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Related Experiment Videos

Mortality in psychiatric inpatients.

F Casadebaig1, N Quemada

  • 1National Institute of Health and Medical Research, Le Vésinet, France.

Acta Psychiatrica Scandinavica
|March 1, 1989
PubMed
Summary

Psychiatric inpatients in France experienced a threefold higher mortality rate than the general population in 1982. This excess mortality, particularly in younger individuals and women, was linked to both natural and unnatural causes, including suicide.

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Area of Science:

  • Psychiatry
  • Public Health
  • Epidemiology

Background:

  • In 1982, understanding the mortality risks for individuals receiving psychiatric hospital care in France was crucial.
  • Previous studies indicated potential disparities in health outcomes for this population.

Purpose of the Study:

  • To estimate the mortality rate among psychiatric inpatients in France during 1982.
  • To compare inpatient mortality with the general French population by sex and age.
  • To identify specific causes of excess mortality in psychiatric inpatients.

Main Methods:

  • Utilized data on length of stay for psychiatric inpatients in 1982.
  • Employed the person-year method for mortality estimation.
  • Compared observed deaths in inpatients with expected deaths based on general population rates, stratified by sex and age.

Main Results:

  • Psychiatric inpatients exhibited a mortality rate approximately three times higher than the general population.
  • Excess mortality was pronounced in younger age groups, especially among women.
  • Increased mortality was observed for both natural causes (circulatory, respiratory diseases) and unnatural causes (injury, poisoning, suicide).
  • Neoplasms were the only cause of death without excess mortality.
  • Women showed higher excess mortality from ill-defined conditions and injury/poisoning, while men had higher excess suicide rates, though female suicide rates exceeded male rates up to age 34.

Conclusions:

  • Individuals hospitalized for psychiatric conditions in France faced significantly elevated mortality risks in 1982.
  • Excess mortality was widespread across various causes of death, highlighting the complex health challenges faced by this population.
  • Targeted public health interventions are needed to address the specific vulnerabilities and causes of death observed in psychiatric inpatients.

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