Thinking about one’s own death after prostate-cancer diagnosis

Thordis K. Thorsteinsdottir*, Heiddis Valdimarsdottir, Johan Stranne, Ulrica Wilderäng, Eva Haglind, Gunnar Steineck

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Background: Prostate-cancer diagnosis increases the risk for psychiatric morbidity and suicide. Thoughts about one’s own death could indicate need for psychiatric care among men with localized prostate cancer. We studied the prevalence and predictors of thoughts about own death among men with prostate cancer. Methods: Of the 3930 men in the prospective, multi-centre LAPPRO-trial, having radical prostatectomy, 3154 (80%) answered two study-specific questionnaires, before and three months after surgery. Multivariable prognostic models were built with stepwise regression and Bayesian Model Averaging. Results: After surgery 46% had thoughts about their own death. Extra-prostatic tumor-growth [Adjusted Odds-Ratio 2.06, 95% Confidence Interval 1.66–2.56], university education [OR 1.66, CI 1.35–2.05], uncertainty [OR 2.20, CI 1.73–2.82], low control [OR 2.21, CI 1.68–2.91], loneliness [OR 1.75, CI 1.30–2.35], being a burden [OR 1.59, CI 1.23–2.07], and crying [OR 1.55, CI 1.23–1.96] before surgery predicted thoughts about one’s own death after surgery. Conclusions: We identified predictors for thoughts about one’s own death after prostate cancer diagnosis and surgery. These factors may facilitate the identification of psychiatric morbidity and those who might benefit from psychosocial support already during primary treatment.

Original languageEnglish
Pages (from-to)1665-1673
Number of pages9
JournalSupportive Care in Cancer
Issue number5
Publication statusPublished - 1 May 2018

Bibliographical note

Publisher Copyright:
© 2017, Springer-Verlag GmbH Germany, part of Springer Nature.

Other keywords

  • Clinical trial
  • Prostate cancer
  • Psychological adaptation
  • Thoughts about death


Dive into the research topics of 'Thinking about one’s own death after prostate-cancer diagnosis'. Together they form a unique fingerprint.

Cite this