The mortality rate of 1239 psychiatric patients--609 men and 639 women, aged between 40 and 70 years, permanently hospitalized in 6 different German clinics--was registered, ten years after they had been examined for the incidence of cardiac risk factors in 1971 and 1972. The death rate figures were compared with the corresponding figures of the total population of the Federal Republic of Germany. In all age-groups mortality among psychiatric patients, both male and female, was higher than the average rate at Federal level. The gap narrowed with increasing age. With male patients the most frequent cause of death were cardiovascular diseases, followed by respiratory diseases and malignant growths, whereas with women respiratory diseases were the primary cause of death. In comparison to the population of the Federal Republic of Germany considerably more patients died of respiratory diseases--according to age and sex the death rate was up to ten times higher. This was due to the high percentage of lethal pneumonia. The number of deaths in which the cause was unknown was also higher than the national average. A remarkably high percentage of the patients (27%) died suddenly and unexpectedly. In some age-groups fewer patients died of malignant growths than at Federal level. Death caused by cardiovascular diseases was only more frequent among younger patients. Among men acute ischaemic heart diseases were the most frequent cause of cardiac failure. Death due to cerebral sclerotic diseases was remarkably reduced among older patients, probably as a result of a less high incidence of hypertension.

During 5 years we have registered mortality in 1239 chronic hospitalized psychiatric patients (609 men and 630 women) aged between 40-70 years in 6 German hospitals. We examined this patients on incidence of cardial riskfactors. The death rates were compared to the others of BRD. In this connection we found out an intensified mortality in all age groups of psychiatric patients as against to BRD average. The mortality of respiratory system diseases surpassed death rates of BRD many times better. Also psychiatric patients died by cardiovascular diseases more than expected. The death rates from ischaemic heart diseases in men were approximately twice as much than at BRD statistic. Patients who died in arteriosclerotic diseases had more often riskfactors than the other deceased. The great number of sudden and unexpected deaths was remarkable.