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Suicide and Desire for Hastened Death in Cancer Settings Alex Mitchell, Consultant in Psycho-oncology Leicester General Hospital LOROS 2011
Introduction
Suicide Statistics in the UK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Suicide Epidemiology I  – By Age Suicide rates previously increased with age, but now are very similar in men and woman across age groups
Antidepressants Prescriptions & Suicide
DSH & Suicide Overview DSH (150,000) Suicide (5000) Depressed (30%) Depressed (80%) General Pop’n 0.01% 1% 70% 30% Depressed (5%)
In Cancer
Ladder of Suicide Risk Hopelessness & demoralization Desire for a hastened death Suicidal thoughts Suicidal intent Suicidal plans
Chochinov – DHD Scale (1995) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rating the DHD Scale ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Rates of DHD ,[object Object]
Schedule of Attitudes toward Hastened Death ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Schedule of Attitudes toward Hastened Death ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breitbart et al (2000) ,[object Object],[object Object],[object Object]
 
PHQ9
Leicester Oncology Study – Lord et al ,[object Object],[object Object]
Main Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
By Ethnicity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Suicidal thoughts and desire for help ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predictors 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Predictors 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Suicide and desire for hastened death (edit)

Editor's Notes

  1. Rates in young males have increased steadily (including a 74% increase in “undetermined” deaths) Rates in all other groups have reduced since 1987 (by about 15% overall)
  2. Prescriptions for antidepressants have increased four fold in Sweden, but suicide rates have dropped only 10%