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The Mortality Experience of Individuals on the Salford Psychiatric Case Register

I. All-Cause Mortality

Published online by Cambridge University Press:  02 January 2018

D. N. Baxter
D. N. Baxter*
Affiliation:
School of Epidemiology and Health Sciences, The University of Manchester, Oxford Road, Manchester M13 9PT
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Abstract

Background

Several studies, mainly non-UK based, have reported higher than expected mortality for individuals with mental illness. This investigation in Salford (England) was undertaken to determine local experiences.

Method

An historical cohort design was employed with record linkage to determine status at study end: maximum follow-up was 18 years. All 6952 individuals with schizophrenia, neuroses, affective or personality disorders, enrolled on the psychiatric case register between 1 January 1968 and 31 December 1975 were recruited: there were 199 exclusions. Death was the study end-point.

Results

Observed mortality was 65% higher than expected and elevated throughout the whole of follow-up. Mortality was highest in younger ages, females and subjects born locally. Circulatory disorders, injury and poisoning each caused approximately one-third of the excess deaths.

Conclusions

Documenting mortality risk has important applications for prioritisation, resource allocation, developing control programmes, evaluating service effectiveness, disease forecasting and future research.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 6 , June 1996 , pp. 772 - 779
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Amaddeo, F., Bisoffi, G., Bonizzato, P., et al (1995) Mortality among patients with psychiatric illness. British Journal of Psychiatry, 166, 783–788.Google Scholar
Babigian, H. M. & Odoroff, C. L. (1969) The mortality experience of a population with psychiatric disease. American Journal of Psychiatry, 126, 52–62.Google Scholar
Black, D. W., Warrack, G. & Winokur, G. (1985) Excess mortality among psychiatric patients. Journal of the American Medical Association, 253, 58–61.Google Scholar
Breslow, N. E. & Day, N. E. (1987) Statistical Methods in Cancer Research. Vol. II. The Design and Analysis of Cohort Studies. IARC Publications, 82. Lyon: IARC.Google Scholar
Buchanan, C. R., Huffman, C. & Barbour, V. M. (1994) Smoking health risk. Counselling of psychiatric patients. Journal of Psychosocial Nursing and Mental Health Services, 32, 27–32.Google Scholar
Casadebaig, F. & Quemada, N. (1989) Mortality in psychiatric in-patients. Acta Psychiatrica Scandinavica, 79, 257–264.Google Scholar
Craig, T. J. & Lin, S. P. (1981) Mortality among psychiatric in-patients: age-adjusted comparison of populations before and after psychotropic drug era. Archives of General Psychiatry, 38, 935–938.Google Scholar
Eastwood, M. R., Stiasny, S., Meier, H. M. R., et al (1982) Mental illness and mortality. Comprehensive Psychiatry, 23, 377–385.Google Scholar
Fryers, T. & Wooff, K. (1989) A decade of mental health care in an English urban community: patterns and trends in Salford, 1976–87. In Health Services Planning and Research: Contributions from Psychiatric Case Registers. London: Royal College of Psychiatrists.Google Scholar
Giel, R., Dijk, S. & Van Weerden-Dijkstra, J. R. (1978) Mortality in the long-stay population of all Dutch mental hospitals. Acta Psychiatrica Scandinavica, 57, 361–368.Google Scholar
Goldberg, D. & Jackson, G. (1992) Interface between primary care and specialist health care (editorial). British Journal of General Practice, 42, 267–269.Google Scholar
Kendall, R. E. (1974) The stability of psychiatric diagnosis. British Journal of Psychiatry, 124, 352–356.Google Scholar
Kendrick, T., Burns, T., Freeling, P., et al (1994) Provision of care to general practice patients with disabling long term illness: a survey in 16 practices. British Journal of General Practice, 44, 301–305.Google Scholar
Martin, R. L., Cloninger, R., Guze, S. B., et al (1985) Mortality in a follow-up of 500 psychiatric out-patients. Archives of General Psychiatry, 42, 47–54.Google Scholar
Moos, R. H., Brennan, P. L. & Mertens, J. R. (1994) Mortality rates and predictors of mortality among late middle-aged and older substance abuse patients. Alcoholism: Clinical and Experimental Research, 18, 187–195.Google Scholar
Rorsman, B. (1974) Mortality among psychiatric patients. Acta Psychiatrica Scandinavica, 58, 354–375.Google Scholar
Sims, A. C. P. (1973) Importance of a high tracing rate in long-term medical follow-up studies. Lancet, 2, 433–435.Google Scholar
Sims, A. C. P. (1987) Why the excess mortality from psychiatric illness? British Medical Journal, 294, 986–987.CrossRefGoogle ScholarPubMed
Systema, S., Giel, R., Ten Horn, G. H. M. M., et al (1989) The reliability of diagnostic coding in Psychiatric Case Registers. Psychological Medicine, 9, 999–1006.Google Scholar
Wing, J. K. (ed.) (1989) Health Services Planning and Research: Contributions from Psychiatric Case Registers. London: Royal College of Psychiatrists.Google Scholar
Zilber, N., Schufman, N. & Lerner, Y. (1989) Mortality among psychiatric patients – the groups at risk. Acta Psychiatrica Scandinavica, 79, 248–256.Google Scholar
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