Cancer Diagnosis Linked to Suicide, Heart Attack
Newly Diagnosed Patients Need Help to Maintain Mental as Well as Physical Health
April 5, 2012 -- Newly diagnosed cancer patients have an increased risk of suicide and death from heart attack and stroke, according to a new study.
Research published this week in The New England Journal of Medicine finds that the risk is present even before treatment begins, and the risk was greatest among people with the most deadly cancers.
The findings confirm that a cancer diagnosis may have an immediate effect on physical and emotional health that can lead to death, say researcher Unnur Valdimarsdottir, PhD, of the University of Iceland in Reykjavik.
"Just as war and natural disasters have been linked to deadly cardiovascular events and suicide, a diagnosis of cancer is a major life stressor," Valdimarsdottir tells WebMD.
Cancer Diagnosis and Noncancer Death
The study included data from 1991 to 2006 about 6 million adult residents of Sweden age 30 or older who were enrolled in a nationwide health registry.
During this time, about 534,000 people in the registry received a first diagnosis of cancer. Slightly more than 26,300 people were diagnosed with cancers considered to be highly fatal, including those of the esophagus, pancreas, and liver.
Compared to people without a diagnosis of cancer:
- People with cancer were 12 times more likely to commit suicide within a week of diagnosis and three times more likely to commit suicide within a year.
- Cancer patients had a fivefold increase in deaths due to heart attack, stroke, or blood clots in the week following their diagnosis. In the first month following their diagnosis they had a threefold increase in risk, compared to people without cancer.
- People with the most deadly cancers had a 16-fold greater suicide risk within a week of diagnosis and a 15-fold greater risk of having a fatal heart attack or stroke.
Within a year of diagnosis, the suicide, heart attack, stroke, and blood clot-related death risk had returned to normal levels for people with all types of cancer.
Message: Address Noncancer Needs
Psychiatrist Bryan Bruno, MD, of Lenox Hill Hospital in New York City, says the findings highlight the need to address emotional and noncancer-related health issues in the weeks following a diagnosis of cancer.