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Long-term mortality after first psychiatric admission

P C Naik1, S Davies, A M Buckley

  • 1University of Birmingham, Solihull, West Midlands.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1997
PubMed
Summary

Long-term mortality after first psychiatric admission shows no significant excess deaths. Careful follow-up may not reduce suicide rates in this patient population.

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Area of Science:

  • Psychiatry
  • Public Health
  • Mortality Studies

Background:

  • Limited understanding of long-term mortality and causes of death following initial psychiatric hospitalization.
  • First psychiatric admission represents a critical juncture for patient health outcomes.

Purpose of the Study:

  • To investigate the long-term mortality and causes of death in patients following their first psychiatric admission.
  • To compare observed mortality rates with expected rates in this cohort.

Main Methods:

  • A cohort of 87 patients with first-time psychiatric admission was followed for 17-18 years post-discharge.
  • Death records and general practitioner data were used to ascertain causes of death.
  • Observed mortality was statistically compared against expected population mortality.

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Main Results:

  • Twelve deaths occurred within the study cohort.
  • No suicides, open verdicts, or accidental deaths were recorded among the deceased.
  • While observed mortality was higher than expected, the difference was not statistically significant.

Conclusions:

  • Findings suggest limited potential for reducing suicide rates through targeted post-discharge follow-up for first-admission psychiatric patients.
  • Further research is needed to identify effective interventions for improving long-term outcomes and justifying resource allocation.