TY - JOUR PY - 2018// TI - Incidence rate and risk factors for suicide death in patients with skin malignant melanoma: a Surveillance, Epidemiology, and End Results analysis JO - Melanoma research A1 - Yang, Jin A1 - Chen, Siying A1 - Li, Yuanjie A1 - Wang, Bin A1 - Xin, Xiaojing A1 - Xue, Xia A1 - Pan, Zhenyu A1 - Lyu, Jun SP - ePub EP - ePub VL - ePub IS - ePub N2 - The purpose of this study was to use the Surveillance, Epidemiology, and End Results database to identify the incidence rate and risk factors for suicide death in patients with skin malignant melanoma (MM) in the USA. We screened cases of skin MM in the SEER database. The balance of covariates between the two groups was examined by the χ-test and Fisher's exact test. Logistic regression was used to identify independent risk factors for committing suicide. A propensity 1 : 2 matched analysis was applied to minimize the risk of bias. In total, 103 500 patients with skin MM were included in the study, of whom 623 had died of suicide. The rate of suicide death did not differ significantly between different time intervals. In logistic regression before propensity score matching, age, being divorced, separated, or widowed, receiving radiation or chemotherapy, and the elapsed time since diagnosis were independently associated with an increased rate of suicide death. Only age (P<0.001) and being in the first year after a diagnosis (P<0.001) significantly increased the risk of suicide death after propensity score matching. In addition, after the propensity score matching, age was a risk factor for localized, regional, and unstaged, and being the first year after a diagnosis was only a risk factor for regional. It is important to identify and treat people at risk of suicide as early as possible. These results can help clinicians to understand suicidal patients and provide them with appropriate support.

Language: en

LA - en SN - 0960-8931 UR - http://dx.doi.org/10.1097/CMR.0000000000000559 ID - ref1 ER -