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“Just Let Me Go”; When Suicidal Ideation and Goals of Care Collide in Adolescent Cancer at the End of Life
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  • Bryony Lucas,
  • Brian Friend,
  • Jill Ann Jarrell,
  • Rachel Kentor
Bryony Lucas
Baylor College of Medicine

Corresponding Author:[email protected]

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Brian Friend
Baylor College of Medicine
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Jill Ann Jarrell
Baylor College of Medicine
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Rachel Kentor
Baylor College of Medicine
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Cancer in adolescents and young adults (AYAs) 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 a case of a 14-year-old male with relapsed, high-risk B-cell acute lymphoblastic leukemia (B-ALL) who received a haploidentical stem cell transplant (HSCT) and was acutely suicidal at the end of life. We discuss how to navigate acute suicidality in this patient population, the impact of discordant goals of care amongst family members, and potential preventative strategies for similar cases.
12 Sep 2023Submitted to Pediatric Blood & Cancer
12 Sep 2023Assigned to Editor
12 Sep 2023Submission Checks Completed
12 Sep 2023Review(s) Completed, Editorial Evaluation Pending
13 Sep 2023Reviewer(s) Assigned
07 Oct 2023Editorial Decision: Revise Major