First admissions for psychiatric disorders

Joensen, Sofus; Wang, A. G.

doi:10.1111/j.1600-0447.1983.tb06982.x

Cited by 7 publications

(1 citation statement)

References 3 publications

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“…In Finland, the annual population rates of psychiatric hospital care have decreased from 6.2 to 4.7 per 1000 inhabitants, and mean length of stay in inpatient care has reduced from 67 to 31 days from 1996 to 2014 . First psychiatric hospital admission rates are rarely reported but present an overall perspective on the annual emergence of severe mental health conditions and can thus facilitate comparisons between income groups. Hence, whether the incidence of first-time hospital-treated mental disorders has been reduced in the era of outpatient-centered services and, if so, whether the reduction has occurred equally within population are unknown to date.…”

Section: Introductionmentioning

confidence: 99%

Association of Income With the Incidence Rates of First Psychiatric Hospital Admissions in Finland, 1996-2014

et al. 2020

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IMPORTANCEThe association between income and mental health has long been a question of interest. Nationwide register data provide means to examine trends and patterns of these associations.OBJECTIVES To compare income-specific trends in the incidence rates of first psychiatric hospital admissions and to evaluate whether an income gradient exists in the incidence rates at all levels of household income. DESIGN, SETTING, AND PARTICIPANTSThis population-based open cohort study used linked registry data from nationwide Finnish Hospital Discharge and Statistics Finland population registers to determine annual incidence rates of first psychiatric hospital admissions. All Finnish citizens (N = 6 258 033) living in the country at any time from January 1, 1996, through December 31, 2014, contributed to 96 184 614 person-years at risk of first inpatient treatment for mental disorders. The analyses were conducted from August 1, 2018, through September 30, 2019.EXPOSURES Equivalized disposable income, sex, age group, reduction in income decile in the previous 3 years, urbanicity, educational level, and living alone status. MAIN OUTCOMES AND MEASURESAnnual percentage changes in the age-standardized incidence rates and incidence rate ratios (IRRs).RESULTS Altogether, 186 082 first psychiatric inpatient treatment episodes occurred (93 431 [50.2%] men), with overall age-standardized incidence rates per 1000 person-years varying from 1.59 (95% CI, 1.56-1.63) in 2014 to 2.11 (95% CI, 2.07-2.15) in 2008. In the highest income deciles, a continuous mean decrease per year of 3.71% (95% CI, 2.82%-4.59%) in men and 0.91% (95% CI, 0.01%-1.80%) in women occurred throughout the study period, in contrast to the lowest deciles, where the trends first increased (1.31% [95% CI, 0.62%-2.01%] increase in men from 1996 to 2007 and 5.61% [95% CI, 2.36%-8.96%] increase in women from 1996 to 2001). In the adult population, an income gradient was observed at all levels of household income: the lower the income decile, the higher the adjusted IRRs compared with the highest decile. The IRRs in the lowest decile varied from 2.94 (95% CI,. In other age groups, the gradient did not persist at the highest income deciles. Diagnosis-specific income gradient was steepest in schizophrenia and related psychotic disorders, with estimated IRRs of the lowest income decile of 5.89 (95% CI, 5.77-6.02). CONCLUSIONS AND RELEVANCEIn this cohort study, clear negative income gradient in the incidence rates of first hospital-treated mental disorders was observed in the adult population of Finland. These findings suggest that reduction in the use of inpatient care has not taken place equally between different income groups.

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Section: Introductionmentioning

confidence: 99%

Association of Income With the Incidence Rates of First Psychiatric Hospital Admissions in Finland, 1996-2014

et al. 2020

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Whole‐exome sequencing implicatesDGKHas a risk gene for panic disorder in the Faroese population

Gregersen

Lescai

Liang

et al. 2016

American J of Med Genetics Pt B

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The demographic history of the isolated population of the Faroe Islands may have induced enrichment of variants rarely seen in outbred European populations, including enrichment of risk variants for panic disorder (PD). PD is a common mental disorder, characterized by recurring and unprovoked panic attacks, and genetic factors have been estimated to explain around 40% of the risk. In this study the potential enrichment of PD risk variants was explored based on whole-exome sequencing of 54 patients with PD and 211 control individuals from the Faroese population. No genome-wide significant associations were found, however several single variants and genes showed strong association with PD, where DGKH was found to be the strongest PD associated gene. Interestingly DGKH has previously demonstrated genome-wide significant association with bipolar disorder as well as evidence of association to other mental disorders. Additionally, we found an enrichment of PD risk variants in the Faroese population; variants with otherwise low frequency in more outbreed European populations. © 2016 Wiley Periodicals, Inc.

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Schizophrenia: manifestations, incidence and course in different cultures A World Health Organization Ten-Country Study

Jablensky¹,

Sartorius²,

Ernberg³

et al. 1992

Psychol. Med. Monogr. Suppl.

1,444

990

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First admissions for psychiatric disorders

Cited by 7 publications

References 3 publications

Association of Income With the Incidence Rates of First Psychiatric Hospital Admissions in Finland, 1996-2014

Association of Income With the Incidence Rates of First Psychiatric Hospital Admissions in Finland, 1996-2014

Whole‐exome sequencing implicatesDGKHas a risk gene for panic disorder in the Faroese population

Schizophrenia: manifestations, incidence and course in different cultures A World Health Organization Ten-Country Study

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