"Just let me go"; When suicidal ideation and goals of care collide in adolescent cancer at the end of life.
Bryony J LucasBrian D FriendJill Ann JarrellRachel KentorPublished in: Pediatric blood & cancer (2024)
Cancer in adolescents and young adults is associated with an increased risk for suicidal ideation (SI). There are no reported pediatric oncology cases describing management of SI during end of life. We present the case of a 14-year-old male with relapsed, high-risk, B-cell acute lymphoblastic leukemia who received a haploidentical stem cell transplant and was suicidal at various points in his treatment. We discuss how to manage acute suicidality in this patient population, the importance of giving a voice to the adolescent patient, the impact of discordant goals of care, and potential preventive strategies for similar cases.
Keyphrases
- acute lymphoblastic leukemia
- palliative care
- papillary thyroid
- childhood cancer
- stem cells
- young adults
- healthcare
- mental health
- case report
- squamous cell
- quality improvement
- depressive symptoms
- liver failure
- acute myeloid leukemia
- allogeneic hematopoietic stem cell transplantation
- bone marrow
- diffuse large b cell lymphoma
- public health
- stem cell transplantation
- lymph node metastasis
- multiple myeloma
- mesenchymal stem cells
- intensive care unit
- peripheral blood
- respiratory failure
- risk assessment
- squamous cell carcinoma
- aortic dissection
- chronic pain