Back to Search
Start Over
Mental illness is associated with increased risk of suicidal ideation among cancer surgical patients
- 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.
- Subjects :
- Male
medicine.medical_specialty
Bipolar Disorder
Medicare
Severity of Illness Index
Suicidal Ideation
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Risk Factors
Neoplasms
Surveys and Questionnaires
Internal medicine
medicine
Humans
Postoperative Period
030212 general & internal medicine
Risk factor
Suicidal ideation
Depression (differential diagnoses)
Aged
Aged, 80 and over
Depressive Disorder
business.industry
Cancer
General Medicine
Mental illness
medicine.disease
Anxiety Disorders
Mental health
United States
Schizophrenia
030220 oncology & carcinogenesis
Anxiety
Female
Schizophrenic Psychology
Surgery
medicine.symptom
business
Subjects
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