Mortality of Finnish acute psychiatric hospital patients

Honkonen, Heidi; Mattila, Aino K.; Lehtinen, K.; Elo, Teemu; Haataja, Riina; Joukamaa, Matti

doi:10.1007/s00127-008-0344-y

Cited by 19 publications

(27 citation statements)

References 38 publications

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“…[12] and Honkonen, et al . [13] Our findings are consistent with earlier studies[313] in the context that mortality among men was higher. More than half of the deceased had been admitted for a week or even more recently, a period that can be considered as a crucial period for the subjects.…”

Section: Discussionsupporting

confidence: 93%

Mortality Among Inpatients of a Psychiatric Hospital: Indian Perspective

Shinde¹,

Nagarajaiah²,

Narayanaswamy

et al. 2014

Indian Journal of Psychological Medicine

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Objective:The objective of this study is to assess mortality and its correlates among psychiatric inpatients of a tertiary care neuropsychiatric hospital. Given the background that such a study has never been undertaken in India, the findings would have a large bearing on policy making from a mental health-care perspective.Materials and Methods:The medical records of those psychiatric inpatients (n = 333) who died during their stay at the National Institute of Mental Health and Neurosciences in past 26 years (January 1983 to December 2008) constituted the study population.Results:During the 26 years, there were a total of 103,252 psychiatric in-patient admissions, out of which 333 people died during their inpatient stay. Majority (n = 135, 44.6%) of the mortality was seen in the age group of 21-40 years. Most of the subjects were males (n = 202, 67%), married (n = 172, 56.8%) and from urban areas (n = 191, 63%). About, 54% of the subjects had short inpatient stay (<5 days, median for the sample). In 118 (39%) of the subjects, there was a history of physical illness. Leading cause of death were cardiovascular system disorders (n = 132, 43.6%), followed by respiratory system disorders (n = 45, 14.9%), nervous system disorders (n = 30, 9.9%) and infections (n = 31, 10.1%). In 21 (7%), cause of death was suicide.Conclusions:Identifying the factors associated with the death of inpatients is of utmost importance in assessing the care in a neuropsychiatric hospital and in formulating better treatment plan and policy in mental health. The discussion focuses on the analysis of different factors associated with inpatient mortality.

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Section: Discussionsupporting

confidence: 93%

Mortality Among Inpatients of a Psychiatric Hospital: Indian Perspective

Shinde¹,

Nagarajaiah²,

Narayanaswamy

et al. 2014

Indian Journal of Psychological Medicine

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“…This paper has identified an overall trend that corresponds to earlier findings, that patients with some psychiatric diagnosis have an excess mortality compared to the general population, and that concurrent substance abuse increases the mortality 4,11,14 . An explanation for the observed increase in mortality rates might be insufficient awareness of the psychical morbidity in psychiatric patients 4 .…”

Section: Discussionsupporting

confidence: 76%

Strategies for preventing excess mortality after discharge from psychiatric emergency room.

Aagaard

Jensen

2017

MRAJ

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“…In contrast, there is a body of scientific evidence showing that subjects with both drug and psychiatric problems constitute a higher risk group, with vulnerability for mortality and morbidity compared with the general population [29]. Also in this study we found, especially among women, high SRR for mortality among those with a history of hospitalisation with an alcohol or drug abuse diagnosis [29]. Bartu et al reported that opiate abusers had higher all-cause and drug-related mortality risks compared with amphetamine users [10].…”

Section: Discussionmentioning

confidence: 98%