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Avoidable mortality among psychiatric patients

G Ringbäck Weitoft1, A Gullberg, M Rosén

  • 1Centre for Epidemiology, National Board of Health and Welfare, Stockholm, Sweden.

Social Psychiatry and Psychiatric Epidemiology
|October 10, 1998
PubMed
Summary

Psychiatric patients face significantly higher risks of avoidable mortality and suicide, particularly women. These findings highlight potential shortcomings in psychiatric care quality that require urgent attention and further investigation.

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Area of Science:

  • Public Health
  • Psychiatry
  • Health Services Research

Background:

  • Avoidable mortality serves as a critical indicator of healthcare quality.
  • Previous research suggests elevated mortality risks in psychiatric populations.

Purpose of the Study:

  • To investigate avoidable mortality rates among psychiatric patients in Stockholm County.
  • To compare mortality risks (suicide, avoidable, unavoidable, drug side-effects) in psychiatric patients versus the general population.

Main Methods:

  • Retrospective cohort study using data from Stockholm County psychiatric hospitals (1981-1985) and the Cause of Death Register (1986-1990).
  • Calculation of standardized rate ratios for various mortality indicators.
  • Comparison between psychiatric patients and the general Stockholm County population.

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Main Results:

  • Psychiatric patients exhibited significantly higher risks for avoidable mortality (RR 4.7 for men, 3.8 for women) and suicide (6- to 24-fold increase, higher in women).
  • Mortality risks from conditions amenable to medical intervention and potential psychotropic drug side-effects were elevated (RR 7.2 for drug side-effects).
  • Risks for 'unavoidable' mortality were also higher (RR 3.4 for men, 3.2 for women).

Conclusions:

  • Elevated avoidable mortality and suicide rates, especially in female psychiatric patients, signal potential deficiencies in psychiatric care.
  • These findings underscore the need for further investigation into the quality and outcomes of psychiatric services.
  • The results emphasize the importance of monitoring avoidable mortality as a key performance indicator in mental healthcare.