TY - JOUR PY - 1998// TI - Mortality among psychiatric patients referred to the mental health services in Valencia JO - Social psychiatry and psychiatric epidemiology A1 - Salazar-Fraile, J. A1 - Gómez-Beneyto, M. A1 - Perez-Hoyos, S. A1 - Hurtado-Navarro, I. SP - 224 EP - 229 VL - 33 IS - 5 N2 - The rate of survival and causes of mortality in a cohort of 2103 psychiatric patients registered on a psychiatric case register and followed up for 7 years are compared with those of a general population sample (n = 2382) randomly extracted from the municipal census in Valencia (Spain). Using multivariate analysis by Cox regression, patients suffering organic psychoses and those diagnosed with drug abuse or dependency exhibited a greater risk of death than the general population for the total causes of death; no interaction was found between sociodemographic variables and psychiatric pathology. In terms of the causes of death, and controlling for the effect of age and sex, organic psychoses involved a greater risk of death due to cardiovascular and respiratory causes, and a greater risk of non-natural deaths than the general population. Schizophrenia and related conditions, the abuse of alcohol/ other drugs, and neurosis/personality disorders all presented a higher risk of death from liver disease. The major affective disorders involved a greater risk of death due to suicide or accidents. The study concludes with a discussion of the possible explanations of these results.

Language: en

LA - en SN - 0933-7954 UR - http://dx.doi.org/ ID - ref1 ER -