MORTALITY AND CAUSES OF DEATH IN 1ST ADMITTED SCHIZOPHRENIC-PATIENTS
MORTALITY AND CAUSES OF DEATH IN 1ST ADMITTED SCHIZOPHRENIC-PATIENTS
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DOI：
10.1192/bjp.163.2.183
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发表时间：
1993-08-01
影响因子：
10.5
通讯作者：
JUEL, K
中科院分区：
文献类型：
--
作者：
MORTENSEN, PB;JUEL, K
虽然许多研究表明精神分裂症患者的死亡率增加，但文献中几乎没有提供与年龄，性别和疾病持续时间有关的特定原因死亡率的信息。本研究调查了9156例首次入院的精神分裂症患者的死亡率和死亡原因。自杀占男性死亡人数的50%，占女性死亡人数的35%。在随访的第一年，自杀风险尤其增加。除癌症和脑血管疾病外，自然原因造成的死亡有所增加。在第一年的随访中，自杀风险增加了56%，精神病住院设施减少了50%。这项研究证实，精神分裂症的死亡率仍然显着升高，自杀风险增加的发现可能是去机构化的一些不利影响的指标。
Although many studies have shown an increased mortality in schizophrenic patients, the literature provides little information about mortality from specific causes in relation to age, gender, and duration of illness. This study examined mortality and causes of death in a total national sample of 9156 first admitted schizophrenic patients. Suicide accounted for 50% of deaths in men and 35% of deaths in women. Suicide risk was particularly increased during the first year of follow-up. Death from natural causes, with the exception of cancer and cerebrovascular diseases, was increased. Suicide risk during the first year of follow-up increased by 56%, with a 50% reduction on psychiatric in-patient facilities. The study confirms that mortality in schizophrenia is still markedly elevated, and the finding of an increasing suicide risk may be an indicator of some adverse effects of deinstitutionalisation.