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Best practice in reducing suicide risk in head and neck cancer patients : a structured review

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Final_HNC_suicide_review.pdf (589.6Kb)
Date
15/07/2020
Author
Twigg, Joshua A
Anderson, Jane
Humphris, Gerald Michael
Nixon, Ioanna
Rogers, Simon N
Kanatas, Anastasios
Keywords
Head and neck cancer
Free tissue transfer
Suicide risk
Oncology
Suicide prevention
RC0254 Neoplasms. Tumors. Oncology (including Cancer)
RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
RD Surgery
RK Dentistry
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Abstract
The treatment of head and neck cancer (HNC) is often radical and the patient’s journey challenging, especially for individuals who are struggling with pre-existing mental health problems and who lack social support. Patients frequently suffer from high levels of emotional distress at some point before, during, or after treatment, and their risk of suicide is markedly elevated. This structured review aimed to identify the extent of the problem, appropriate interventions, and areas for future research. We found that the incidence of suicide among HNC patients was significantly elevated above that of the demographically matched general population. Furthermore, the risk was frequently higher in patients with HNC than in those with cancers in other sites. Despite the clear burden of suicide in patients with HNC, there is an absence of evidence on interventions used to reduce suicidal ideation and the risk of suicide. Recommendations for practice are made, drawing from the wider literature on the prevention of suicide.
Citation
Twigg , J A , Anderson , J , Humphris , G M , Nixon , I , Rogers , S N & Kanatas , A 2020 , ' Best practice in reducing suicide risk in head and neck cancer patients : a structured review ' , British Journal of Oral and Maxillofacial Surgery , vol. In Press . https://doi.org/10.1016/j.bjoms.2020.06.035
Publication
British Journal of Oral and Maxillofacial Surgery
Status
Peer reviewed
DOI
https://doi.org/10.1016/j.bjoms.2020.06.035
ISSN
0266-4356
Type
Journal item
Rights
Copyright © 2020 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved. This work has been made available online in accordance with publisher policies or with permission. Permission for further reuse of this content should be sought from the publisher or the rights holder. This is the author created accepted manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at https://doi.org/10.1016/j.bjoms.2020.06.035
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/23570

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