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  • Mortality in individuals who have had psychiatric treatment: Population-based study in Nova Scotia

    Author(s)
    Kisely, S
    Smith, M
    Lawrence, D
    Maaten, S
    Griffith University Author(s)
    Kisely, Steve R.
    Year published
    2005
    Metadata
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    Abstract
    Background Most studies of mortality in psychiatric patients have investigated in-patients rather than those attending out-patient clinics or primary care, where most receive treatment. Aims To evaluate the mortality risk in mental illness for patients in contact with psychiatric services or primary care (n=221 048) across Nova Scotia (population 936 025). Method A population-based record-linkage analysis was made of the period 1995-2000, using an inception cohortto calculate mortality rate ratios. Results The mortality rate was 1.74, with increased ratios for all major causes of death. Male mortality was almost double ...
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    Background Most studies of mortality in psychiatric patients have investigated in-patients rather than those attending out-patient clinics or primary care, where most receive treatment. Aims To evaluate the mortality risk in mental illness for patients in contact with psychiatric services or primary care (n=221 048) across Nova Scotia (population 936 025). Method A population-based record-linkage analysis was made of the period 1995-2000, using an inception cohortto calculate mortality rate ratios. Results The mortality rate was 1.74, with increased ratios for all major causes of death. Male mortality was almost double that of females after controlling for demographic factors, treatment setting and place of residence. Patients of lower income, in specialist psychiatric settings, and with dementia or psychoses were also at greater risk. However, in absolute numbers, 72% of deaths occurred in patients who had only seen their general practitioner. Conclusions Mortality risk is increased in all psychiatric patients, not just those who have received in-patient treatment.
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    Journal Title
    British Journal of Psychiatry
    Volume
    187
    Issue
    6
    Publisher URI
    http://bjp.rcpsych.org/
    Subject
    Biomedical and clinical sciences
    Clinical sciences not elsewhere classified
    Psychology
    Publication URI
    http://hdl.handle.net/10072/29197
    Collection
    • Journal articles

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