Kisely Stephen, Smith Mark, Lawrence David, Maaten Sarah
Dalhousie University, Abbie J. Lane Memorial Building, 5909 Veteran's Memorial Lane, Suite 9211, Halifax, Nova Scotia B3H 2E2, Canada.
Br J Psychiatry. 2005 Dec;187:552-8. doi: 10.1192/bjp.187.6.552.
Most studies of mortality in psychiatric patients have investigated in-patients rather than those attending out-patient clinics or primary care, where most receive treatment.
To evaluate the mortality risk in mental illness for patients in contact with psychiatric services or primary care (n=221 048) across Nova Scotia (population 936 025).
A population-based record-linkage analysis was made of the period 1995-2000, using an inception cohort to calculate mortality rate ratios.
The mortality rate was 1.74, with increased ratios for all major causes of death. Male mortality was almost double that of females after controlling for demographic factors, treatment setting and place of residence. Patients of lower income, in specialist psychiatric settings, and with dementia or psychoses were also at greater risk. However, in absolute numbers, 72% of deaths occurred in patients who had only seen their general practitioner.
Mortality risk is increased in all psychiatric patients, not just those who have received in-patient treatment.
大多数关于精神科患者死亡率的研究都调查了住院患者，而非那些在门诊诊所或初级保健机构接受治疗的患者，而大多数患者是在这些地方接受治疗的。
评估新斯科舍省（人口936,025）中与精神科服务或初级保健机构有接触的患者（n = 221,048）的精神疾病死亡风险。
利用起始队列计算死亡率比，对1995年至2000年期间进行了基于人群的记录链接分析。
死亡率为1.74，所有主要死因的死亡率比均有所上升。在控制了人口统计学因素、治疗环境和居住地点后，男性死亡率几乎是女性的两倍。低收入患者、在专科精神科环境中以及患有痴呆症或精神病的患者风险也更高。然而，从绝对数字来看，72%的死亡发生在仅看过全科医生的患者中。
所有精神科患者的死亡风险都会增加，不仅仅是那些接受过住院治疗的患者。
