Excess mortality among long-stay psychiatric patients in Northern Finland

Räsänen, Sami; Hakko, Helinä; Viilo, Kaisa; Meyer‐Rochow, Victor Benno; Moring, Juha

doi:10.1007/s00127-003-0635-2

Cited by 66 publications

(66 citation statements)

References 25 publications

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“…However, in the psychiatric disorder group, it was not until symptoms such as bloody stool, ileus, and anemia became obvious that malignant diseases were detected. Rasanen et al 10 noted that the mortality risk of long-stay psychiatric patients was higher partly because of poorly organized somatic care and the prevailing culture of "non-somatic" treatment in psychiatry. It is necessary to focus on somatic examinations and various health educational programs designed especially for psychiatric patients and involving issues such as a healthy diet, smoking cessation, and physical exercise.…”

Section: Figmentioning

confidence: 99%

Surgical management of colorectal cancer in patients with psychiatric disorders

Hashimoto

Isaka²,

Ishizawa³

et al. 2009

Surg Today

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Section: Figmentioning

confidence: 99%

Surgical management of colorectal cancer in patients with psychiatric disorders

Hashimoto

Isaka²,

Ishizawa³

et al. 2009

Surg Today

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“…In most cases, these are limited to people who have received inpatient treatment for mental illness. 10 For instance, Hiroeh et al 11 followed up a population of 4.1 million people of whom 258 000 (6%) had received inpatient treatment for psychiatric illness. Mortality rates were elevated for all psychiatric diagnoses, with highest risks observed for organic psychoses, dementia, and drug and alcohol abuse (SMRs around 3).…”

Section: Excess Mortality By Settingmentioning

confidence: 99%

The Epidemiology of Excess Mortality in People with Mental Illness

2010

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T he excess mortality of people with mental illness has been known for many years. In 1841, William Farr 1 reported to the Royal Statistical Society on mortality within the major asylums and licensed houses of the period in England. He estimated, using life-table methods, the mortality rate in the best facility to be about 3 times that of the general population, and mortality in other facilities to be several times higher again. The report inspired the British parliament to require regular compilation of statistics within all asylums, and established mortality rate as a measure of the quality of care provided. The high mortality was attributed to infectious diseases and the poor conditions within the asylums, such as lack of exercise and warmth, poor diet, and lack of medical care. During subsequent years, mortality in people with mental illness has been the subject of hundreds of studies. In the most comprehensive meta-analyses to date, Harris and Barraclough 2,3 identified 152 reports on all-cause mortality and 249 on suicide. They found that all mental disorders were associated with an increased risk of premature death. Overall

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“…[6] Other studies also reveal higher mortality in mentally ill in-patients than the general population. [378910] Among the natural causes of death, infection ranked high and in unnatural causes of death, suicide was predominant. This study was undertaken with the objective of assessing mortality and its correlates among psychiatric inpatients of a neuropsychiatric institute in south India, given the background that such a study is lacking in India.…”

Section: Introductionmentioning

confidence: 99%

Mortality Among Inpatients of a Psychiatric Hospital: Indian Perspective

Shinde¹,

Nagarajaiah²,

Narayanaswamy

et al. 2014

Indian Journal of Psychological Medicine

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Objective:The objective of this study is to assess mortality and its correlates among psychiatric inpatients of a tertiary care neuropsychiatric hospital. Given the background that such a study has never been undertaken in India, the findings would have a large bearing on policy making from a mental health-care perspective.Materials and Methods:The medical records of those psychiatric inpatients (n = 333) who died during their stay at the National Institute of Mental Health and Neurosciences in past 26 years (January 1983 to December 2008) constituted the study population.Results:During the 26 years, there were a total of 103,252 psychiatric in-patient admissions, out of which 333 people died during their inpatient stay. Majority (n = 135, 44.6%) of the mortality was seen in the age group of 21-40 years. Most of the subjects were males (n = 202, 67%), married (n = 172, 56.8%) and from urban areas (n = 191, 63%). About, 54% of the subjects had short inpatient stay (<5 days, median for the sample). In 118 (39%) of the subjects, there was a history of physical illness. Leading cause of death were cardiovascular system disorders (n = 132, 43.6%), followed by respiratory system disorders (n = 45, 14.9%), nervous system disorders (n = 30, 9.9%) and infections (n = 31, 10.1%). In 21 (7%), cause of death was suicide.Conclusions:Identifying the factors associated with the death of inpatients is of utmost importance in assessing the care in a neuropsychiatric hospital and in formulating better treatment plan and policy in mental health. The discussion focuses on the analysis of different factors associated with inpatient mortality.

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Excess mortality among long-stay psychiatric patients in Northern Finland

Cited by 66 publications

References 25 publications

Surgical management of colorectal cancer in patients with psychiatric disorders

Surgical management of colorectal cancer in patients with psychiatric disorders

The Epidemiology of Excess Mortality in People with Mental Illness

Mortality Among Inpatients of a Psychiatric Hospital: Indian Perspective

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