{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:12:27Z","timestamp":1777043547862,"version":"3.51.4"},"reference-count":47,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,4,30]],"date-time":"2014-04-30T00:00:00Z","timestamp":1398816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Hematological malignancies can cause high levels of distress, but few studies have assessed risk of suicidal behavior among these patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We evaluated risk of attempted and completed suicide in a cohort of 46,309 patients diagnosed with malignant lymphoma, myeloma and leukemia in Sweden 1992 to 2009 and 107,736 cancer\u2010free subjects, using Poisson regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 146 suicide attempts and 63 completed suicides occurred during a median follow up of 3.1 years (maximum 19 years). The risk of completed suicide was 3.5\u2010fold increased among patients with myeloma [incidence rate ratio (IRR)\u2009=\u20093.52, 95% confidence interval (CI)\u2009=\u20092.05\u22126.03] and 1.9\u2010fold increased among patients with lymphoma (IRR\u2009=\u20091.87, 95% CI\u2009=\u20091.31\u22122.67) but not significantly increased among patients with leukemia. Risk of attempted suicide was increased among patients with myeloma (IRR\u2009=\u20092.13, CI\u2009=\u20091.39\u22123.26) and lymphoma (IRR\u2009=\u20091.34, 95% CI = 1.07\u22121.69). Both male and female patients were at increased risk of attempted as well as completed suicide. A pre\u2010malignant history of mental disorders conferred 15\u2010fold to 30\u2010fold increased risks, but elevated risks were also observed among patients without such history.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Suicidal actions in patients with hematological malignancies have high suicidal intent, and that subgroups of patients should be monitored for suicidal ideation. Copyright \u00a9 2014 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.3561","type":"journal-article","created":{"date-parts":[[2014,4,30]],"date-time":"2014-04-30T16:01:42Z","timestamp":1398873702000},"page":"1276-1282","source":"Crossref","is-referenced-by-count":15,"title":["Risk and predictors of attempted and completed suicide in patients with hematological malignancies"],"prefix":"10.1002","volume":"23","author":[{"given":"Mohammad","family":"Mohammadi","sequence":"first","affiliation":[{"name":"Unit of Biostatistics, Division of Epidemiology, Institute of Environmental Medicine Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tahereh","family":"Moradi","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Division of Epidemiology Karolinska Institutet  Stockholm Sweden"},{"name":"Center for Epidemiology and Social Medicine, Health Care Services Stockholm County Council  Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Bottai","sequence":"additional","affiliation":[{"name":"Unit of Biostatistics, Division of Epidemiology, Institute of Environmental Medicine Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Reutfors","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institutet Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Cao","sequence":"additional","affiliation":[{"name":"Unit of Biostatistics, Division of Epidemiology, Institute of Environmental Medicine Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin E.","family":"Smedby","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Unit, Department of Medicine, Solna, Karolinska Institutet Karolinska University Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/14034940410019226"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(89)90003-6"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110307"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdt415"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.450"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1159\/000226893"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdm207"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.13.8941"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0b013e31822fc76c"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.14.3990"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rbp.2012.02.001"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17061-X"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.07.005"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2011.615381"},{"key":"e_1_2_7_16_1","first-page":"1","article-title":"Familial clustering of suicide risk: a total population study of 11.4 million individuals","author":"Tidemalm D","year":"2011","journal-title":"Psychol Med"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6605110"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2008.135160"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811110701801044"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/JGP.0b013e318233171a"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841860802247664"},{"key":"e_1_2_7_22_1","unstructured":"Socialstyrelsen.The national board of health and welfare Sweden 2013."},{"key":"e_1_2_7_23_1","unstructured":"SCB.Historic population register. 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