In a controlled psychological autopsy study of suicide in late life, eight cases in which the victim's belief that he had cancer played a major role in the decision to end his life, were examined. All victims were men. The majority had major affective disorders, but none had been seen in mental health care settings. Other common characteristics were an active relationship with a primary physician, numerous losses, prior experience with cancer or debilitating disease, and a rigid, self-sufficient personality. The cases illustrate the complex determinants of suicidal behavior in the elderly and suggest preventive strategies.
Physical illness is a commonly cited risk factor for suicide, especially in late life.
Of the physical illnesses associated with suicidal behavior, cancer stands out. In addition, large scale epidemiological studies have found cancer patients to be at significantly higher risk for suicide than the general population. Cancer has a special psychological significance in our culture, where it is associated with pain, suffering, and death. The psychological autopsy included interviews with relatives and friends, and reviews of medical records. Loved to be around people, but had a short fuse.