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Long-term mortality after first psychiatric admission

Published online by Cambridge University Press:  02 January 2018

Prakash C. Naik ,
Steffan Davies ,
Ann M. Buckley  and
Alan S. Lee
Prakash C. Naik*
Affiliation:
University of Birmingham, Solihull
Steffan Davies
Affiliation:
Towers Hospital, Leicester
Ann M. Buckley
Affiliation:
Leicester General Hospital, Leicester
Alan S. Lee
Affiliation:
University Hospital, Nottingham
*
Dr Prakash C. Naik, Lyndon Resource Centre, Hobs Meadow, Solihull, West Midlands B92 8PW
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Abstract

Background

Little is known about the long-term mortality and causes of death after first psychiatric admission.

Method

A consecutive series of 87 patients admitted for the first time from a strictly defined catchment area to Saxondale Hospital, Nottinghamshire, who were discharged in 1974 and 1975, were traced in 1992 to either their general practitioner or death. The causes of their deaths were ascertained and the observed mortality was compared with expected mortality.

Results

Twelve subjects had died. None had committed suicide, and there were no open verdicts or accidental deaths. Although the observed mortality was higher than expected, there was no significant excess.

Conclusions

There may be little scope for reducing suicide rates by targeting patients for careful follow-up after discharge from their first psychiatric admission. More research is required before large investments are made in potentially fruitless interventions to achieve the objectives of The Health of the Nation.

Type
Papers
Information
The British Journal of Psychiatry , Volume 170 , Issue 1 , January 1997 , pp. 43 - 46
Copyright
Copyright © 1997 The Royal College of Psychiatrists 

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References

Alleback, P. & Allgulander, C., et al (1990) Psychiatric diagnoses as predictors of suicide. A comparison of diagnoses at conscription and in psychiatric care in a cohort of 50 465 young men. British Journal of Psychiatry 157, 339–344.CrossRefGoogle Scholar
American Psychiatric Association (1987) Diagnostic and Statistical Manual of Mental Disorders (3rd edn, revised)(DSM-III-R). Washington, DC: APA.Google Scholar
Appleby, L. (1992) Suicide in psychiatric patients: risk and prevention. British Journal of Psychiatry 161, 749–758.Google Scholar
Blumenthal, S., Bell, V., Neurmann, N., et al (1989) Mortality and rate of suicide of first admission psychiatric patients. A 5-year follow-up of a prospective longitudinal study Psychopathology 2, 50–56.Google Scholar
Department of Health (1992) The Health of the Nation: A Strategy for Health in England. London: HMSO.Google Scholar
Gausett, M. F., Casadebaig, F., Guillaud-Bataille, J. M., et al (1992) Mortality of mentally ill patients: review of the literature. Encephale. 18, 93–100.Google Scholar
Geddes, J. R. & Juszczaic, E. (1995) Period trends in rate of suicide in first 28 days after discharge from psychiatric hospital in Scotland. British Medical Journal. 311, 357–360.CrossRefGoogle ScholarPubMed
Gunnd, D. & Frankel, S. (1994) Prevention of suicide: aspirations and evidence. British Medical Journal, 308, 1227–1233.Google Scholar
Kiloh, G. Andrews, G. & Neilson, M. (1988) The long-term outcome of depressive illness. British Journal of Psychiatry 153 752–757.Google Scholar
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