TY  - JOUR
PY  - 2021//
TI  - Mortality in mental health patients of the Emilia-Romagna region of Italy: a registry-based study
JO  - Psychiatry research
A1  - Berardi, Domenico
A1  - Stivanello, Elisa
A1  - Chierzi, Federico
A1  - Musti, Muriel Assunta
A1  - Perlangeli, Vincenza
A1  - Pandolfi, Paolo
A1  - Piazza, Antonella
A1  - Saponaro, Alessio
A1  - Sanza, Michele
A1  - Ferri, Mila
A1  - Menchetti, Marco
A1  - Fioritti, Angelo
SP  - e113702
EP  - e113702
VL  - 296
IS  - 
N2  - Evidence from previous research demonstrated a gap in mortality between patients with mental disorders and the general population. However, a more exhaustive assessment is required to address this public health issue. The aim of this study was to provide comprehensive analysis of mortality examining all causes of death and all psychiatric diagnoses. We conducted a 10-year retrospective cohort study, including all in and out patients registered in the Mental Health Registry of Emilia-Romagna, Italy. Standardized mortality ratios (SMRs) were calculated. The cohort consisted of 137,351 patients 11,236 of whom died during the study period and the overall SMR was 1.99. 85.9 % of excess mortality was attributable to a broad range of natural causes. Diseases of circulatory and respiratory systems as well as neoplasms were the principal contributors to the mortality gap. All psychiatric conditions led to a higher risk of death. The greatest excess was due to neoplasms in depressed and neurotic patients and to cardiovascular diseases in patients with schizophrenia and personality disorders. Our results highlight the need for close collaboration between mental and primary health care services with the aim of reducing excess mortality as a result of medical diseases among all patients suffering from psychiatric condition.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-1781
UR  - http://dx.doi.org/10.1016/j.psychres.2020.113702
ID  - ref1
ER  -