澳大利亚悉尼精神分裂症无家可归者的死亡率：一项10年随访研究。
Mortality among homeless people with schizophrenia in Sydney, Australia: a 10-year follow-up.
作者信息
Babidge N C, Buhrich N, Butler T
机构信息
St Vincent's Hospital, Sydney, Darlinghurst, NSW, Australia.
出版信息
Acta Psychiatr Scand. 2001 Feb;103(2):105-10. doi: 10.1034/j.1600-0447.2001.00192.x.
OBJECTIVE
The aims were first, to describe deaths in a cohort of homeless people compared to the general population and secondly, to compare deaths among the individuals with schizophrenia to those without schizophrenia.
METHOD
Mortality was assessed in a cohort of 708 homeless subjects, 506 with schizophrenia who were referred 10 years previously to psychiatric outreach clinics. Standardized mortality ratios (SMRs) were calculated.
RESULTS
Eighty-three people (12%) had died, 19 from suicide. The SMR was 3.76 for homeless men and 3.14 for homeless women. There was a non-significant trend for higher excess mortality among men without schizophrenia compared to men with schizophrenia. SMRs for suicide were significantly elevated among homeless men.
CONCLUSION
Homeless people in inner Sydney have death rates three to four times higher than people in the general population of New South Wales. Excess mortality was greatest for younger age groups.
目的
首先，描述一组无家可归者与普通人群相比的死亡情况；其次，比较患有精神分裂症的个体与未患精神分裂症的个体之间的死亡情况。
方法
对一组708名无家可归者进行了死亡率评估，其中506名患有精神分裂症，他们在10年前被转诊至精神科外展诊所。计算了标准化死亡率（SMR）。
结果
83人（12%）死亡，19人死于自杀。无家可归男性的SMR为3.76，无家可归女性的SMR为3.14。与患有精神分裂症的男性相比，未患精神分裂症的男性超额死亡率有升高趋势，但不显著。无家可归男性的自杀SMR显著升高。
结论
悉尼市中心的无家可归者死亡率比新南威尔士州普通人群高3至4倍。年轻年龄组的超额死亡率最高。
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