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The British Journal of Psychiatry 170: 186-190 (1997)
© 1997 The Royal College of Psychiatrists

Total mortality in people admitted to a psychiatric hospital

V Hansen, E Arnesen and BK Jacobsen
Institute of Community Medicine, University of Tromso, Norway.

BACKGROUND: The aim was to document the mortality of psychiatric patients within a service system characterised by a low beds-to- population ratio. METHOD: All patients admitted to one psychiatric hospital were followed from date of first admission after 31 July 1980 until 31 December 1992 with regard to death, by linkage to the Norwegian Central Register of Persons. Age-adjusted total mortality rates and standardised mortality ratios (SMRs) compared with the general population were computed. RESULTS: Mortality rates were highest in men, and increased with age in both sexes. SMRs were highest in the younger age-groups, and the overall SMR was significantly higher for men than for women. Mortality was highest during the first year after admission for both sexes and was higher than in the general population in all diagnostic groups. CONCLUSIONS: The mortality of psychiatric patients is still unsatisfactorily high, and men constitute a special high-risk group.


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