Externally caused deaths for adults with substance use and mental disorders
Externally caused deaths for adults with substance use and mental disorders
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DOI：
10.1007/bf02287340
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发表时间：
2004-01-01
影响因子：
1.9
通讯作者：
Normand, SLT
中科院分区：
文献类型：
--
作者：
Dickey, B;Dembling, B;Normand, SLT
几十年来，有报道称患有精神疾病的人，尤其是患有更严重精神疾病的人的预期寿命较短。本研究的目的是将接受精神疾病治疗的 18-64 岁医疗补助受益人与非精神疾病的可比较群体以及普通人群的死亡风险进行比较。使用的数据来自马萨诸塞州医疗援助部和马萨诸塞州公共卫生部的死亡记录。将同时接受精神疾病和物质使用障碍（双重诊断）治疗的个体与仅接受精神障碍治疗的个体进行比较。对于所有医疗补助受益人来说，最常见的死亡原因是心脏病和癌症。与一般人群相比，调整后的比值比估计，精神疾病患者因伤害死亡的可能性是一般人群的两倍。患有双重诊断的医疗补助受益人死于伤害（主要是中毒）的可能性是仅因医疗状况而接受治疗的受益人的 6-8 倍。
For decades, there have been reports of shorter life expectancy among those with mental illness, especially those with more serious psychiatric disorders. The purpose of this study was to compare the risk of mortality among Medicaid beneficiaries, aged 18-64 years, treated for mental illness to a comparable group who were not mentally ill and to the general population. The data used were from the Massachusetts Division of Medical Assistance and records of deaths from the Department of Public Health in Massachusetts. Individuals treated for both psychiatric illness and substance use disorders (dual diagnoses) were compared separately from those whose treatment was only for a psychiatric disorder For all Medicaid beneficiaries, the most common causes of death were attributed to heart disease and cancer When compared to the general population, adjusted odds ratios estimated death by injury to be twice as likely among the mentally ill when compared to the general population. Medicaid beneficiaries with dual diagnoses are 6-8 times more likely to die of injury, primarily poisoning, than their counterparts treated for medical conditions only.