入住精神病急性病房的患者死亡的风险因素:前性队列研究
Maria Fagerbakke Strømme1,2, Christoffer Bartz-Johannessen1,2, Eirik Kjelby1,2
1Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
Acta psychiatrica Scandinavica
|January 16, 2024
概括
临床因素,如身体疾病和物质使用,而不是精神症状,显著影响精神病患者的死亡风险. 解决这些可改变的因素是减少精神疾病患者过早死亡的关键.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 精神疾病与死亡率之间的关联已经得到了充分的证据.
- 关于急性精神病医院住院的临床特征如何影响死亡风险的研究有限.
研究的目的:
- 研究首次精神病医院入院时的临床特征与随后的死亡风险之间的关联.
- 在患有精神疾病的患者中区分自然和非自然死亡原因.
主要方法:
- 对6125名进入精神病急性病房的患者进行前性队列研究 (2005-2014).
- 在首次入院时进行临床采访,随后从挪威死亡原因登记处获得长达15年的死亡数据.
- 竞争风险回归模型分析了临床因素与死亡风险之间的关联.
主要成果:
- 高龄,男性性别,失业,认知缺陷和身体疾病增加了自然死亡的风险.
- 男性的性行为,缺乏伴侣,身体疾病,自杀企图和吸毒增加了非自然死亡的风险.
- 除了自杀企图之外,精神病症状与死亡率的增加没有相关性.
结论:
- 临床特征,特别是身体健康和物质使用,是精神病患者死亡率的关键预测因素.
- 专注于可修改的风险因素,如身体疾病和药物滥用,对于减少过早死亡至关重要.
- 针对这些因素的干预措施可以减轻与精神疾病相关的高死亡风险.
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