急性和短暂性精神病障碍的死亡率和死因。
Mortality and causes of death of acute and transient psychotic disorders.
机构信息
Department of Psychiatry, University of Cambridge, Cambridge, CB2 0SZ, UK.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2011 Oct;46(10):1013-7. doi: 10.1007/s00127-010-0276-1. Epub 2010 Aug 10.
BACKGROUND
Little is known about mortality associated with acute transient psychoses. This paper examines mortality and causes of death of ICD-10 F23 'Acute and transient psychotic disorders' (ATPD).
METHOD
Data from all subjects aged over 15 years who were enrolled in 1996 in the Danish psychiatric register with a first-admission diagnosis of ATPD were linked to the national register of causes of death. The standardized mortality ratio (SMR) for overall mortality and specific categories were calculated.
RESULTS
Over the period 1996-2001, 87 (17.3%) of 503 patients with ATPD had died, accounting for a mortality rate of 35.3 per 1,000 person/years. The SMR for all causes (2.9), natural causes (2.5), and unnatural causes (9.2) were significantly increased. Suicide had the greatest SMR (30.9).
CONCLUSIONS
These findings argue for excess mortality of ATPD particularly from suicide.
背景
对于急性短暂性精神病相关的死亡率知之甚少。本文研究了 ICD-10 F23“急性和短暂性精神病障碍”（ATPD）的死亡率和死因。
方法
将 1996 年在丹麦精神病登记处首次入院诊断为 ATPD 的所有年龄在 15 岁以上的患者的数据与国家死因登记处进行了关联。计算了总死亡率和特定类别的标准化死亡率（SMR）。
结果
在 1996 年至 2001 年期间，503 名 ATPD 患者中有 87 人（17.3%）死亡，死亡率为每 1000 人/年 35.3 人。所有原因（2.9）、自然原因（2.5）和非自然原因（9.2）的 SMR 显著升高。自杀的 SMR 最高（30.9）。
结论
这些发现表明 ATPD 的死亡率过高，特别是自杀的死亡率过高。
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