>
<term>Middle Aged (MeSH)</term>
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<term>Retrospective Studies (MeSH)</term>
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<term>Suicide (statistics & numerical data)</term>
<term>Surgery, Oral (MeSH)</term>
<term>Treatment Refusal (MeSH)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
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<term>Attitude envers la mort (MeSH)</term>
<term>Attitude envers la santé (MeSH)</term>
<term>Cause de décès (MeSH)</term>
<term>Chirurgie stomatologique (spécialité) (MeSH)</term>
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<term>Douleur (psychologie)</term>
<term>Dépression (psychologie)</term>
<term>Facteurs de risque (MeSH)</term>
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<term>Humains (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Maryland (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Refus du traitement (MeSH)</term>
<term>Relations dentiste-patient (MeSH)</term>
<term>Suicide (statistiques et données numériques)</term>
<term>Sujet âgé (MeSH)</term>
<term>Tumeurs (épidémiologie)</term>
<term>Tumeurs de la tête et du cou (psychologie)</term>
<term>Tumeurs de la tête et du cou (thérapie)</term>
<term>Tumeurs de la tête et du cou (épidémiologie)</term>
<term>Études rétrospectives (MeSH)</term>
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<term>Tumeurs</term>
<term>Tumeurs de la tête et du cou</term>
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<term>Attitude to Death</term>
<term>Attitude to Health</term>
<term>Cause of Death</term>
<term>Communication</term>
<term>Counseling</term>
<term>Dentist-Patient Relations</term>
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<term>Humans</term>
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<term>Assistance</term>
<term>Attitude envers la mort</term>
<term>Attitude envers la santé</term>
<term>Cause de décès</term>
<term>Chirurgie stomatologique (spécialité)</term>
<term>Communication</term>
<term>Facteurs de risque</term>
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<term>Humains</term>
<term>Incidence</term>
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<term>Refus du traitement</term>
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<term>Études rétrospectives</term>
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<front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b>
</p>
<p>It has been well documented that patients with a diagnosis of cancer are at an increased risk of committing suicide. However, there is a paucity of literature on the risk of suicide in the head and neck cancer patient. The purpose of this investigation was to determine the incidence of suicide and expressed suicidal intent in a series of such cancer patients.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b>
</p>
<p>A retrospective chart review of 241 patients who were diagnosed with head and neck cancer at the University of Maryland Oral and Maxillofacial Surgery Oncology Division was done.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Three patients were identified who committed suicide, 1.2% of the series. Two patients expressed suicidal intent, and four patients refused all treatment and counseling, preferring to die of their disease.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Head and neck cancer patients have many of the same risk factors for suicide as patients with other forms of cancer. To reduce this risk, it is essential that the surgeon maintain good rapport with the patient, because this serves as a foundation for all other aspects of their therapy. In addition, these patients need to be fully evaluated for depression, hopelessness, pain, and other factors important in raising the possibility of suicide, and appropriate, aggressive management must be provided.</p>
</div>
</front>
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<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">It has been well documented that patients with a diagnosis of cancer are at an increased risk of committing suicide. However, there is a paucity of literature on the risk of suicide in the head and neck cancer patient. The purpose of this investigation was to determine the incidence of suicide and expressed suicidal intent in a series of such cancer patients.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">A retrospective chart review of 241 patients who were diagnosed with head and neck cancer at the University of Maryland Oral and Maxillofacial Surgery Oncology Division was done.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Three patients were identified who committed suicide, 1.2% of the series. Two patients expressed suicidal intent, and four patients refused all treatment and counseling, preferring to die of their disease.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Head and neck cancer patients have many of the same risk factors for suicide as patients with other forms of cancer. To reduce this risk, it is essential that the surgeon maintain good rapport with the patient, because this serves as a foundation for all other aspects of their therapy. In addition, these patients need to be fully evaluated for depression, hopelessness, pain, and other factors important in raising the possibility of suicide, and appropriate, aggressive management must be provided.</AbstractText>
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