Naik P C, Davies S, Buckley A M, Lee A S
University of Birmingham, Solihull, West Midlands.
Br J Psychiatry. 1997 Jan;170:43-6. doi: 10.1192/bjp.170.1.43.
Little is known about the long-term mortality and causes of death after first psychiatric admission.
A consecutive series of 87 patients admitted for the first time from a strictly defined catchment area to Saxondale Hospital, Nottinghamshire, who were discharged in 1974 and 1975, were traced in 1992 to either their general practitioner or death. The causes of their deaths were ascertained and the observed mortality was compared with expected mortality.
Twelve subjects had died. None had committed suicide, and there were no open verdicts or accidental deaths. Although the observed mortality was higher than expected, there was no significant excess.
There may be little scope for reducing suicide rates by targeting patients for careful follow-up after discharge from their first psychiatric admission. More research is required before large investments are made in potentially fruitless interventions to achieve the objectives of The Health of the Nation.
首次精神科住院后的长期死亡率及死因鲜为人知。
对1974年和1975年从严格界定的集水区首次入住诺丁汉郡萨克森代尔医院且已出院的87例患者进行连续跟踪，于1992年找到他们的全科医生或了解其死亡情况。确定其死因，并将观察到的死亡率与预期死亡率进行比较。
12名受试者已死亡。无人自杀，也没有死因不明或意外死亡的情况。尽管观察到的死亡率高于预期，但并无显著超额。
针对首次精神科住院出院后的患者进行仔细随访以降低自杀率，可能空间不大。在为实现《国家健康》目标而对可能无果的干预措施进行大规模投资之前，还需要更多研究。
