Kuperman S, Black D W, Burns T L
Department of Psychiatry, University of Iowa College of Medicine, Iowa City.
Arch Gen Psychiatry. 1988 Mar;45(3):277-82. doi: 10.1001/archpsyc.1988.01800270095011.
Mortality was investigated in 881 male and 450 female formerly hospitalized child psychiatric patients in a four- to 15-year follow-up. Death from natural causes was not increased, but death from unnatural causes occurred at a rate more than twice as high as expected based on age- and sex-matched comparisons with the general population of the state of Iowa. Increased risk of unnatural death was found in five of eight psychiatric diagnostic categories but was significant only for Mental Reasoning, a category that combined patients with organic mental disorders, schizophrenia, or mental retardation. Clinical variables associated with an excess rate of unnatural death included age 15 years or older at the time of admission, the absence of a second psychiatric diagnosis, the presence of previous psychiatric hospitalizations, and the presence of a seizure disorder. Among the 23 unnatural deaths, the 11 (47.8%) suicides were excessive, but accidents and homicides were not.
对881名曾住院治疗的男性儿童精神科患者和450名女性儿童精神科患者进行了为期4至15年的随访，调查其死亡率。自然原因导致的死亡并未增加，但非自然原因导致的死亡发生率比根据爱荷华州一般人群的年龄和性别匹配比较预期的高出两倍多。在八个精神科诊断类别中的五个类别中发现非自然死亡风险增加，但仅在精神推理类别中具有统计学意义，该类别包括患有器质性精神障碍、精神分裂症或智力障碍的患者。与非自然死亡率过高相关的临床变量包括入院时年龄在15岁及以上、没有第二种精神科诊断、有过精神科住院史以及患有癫痫症。在23例非自然死亡中，11例（47.8%）自杀过量，但意外事故和凶杀案并非如此。
