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Mental illness is associated with increased risk of suicidal ideation among cancer surgical patients

Authors :
Anghela Z. Paredes
Timothy M. Pawlik
Adrian Diaz
Elizabeth Palmer Kelly
J. Madison Hyer
Diamantis I. Tsilimigras
Source :
The American Journal of Surgery. 222:126-132
Publication Year :
2021
Publisher :
Elsevier BV, 2021.

Abstract

Background Mental illness and depression can be associated with increased risk of suicidal ideation (SI). We sought to determine the association between mental illness and SI among cancer surgical patients. Methods Medicare beneficiaries who underwent resection of lung, esophageal, pancreatic, colon, or rectal cancer were analyzed. Patients were categorized as no mental illness, anxiety and/or depression disorders or bipolar/schizophrenic disorders. Results Among 211,092 Medicare beneficiaries who underwent surgery for cancer, the rate of suicidal ideation was 270/100,000 patients. Antecedent mental health diagnosis resulted in a marked increased SI. On multivariable analysis, patients with anxiety alone (OR 1.49, 95%CI 1.04–2.14), depression alone (OR 2.60, 95%CI 1.92–3.38), anxiety + depression (OR 4.50, 95%CI 3.48–5.86), and bipolar/schizophrenia (OR 7.30, 95%CI 5.27–10.30) had increased odds of SI. Conclusions Roughly 1 in 370 Medicare beneficiaries with cancer who underwent a wide range of surgical procedures had SI. An antecedent mental health diagnosis was a strong risk factor for SI.

Details

ISSN :
00029610
Volume :
222
Database :
OpenAIRE
Journal :
The American Journal of Surgery
Accession number :
edsair.doi.dedup.....9c50553265997a12f59c4a42d3a82c7f
Full Text :
https://doi.org/10.1016/j.amjsurg.2020.10.028