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In addition, it highlights the need for a multidisciplinary, proactive approach in health promotion for cancer patients' families. Copyright ? 2009 John Wiley & Sons, Ltd. ""A diagnosis of cancer is associated with an increased suicide risk, and this risk is the highest within the first year of diagnosis. The aim of the present study was to determine risk factors of suicide occurring within the first year of cancer diagnosis (early suicide). http://www.selleckchem.com/products/r428.html The sampling pool consisted of 164,497 patients with cancer admitted to a general hospital in Seoul, South Korea, from 1996 to 2009. We conducted a 1:2 matched case-control study by matching 373 patients who died from suicide (cases) with 746 patients who did not die from suicide (controls) on age, sex, anatomic site, and at the time of cancer diagnosis. Data were analyzed using Cox proportional hazards regression modeling. Suicide within the first year after a cancer diagnosis occurred in 149 patients (40.0% of 373 total suicides). The standardized mortality ratio (SMR) for early suicide was 1.65 [95% confidence interval (CI)?=?1.40�C1.94] and was significantly higher for biliary-pancreatic (SMR?=?3.07; 95% CI?=?2.02�C4.46), lung (SMR?=?1.94; 95% CI?=?1.19�C3.30), and stomach http://www.selleckchem.com/products/PF-2341066.html (SMR?=?1.71; 95% CI?=?1.16�C2.42) cancers than for other cancers. Early and late suicide was significantly different in anatomic site (p?=?0.01) and stage (p? http://www.selleck.cn/products/3-methyladenine.html and decision-making process. We assessed cancer patient preferences (PP), family caregiver preferences (FCP), and family caregiver predictions of patient preferences (FCPPP) regarding the disclosure of terminal status, family involvement in the disclosure process, and EOL choices, and we evaluated the concordances among them. A national, multicenter, cross-sectional survey of 990 patient-caregiver dyads (participation rate?=?76.2%) was performed. A set of paired questionnaires was independently administered to patients and their caregivers. While patients and family caregivers had wide spectra of preferences, patients significantly preferred disclosure, direct disclosure by a physician, and palliative care options (all P?