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Total mortality in people admitted to a psychiatric hospital

Published online by Cambridge University Press:  03 January 2018

Vidje Hansen*
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
Egil Arnesen
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
Bjarne K. Jacobsen
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
*
Vidje Hansen, Institute of Community Medicine, University of Tromsø, N-9037 Tromsa, Norway. Fax 47 77644831

Abstract

Background

The aim was to document the mortality of psychiatric patients within a service system characterised by a low beds-to-population ratio.

Method

All patients admitted to one psychiatric hospital were followed from date of first admission after 31 July 1980 until 31 December 1992 with regard to death, by linkage to the Norwegian Central Register of Persons. Age-adjusted total mortality rates and standardised mortality ratios (SMRs) compared with the general population were computed.

Results

Mortality rates were highest in men, and increased with age in both sexes. SMRs were highest in the younger age-groups, and the overall SMR was significantly higher for men than for women. Mortality was highest during the first year after admission for both sexes and was higher than in the general population in all diagnostic groups.

Conclusions

The mortality of psychiatric patients is still unsatisfactorily high, and men constitute a special high-risk group.

Type
Papers
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Black, D., Warrack, G. & Winokur, G. (1985) Excess mortality among psychiatric patients. The Iowa record-linkage study. Journal of the American Medical Association, 2531, 5861.CrossRefGoogle Scholar
Casadebelg, F., & Quamada, N. (1969) Mortality in psychiatric in-patients. Acta Psychiatrica Scandinavica, 79, 257264.CrossRefGoogle Scholar
Casadebelg, F., & Quamada, N. (1991) Changes in mortality anrong psychiatric inpatients. 1968–1982. Social Psychiatry and Psychiatric Epidemiology, 26, 7882.CrossRefGoogle Scholar
Cecere, F., Arca, M., Pallini, S., et al (1992) Mortality rates among psychiatric patients, during and after the “psychiatric reform” in the area of Rome (Italy). Annals of the Instituto Superior di Sanita Roma. 28, 523526.Google ScholarPubMed
Central Bureau of Statistics (1987) Causes of Death 1986, Oslo: Central Bureau of Statistics of Norway.Google Scholar
Craig, T. & Lin, S. (1981) Mortality among psychiatric inpatients. Age-adjusted comparison of populations before and after psychotropic drug area. Archives of General Psychiatry, 38, 935938.CrossRefGoogle Scholar
Eastwood, M., Stiasny, S., Meier, H. et al (1982) Mental illness and mortality Comprehensive Psychiatry, 23, 377385.Google Scholar
Engberg, M. (1994) Mortality and suicide rates of involuntarily committed patients. Acta Psychiatrica Scandinavica, 89, 3540.Google Scholar
Haugland, G., Craig, T., Goodman, A., et al (1983) Mortality in the era of deinstitutionalization. American Journal of Psychiatry, 140, 848852.Google ScholarPubMed
Hewer, W., Rösslar, W., Fätkanheuer, B., et al (1995) Mortality among patients in psychiatric hospitals in Germany Acta Psychiatrica Scandinavica, 91, 174179.Google Scholar
Lavik, N. (1987) Trends in the organization of mental health services in Norway Intemational Journal of Mental Health, 16, 164169.Google Scholar
Lim, L., Sim, L. & Chiam, P. (1993) Mortality of public mental health patients: a Singapore experience. Australian and New Zealand Journal of Psychiatry, 27, 3641.Google Scholar
Martin, R., Cloninger, R., Guza, S., et al (1985) Mortality in a follow-up of 500 psychiatric out patients. I. Total mortality. Archives of General Psychiatry, 42, 4754.CrossRefGoogle Scholar
Ødegard, Ø. (1951) Mortality in Norwegian mental hospitals 1926–1941. Acta Genetica et Statistica Medica, 2, 141173.Google Scholar
Rorsman, B., Hagnell, O. & Lanke, J. (1983) Mortality and psychiatric specialist care in the Lundby study. Neuropsychobiology, 9, 28.CrossRefGoogle ScholarPubMed
Röesler, W., Hewer, W., Fätkanheuer, B., et al (1995) Excess mortality annong elderly psychiatric in-patients with organic mental disorder. British Journal of Psychiatry, 167, 527532.CrossRefGoogle Scholar
SAS Institute Inc. (1987) SAS Users guide: Basics (5th version). Cary: SAS Institute Inc.Google Scholar
Saugstad, L. & Ødegard, Ø. (1979) Mortality in psychiatnc hospitals in Norway 1950–74 Acta Psychiatrica Scandinavica, 59, 431447.Google Scholar
Saugstad, L. & Ødegard, Ø. (1985) Recent rise in supposedly stress dependent causes of death in psychiatric hospitals in Norway indicating increased ‘stress’ in hospitals? Acta Psychiatrica Scandinavica, 71, 402409.Google Scholar
Sims, A. (1987) Why the excess mortality from psychiatric illness? British Medical Journal, 294, 986987.Google Scholar
Statistics and Epdermiology Research Corp. (1991) EGRET-Epidemiological Graphics, Estimation and Testing Package Seattle: SERC.Google Scholar
Wood, J., Evenson, R., Cho, D., et al (1985) Mortality variations among public mental health patients. Acta Psychiatrica Scandinavica, 72, 219229.Google Scholar
World Health Organization (1977) The Ninth Revision of the Intemational Classification of Diseases and Related. Health Problems (ICD-9). Geneva: WHO.Google Scholar
World Health Organization (1992) The ICD-IO Classification of Mental and Behavioural Disorders. Geneva: WHO.Google Scholar
Zilber, N., Schufman, N. & Lerner, Y. (1989) Mortality among psycyhiatnc patients – the groups at risk. Acta Psychiatrica Scandinavica, 79, 248256.CrossRefGoogle Scholar
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