Mortality Among Patients Discharged From an Acute Psychiatric Department: A 5-Year Prospective Study

Abstract

The primary aim of the study was to explore the post discharge standardized mortality ratio of patients from an acute psychiatric department in Norway. The secondary aims were to explore if the standardized mortality ratio is still increasing and to examine the causes of death in the defined population. We conducted a 5-year prospective study among patients admitted to an acute psychiatric department with catchment area responsibilities. A total of 380 patients were included in the study, and the number and causes of deaths were obtained from the Norwegian Cause of Death Registry. Excess mortality was found for the patient group. The standardized mortality ratio for all causes of death was 6.7 (95% CI, 4.6–8.8). The study finds an increased standardized mortality ratio relative to a previous corresponding study in Norway, and the suicide risk was especially elevated the first 2 years after discharge.

Cause‐specific mortality after discharge from inpatient psychiatric care in Taiwan: A national matched cohort study

“…Our data were consistent with past studies that showed excess mortality among patients discharged from inpatient psychiatric care compared with the general population 6–11,14,24 . One novel finding of the study is that although unnatural‐cause mortality (especially suicide) showed a more marked relative risk elevation than natural‐cause mortality, natural‐cause mortality was the key driver of the mortality gap between patients and matched individuals as early as the first 3 months post‐discharge.…”

“…Patients with severe mental disorders have an increased all‐cause mortality risk, 1–3 with an estimated reduction in life expectancy of 10 years 4 . This mortality gap seems to have grown in recent decades 4–6 and is more pronounced among the most severely ill who have been psychiatrically hospitalized 6–8 . Past research has found excess mortality among hospitalized psychiatric patients compared with non‐hospitalized patients or the general population 6,7,9–13 .…”

Premature Mortality among Patients with Mental Disorders: An International Literature Review

“…Результаты настоятельно предполагают позитивные действия для деинституционализации, вопросы которой также изучали в Норвегии, где этот процесс тоже был активен в конце века [19]. Деинституционализация, по-видимому, вызвала относительный рост как сердечно-сосудистой смертности, так и смертности от неестественных причин для обоих полов, с незначительным превалированием среди пациентов мужского пола, что свидетельствует в пользу необходимости профилактики сердечно-сосудистых заболеваний, суицидов и травм.…”

“…У умерших пациентов было в среднем 8 терапевтических заболеваний с диапазоном от 1 до 21 [36,37]. Схожие данные представлены и авторами из других стран [19,[38][39][40][41].…”

“…Из 19 смертей в течение периода исследования 18 (94,7%) были среди пациентов среднего возраста (<75 лет). Средняя потенциальная потерянная продолжительность жизни составила 22,3 года (SD 10,8, n=18, 95% CI 16,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]6). Респираторные заболевания (44,4%, n=8) были основной причиной естественной смерти, за которой следовали желудочно-кишечные заболевания (38,9%, n=7), сердечно-сосудистые заболевания (11,1%, n=2) и заболевания почек (5,6%, n=1).…”