Mortality, mental disorders and addiction:: A 5-year follow-up of 82 homeless men in Stockholm
Mortality, mental disorders and addiction:: A 5-year follow-up of 82 homeless men in Stockholm
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DOI：
10.1080/08039480701644637
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发表时间：
2007-01-01
影响因子：
1.8
通讯作者：
Fugelstad, A.
中科院分区：
文献类型：
--
作者：
Beijer, U.;Andreasson, A.;Fugelstad, A.
对斯德哥尔摩社会福利管理局的一个外展小组于1995/1996年联系的82名有精神问题的无家可归男子进行了为期5年的跟踪研究。从死因登记册、死亡证明、法医尸检报告、医院医疗报告、出院登记册、与社会工作者和能够参加的男子的面谈中收集了数据。标准化死亡率（SMR）是预期的4.7倍。在吸毒成瘾占主导地位的群体中，死亡率最高; 46%已经死亡。在患有严重精神疾病的男性中，诊断为精神分裂症，没有人死亡。与其他人相比，他们无家可归的时间更短。在幸存者中，75%的人在随访时仍然无家可归，尽管社会服务和卫生当局采取了相当多的治疗干预措施。寄宿机构或治疗似乎对滥用、疾病和伤害有一定的保护作用。在仍然无家可归的人中，精神健康问题加上物质使用问题增加了17%。整个群体的生活和住房状况似乎没有得到改善，即使住在无家可归者宿舍的人减少了。
A 5-year follow-up study was performed on 82 homeless men, with mental problems, who had been contacted by an outreach team run by the Social welfare administration of Stockholm 1995/1996. Data have been collected from the Cause of Death Register, death certificates, forensic autopsy reports, hospital medical reports, Hospital Discharge Register, interviews with social workers and with those men who were able to participate. The standardized mortality ratio (SMR) was 4.7 times higher than expected. The highest mortality was found in the group where drug addiction was dominant; 46% had died. In the group of men with severe psychiatric disorders, with diagnosis such as schizophrenia, none had died. Compared with the others, they had spent less time in homelessness. Among the survivors, 75% were still homeless at the follow-up in spite of considerable treatment interventions from the social services and health authorities. Residential institutions or treatment seemed to have some protective effect concerning misuse, diseases and injuries. Among the still homeless, the mental health problems combined with substance use problems had increased with 17%. The life and housing situation for the whole group seemed not to have improved, even if fewer of them were staying in hostels for homeless people.