Background The present study nvestigated histories of prior psychiatric treatment in cases of sudden death reported to the coroner.
Methods A matching survey linked the register ofdeaths reported to the coroner with a comprehensive statewide psychiatr case register covering both in-patient and commun ty-based services.
Results Sudden death was five times higher in people with histories of psychiatric contact.
Suicide accounted for part ofthis excess mortality but deaths from natural causes and accidents were also elevated.
Schizophrenic and affective disorders had similar suicide rates.
Comorbid substance misuse doubled the risk of sudden death in affective and schizophrenic disorders.
Conclusions The rates of sudden death are sufficiently elevated to raise questions about current priorities in mental health care.
There is a need both for greater attention to suicide risk, most notably among young people with schizophrenia, to the early detection of cardiovascular disorders and to the vigorous managementofcomorbid substance misuse.
Mots-clés Pascal : Trouble psychiatrique, Facteur risque, Mortalité, Suicide, Accident, Appareil circulatoire pathologie, Epidémiologie, Victoria, Australie, Océanie, Santé mentale, Homme
Mots-clés Pascal anglais : Mental disorder, Risk factor, Mortality, Suicide, Accident, Cardiovascular disease, Epidemiology, Victoria, Australia, Oceania, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0254917
Code Inist : 002B18C14. Création : 11/09/1998.