Koranyi E K
Arch Gen Psychiatry. 1977 Oct;34(10):1137-42. doi: 10.1001/archpsyc.1977.01770220019001.
During a three-year period 28 fatalities, twice the rate in the general population, were found in a sample of 2,070 psychiatric outpatients. Death occurred in these psychiatric patients approximately 20 years earlier than is expected. All three modalities of death: accidents, suicide, and natural causes, were higher than that in the population at large. Three suicides were thought to be preventable by psychiatric approaches. The importance of the patient's initial visits was stressed. At least four, and possibly five, cases of death were avoidable by appropriate medico-surgical means. The rate of physical illnesses in all three groups was more than 80%, of which one third were inadequately diagnosed by their referring physicians. The importance of the physical evaluation of psychiatric patients was emphasized.
在三年期间，在2070名精神科门诊患者样本中发现了28例死亡病例，是普通人群死亡率的两倍。这些精神科患者的死亡时间比预期早约20年。所有三种死亡方式：意外事故、自杀和自然原因，都高于总体人群。有三起自杀事件被认为通过精神科方法是可以预防的。强调了患者初次就诊的重要性。通过适当的内科和外科手段，至少四起，可能五起死亡病例是可以避免的。所有三组身体疾病的发生率都超过80%，其中三分之一被转诊医生诊断不充分。强调了对精神科患者进行身体评估的重要性。
