Death by homicide, suicide, and other unnatural causes in people with mental illness: a population-based study

Hiroeh, Urara; Appleby, Louis; Mortensen, Preben Bo; Dunn, Graham

doi:10.1016/s0140-6736(01)07216-6

Cited by 280 publications

(181 citation statements)

References 7 publications

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“…First, the rate of death from unnatural causes, including suicide and homicide, is elevated in PD [6] and this is likely to have contributed to the reduced life expectancy detected in this study. Second, considering deaths due to natural causes, personality disorder is associated with poorer general health.…”

Section: Possible Mechanismsmentioning

confidence: 92%

“…People with mental disorders die prematurely for a variety of reasons, including poor physical health [3][4][5], adverse physiological consequences of long term psychotropic medication, unhealthy lifestyle [5], as well as increased death rates as a result of suicide, accidents and homicide [6][7][8]. The risk of increased mortality has been shown to vary according to type of mental disorder, with substance use disorders conferring a particularly high risk of early death [1,9,10].…”

Section: Introductionmentioning

confidence: 99%

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Life expectancy at birth and all-cause mortality among people with personality disorder

Fok

Hayes

Chang

et al. 2012

Journal of Psychosomatic Research

208

150

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Publisher's copyright statement: NOTICE: this is the author's version of a work that was accepted for publication in the Journal of Psychosomatic Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be re ected in this document. Changes may have been made to this work since it was submitted for publication. Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-pro t purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details. ABSTRACT ObjectiveIt is well established that serious mental illness is associated with raised mortality, yet few studies have looked at the life expectancy of people with personality disorder (PD). This study aims to examine the life expectancy and relative mortality in people with PD within secondary mental health care. MethodsWe set out to examine this using a large psychiatric case register in southeast London, UK.Mortality was obtained through national mortality tracing procedures. In a cohort of patients with a primary diagnosis of PD (n=1836), standardized mortality ratios (SMRs) and life expectancies at birth were calculated, using general population mortality statistics as the comparator. ResultsLife expectancy at birth was 63.3 years for women and 59.1 years for men with PD -18.7 years and 17.7 years shorter than females and males respectively in the general population in England and Wales. The SMR was 4.2 (95% CI: 3.03 -5.64) overall; 5.0 (95% CI: 3.15 -7.45) for females and 3.5 (95% CI: 2.17 -5.47) for males. The highest SMRs were found in the younger age groups for both genders. ConclusionPeople with PD using mental health services have a substantially reduced life expectancy, highlighting the significant public health burden of the disorder.

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Section: Possible Mechanismsmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Life expectancy at birth and all-cause mortality among people with personality disorder

Fok

Hayes

Chang

et al. 2012

Journal of Psychosomatic Research

208

150

View full text Add to dashboard Cite

show abstract

“…Cohort studies following up large groups of individuals over time confirm that most psychiatric diagnoses are associated with increased suicide risk (Harris & Barraclough, 1997;Hiroeh, Appleby, Mortensen, & Dunn, 2001).…”

Section: Mental Illness and Suicidementioning

confidence: 99%

Health services and suicide prevention

Kapur¹

2009

Journal of Mental Health

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“…7,20 A research group in the United Kingdom has reported that men with schizophrenia have an increased risk of dying by homicide, especially when they are involved in alcohol and drug use. 21 Suicide rates among schizophrenia sufferers are especially high-10 to 20 times the rate in the general population. A recent study in Wales has shown that current rates of suicide among those with schizophrenia and other psychoses appear to be twentyfold higher than they were in the period 1875 to 1924.…”

Section: Mortalitymentioning

confidence: 99%

An Outcome Measure in Schizophrenia: Mortality

Seeman

2007

Can J Psychiatry

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Objective: To determine the current outcome of schizophrenia, with mortality rate as the outcome measure. Method: Recent health, suicide, victim of violence, and mortality statistics were reviewed. Results: The general health of individuals with schizophrenia suffers from neglect, poor life style choices, and current treatments that increase death rates. Conclusion: Mortality in schizophrenia is rising, and it is the responsibility of physicians and health care planners to intervene.

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Death by homicide, suicide, and other unnatural causes in people with mental illness: a population-based study

Cited by 280 publications

References 7 publications

Life expectancy at birth and all-cause mortality among people with personality disorder

Life expectancy at birth and all-cause mortality among people with personality disorder

Health services and suicide prevention

An Outcome Measure in Schizophrenia: Mortality

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