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Published on: July 19, 2019
[Unexplained behaviour and death: analysis of individuals reported to public mental health care]
Ellen Tromp1,2, Emma R Douma1, Ilona Steenkamer1
1GGD regio Utrecht, team Onderzoek, Zeist.
Objective:
To gain insight into the nature of Public Mental Health Care (OGGZ) problems and identify opportunities for timely detection and referral to appropriate care.
Design:
Retrospective observational study.
Method:
OGGZ reports and forensic post-mortem examinations of residents from seventeen municipalities in the Utrecht region (2018-2024) were included. Descriptive analyses were conducted on all OGGZ reports and on a subgroup of individuals with both an OGGZ report and a registered forensic post-mortem examination.
Results:
At the time of reporting, 73% of individuals were already known to one or more healthcare services, and 33% had repeated reports. Psychiatric problems were the most frequently reported issue (70%). Among 7,172 unique individuals with an OGGZ report, 155 subsequently underwent a forensic post-mortem examination. Within this subgroup, 70% died within one year of their last report, predominantly from non-natural causes.
Conclusion:
Early identification, interdisciplinary collaboration, and accessible care are essential to reach individuals who avoid regular healthcare services.
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