Excess Mortality, Causes Of Death And Life Expectancy In Main Groups Of Patients With Recent Onset Of Mental Disorders In 2000-2006 In Denmark, Finland And Sweden.

 
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Presentation First Author: 
Merete Nordentoft
Abstract: 

Objective: To investigate the excess mortality in different diagnostic categories due to suicide and other external causes of death, and due to specific causes in connection with diseases and medical conditions. Method: In longitudinal national psychiatric case registers from Denmark, Sweden and Finland, a cohort of 277,210 recent-onset patients, who at least once during the period 2000 to 2006 were admitted due to a psychiatric disorder, were followed in national cause of death registers until death or the end of 2006. They were followed for 906,130 person years, and 27,500 deaths were analyzed. Life expectancy and standardized cause-specific mortality rates were estimated in each diagnostic group in all three countries. Results: The life expectancy was generally approximately 15 years shorter for women and 20 years shorter for men, compared to the general population. The overall mortality figures were increased two to five fold, and mortality due to every specific cause of death was at least doubled. The mortality due to diseases and medical conditions was increased two to three fold, while excess mortality from external causes ranged from three to 77 fold. Mortality due to diseases and medical conditions was generally lowest in patients with affective disorders and highest in patients with substance abuse and personality disorders, while mortality due to suicide was highest in patients with affective disorders and personality disorders, and mortality due to other external causes was highest in patients with substance abuse. Conclusions: These alarming figures call for action in order to prevent the high mortality.

Conference Name: 
Presentation Date: 
January, 2013
Additional Authors: 
Merete Nordentoft, Kristian Wahlbeck, Mika Gissler, Jeanett Westman, Jonas Hallstrom, Thomas Munk Laursen
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