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Introduction: Associations between psychiatric disorders and mortality have been extensively studied, but limited evidence exists regarding influence of clinical characteristics on mortality risk, at the time of acute psychiatric hospitalization.

Methods: A prospective total-cohort study included all patients consecutively admitted to Haukeland University Hospital's psychiatric acute ward in Bergen, Norway between 2005 and 2014 (n = 6125). Clinical interviews were conducted at the first admission within the study period, and patients were subsequently followed for up to 15 years in the Norwegian Cause of Death Registry. Competing risks regression models were used to investigate associations between clinical characteristics at first admission and the risk of natural and unnatural death during follow-up.

Results: The mean age at first admission and at time of death was 42.5 and 62.8 years, respectively, and the proportion of women in the sample was 47.2%. A total of 1381 deaths were registered during follow-up, of which 65.5% had natural, 30.4% unnatural, and 4.1% unknown causes. Higher age, male sex, unemployment, cognitive deficits, and physical illness were associated with increased risk of natural death. Male sex, having no partner, physical illness, suicide attempts, and excessive use of alcohol and illicit substances were associated with increased risk of unnatural death.

Conclusion: Psychiatric symptoms, except suicide attempts, were unrelated to increased mortality risk. In the endeavor to reduce the increased mortality risk in people with mental disorders, focus should be on addressing modifiable risk factors linked to physical health and excessive use of alcohol and illicit substances.

Titel:	Risk factors for mortality in patients admitted to a psychiatric acute ward: A prospective cohort study.
Autor/in / Beteiligte Person:	Strømme, MF ; Bartz-Johannessen, C ; Kjelby, E ; Mehlum, L ; Mykletun, A ; Kroken, RA ; Johnsen, E ; Gjestad, R
Link:	Zum Volltext
Zeitschrift:	Acta psychiatrica Scandinavica, Jg. 149 (2024-03-01), Heft 3, S. 244-255
Veröffentlichung:	Malden, MA : Wiley-Blackwell ; <i>Original Publication</i>: Copenhagen : Munksgaard International Publishers, 2024
Medientyp:	academicJournal
ISSN:	1600-0447 (electronic)
DOI:	10.1111/acps.13657
Schlagwort:	Humans Male Female Prospective Studies Cohort Studies Cause of Death Risk Factors Hospitalization Mental Disorders psychology
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [Acta Psychiatr Scand] 2024 Mar; Vol. 149 (3), pp. 244-255. <i>Date of Electronic Publication: </i>2024 Jan 15. MeSH Terms: Hospitalization* ; Mental Disorders* / psychology ; Humans ; Male ; Female ; Prospective Studies ; Cohort Studies ; Cause of Death ; Risk Factors References: Hjorthoj C, Sturup AE, Mcgrath JJ, Nordentoft M. Years of potential life lost and life expectancy in schizophrenia: a systematic review and meta-analysis. Lancet Psychiatry. 2017;4:295-301. ; Laursen TM, Wahlbeck K, Hällgren J, et al. Life expectancy and death by diseases of the circulatory system in patients with bipolar disorder or schizophrenia in the Nordic countries. PloS One. 2013;8:e67133. ; Walker ER, Mcgee RE, Druss BG. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. 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Grant Information: Helse Vest; 911209/HV Haukeland Universitetssjukehus; 911671/HV Haukeland Universitetssjukehus Contributed Indexing: Keywords: indicated prevention; mental disorders; mortality; universal prevention Entry Date(s): Date Created: 20240116 Date Completed: 20240208 Latest Revision: 20240624 Update Code: 20240624

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Risk factors for mortality in patients admitted to a psychiatric acute ward: A prospective cohort study.