Causes of death among male veterans who received residential treatment for PTSD
Causes of death among male veterans who received residential treatment for PTSD
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DOI：
10.1023/b:jots.0000004076.62793.79
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发表时间：
2003-12-01
影响因子：
3.3
通讯作者：
Foy, DW
中科院分区：
文献类型：
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作者：
Drescher, KD;Rosen, CS;Foy, DW
以前的研究表明，精神病和药物滥用患者的死亡率升高，包括患有创伤后应激障碍的退伍军人。虽然早期的研究表明，在战后初期，越战老兵死于外部原因的人数增加，但最近的研究也表明，患有创伤后应激障碍的老兵的健康问题增加。这项研究比较了1,866名接受创伤后应激障碍治疗的男性退伍军人因行为原因与其他疾病导致的死亡率。110名退伍军人的死亡证明表明，行为原因占死亡的62.4%，标准化死亡率D 3.4-5.5，包括事故（29.4%），慢性物质滥用（14.7%）和自杀，杀人或警察故意死亡（13.8%）。结果表明，通过减少伤害的干预措施和改善护理的连续性，可能有机会改善这一高危患者人群的结局。
Previous studies have shown elevated mortality among psychiatric and substance abusing patients, including veterans with PTSD. Although early studies showed elevated deaths from external causes among Vietnam veterans in the early postwar years, more recent studies have also shown increased health problems among veterans with PTSD. This study compared mortality due to behavioral causes versus other diseases among 1,866 male veterans treated for PTSD. Death certificates obtained for 110 veterans indicated behavioral causes accounted for 62.4% of deaths, standardized mortality ratio D 3.4-5.5, including accidents (29.4%), chronic substance abuse (14.7%), and intentional death by suicide, homicide, or police (13.8%). Results suggest possible opportunities to improve outcomes of this at-risk patient population through harm reduction interventions and improved continuity of care.