Mortality among psychiatric patients referred to the mental health services in Valencia.
The rate of survival and causes of mortality in a cohort of 2103 psychiatric patients registered on a psychiatric case register and followed up for 7 years are compared with those of a general population sample (n=2382) randomly extracted from the municipal census in Valencia (Spain).
Using multivariate analysis by Cox regression patients suffering organic psychoses and those diagnosed with drug abuse or dependency exhibited a greater risk of death than the general population for the total causes of death : no interaction was found between sociodemographic variables and psychiatric pathology.
In terms of the causes of death, and controlling for the effect of age and sex, organic psychoses involved a greater risk of death due to cardiovascular and respiratory causes, and a greater risk of non-natural deaths than the general population.
Schizophrenia and related conditions. the abuse of alcohol/other drugs, and neurosis/personality disorders all presented a higher risk of death from liver disease.
The major affective disorders involved a greater risk of death due to suicide or accidents.
The study concludes with a discussion of the possible explanations of these results.
Mots-clés Pascal : Trouble psychiatrique, Hospitalisation, Hôpital psychiatrique, Mortalité, Durée vie, Prévalence, Epidémiologie, Santé mentale, Espagne, Europe, Homme
Mots-clés Pascal anglais : Mental disorder, Hospitalization, Psychiatric hospital, Mortality, Lifetime, Prevalence, Epidemiology, Mental health, Spain, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0235860
Code Inist : 002B18C14. Création : 11/09/1998.