Mortality Rates and Trends Among Bologna Community Mental Health Service Users A 13-Year Cohort Study

被引：6

作者：

Berardi, Domenico ^{[1
,2
]}

Pavarin, Raimondo Maria ^{[3
]}

Chierzi, Federico ^{[1
]}

Terzi, Laura ^{[1
]}

Manzo, Valentina ^{[1
]}

Piazza, Antonella ^{[2
]}

Menchetti, Marco ^{[1
,2
]}

Fioritti, Angelo ^{[2
]}

机构：

[1] Univ Bologna, Dept Biomed & NeuroMotor Sci DIBINEM, Viale Pepoli 5, I-40123 Bologna, Italy

[2] Local Hlth Trust Bologna, Dept Mental Hlth & Pathol Addict, Bologna, Italy

[3] Local Hlth Trust Bologna, Dept Mental Hlth & Pathol Addict, Epidemiol Monitoring Ctr Addict, Bologna, Italy

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2018年 / 206卷 / 12期

关键词：

Mortality ratio; mental disorders; CMHC; outpatients; public health; ALL-CAUSE MORTALITY; SUBSTANCE USE; PERSONALITY-DISORDERS; PSYCHIATRIC-PATIENTS; PHYSICAL HEALTH; CASE-REGISTER; RISK-FACTORS; HEPATITIS-B; SCHIZOPHRENIA; PEOPLE;

D O I：

10.1097/NMD.0000000000000906

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The present study aimed to determine mortality rates and trends among community mental health service users in Bologna (Italy) between 2001 and 2013. Standardized mortality ratios (SMRs) were calculated, and Poisson multiple regression analysis was performed. The cohort comprised 42,357 patients, of which 3556 died. The overall SMR was 1.62 (95% confidence interval = 1.57-1.67). SMRs for natural causes of death ranged from 1.25 to 2.30, whereas the SMR for violent deaths was 3.45. Both serious and common mental disorders showed a significant excess of mortality, although higher rates were found in severe mental disorders, especially in personality disorders. Different from most published studies, the overall SMR slightly decreased during the study period. The present study, though confirming that people with mental disorders present a higher risk of mortality, calls for prevention strategies oriented to all psychiatric diagnoses.

引用

页码：944 / 949

页数：6

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