Crossref journal-article
Royal College of Psychiatrists
British Journal of Psychiatry (170)
Abstract

Although many studies have shown an increased mortality in schizophrenic patients, the literature provides little information about mortality from specific causes in relation to age, gender, and duration of illness. This study examined mortality and causes of death in a total national sample of 9156 first admitted schizophrenic patients. Suicide accounted for 50% of deaths in men and 35% of deaths in women. Suicide risk was particularly increased during the first year of follow-up. Death from natural causes, with the exception of cancer and cerebrovascular diseases, was increased. Suicide risk during the first year of follow-up increased by 56%, with a 50% reduction on psychiatric in-patient facilities. The study confirms that mortality in schizophrenia is still markedly elevated, and the finding of an increasing suicide risk may be an indicator of some adverse effects of deinstitutionalisation.

Bibliography

Mortensen, P. B., & Juel, K. (1993). Mortality and Causes of Death in First Admitted Schizophrenic Patients. British Journal of Psychiatry, 163(2), 183–189.

Authors 2
  1. Preben Bo Mortensen (first)
  2. Knud Juel (additional)
References 50 Referenced 304
  1. {'volume-title': 'Programmer til overlevelsesberegninger, rapp nr 1.', 'year': '1984', 'author': 'Juul', 'key': 'S0007125000181668_ref25'} / Programmer til overlevelsesberegninger, rapp nr 1. by Juul (1984)
  2. 10.1111/j.1600-0447.1979.tb04485.x / Acta Psychiatrica Scandinavica / Mortality in psychiatric hospitals in Norway 1950–74 by Saugstad (1979)
  3. 10.1016/0920-9964(88)90002-3
  4. 10.1192/bjp.141.2.171
  5. 10.1111/j.1600-0447.1987.tb02839.x
  6. 10.1111/j.1600-0447.1985.tb02598.x
  7. 10.1192/bjp.145.4.429
  8. {'volume-title': 'Diagnostic and Statistical Manual of Mental Disorders', 'year': '1987', 'key': 'S0007125000181668_ref6'} / Diagnostic and Statistical Manual of Mental Disorders (1987)
  9. {'key': 'S0007125000181668_ref7', 'first-page': '14', 'article-title': 'Suicide in schizophrenia: the Iowa Record Linkage Study', 'volume': '46', 'author': 'Black', 'year': '1985', 'journal-title': 'Journal of Clinical Psychiatry'} / Journal of Clinical Psychiatry / Suicide in schizophrenia: the Iowa Record Linkage Study by Black (1985)
  10. 10.1016/0010-440X(82)90088-8
  11. {'volume-title': 'Manual of the International Statistical Classification of Disease, Injuries, and Cause of Death, 1965 revision', 'year': '1967', 'key': 'S0007125000181668_ref48'} / Manual of the International Statistical Classification of Disease, Injuries, and Cause of Death, 1965 revision (1967)
  12. 10.1016/0920-9964(91)90028-P
  13. 10.1111/j.1600-0447.1989.tb10254.x
  14. 10.1001/archpsyc.1986.01800070036005
  15. 10.1111/j.1600-0447.1986.tb06225.x
  16. {'volume-title': 'Diagnostic and Statistical Manual of Mental Disorders', 'year': '1980', 'key': 'S0007125000181668_ref5'} / Diagnostic and Statistical Manual of Mental Disorders (1980)
  17. 10.1001/archpsyc.1978.01770340031002
  18. 10.1111/j.1600-0447.1987.tb02752.x
  19. 10.1111/j.1600-0447.1985.tb02540.x
  20. {'key': 'S0007125000181668_ref36', 'first-page': '47', 'article-title': 'Interfaces of psychopharmacology and cardiology - part two', 'volume': '42', 'author': 'Risch', 'year': '1981', 'journal-title': 'Journal of Clinical Psychiatry'} / Journal of Clinical Psychiatry / Interfaces of psychopharmacology and cardiology - part two by Risch (1981)
  21. 10.1097/00005053-196402000-00005
  22. 10.1192/bjp.136.3.239
  23. 10.1017/S0033291700048005
  24. 10.1136/jech.43.1.43
  25. 10.1093/schbul/15.1.81
  26. {'volume-title': 'Schizophrenia. An International Follow-up Study.', 'year': '1979', 'key': 'S0007125000181668_ref49'} / Schizophrenia. An International Follow-up Study. (1979)
  27. {'volume-title': 'Statistical Package for Epidemiology and Clinical Trials.', 'year': '1989', 'key': 'S0007125000181668_ref18'} / Statistical Package for Epidemiology and Clinical Trials. (1989)
  28. {'key': 'S0007125000181668_ref22', 'first-page': '93', 'article-title': 'Sudden death during treatment with phenothiazine derivatives', 'volume': '192', 'author': 'Hollister', 'year': '1965', 'journal-title': 'Journal of the American Medical Association'} / Journal of the American Medical Association / Sudden death during treatment with phenothiazine derivatives by Hollister (1965)
  29. 10.1177/030089168507100608 / Tumori / Cancer therapy: phenothiazines in an unexpected role by Jones (1985)
  30. 10.1001/archpsyc.1985.01790240060006
  31. 10.1111/j.1600-0447.1990.tb05466.x
  32. {'key': 'S0007125000181668_ref21', 'first-page': '640', 'article-title': 'Accidental and homicidal death in a psychiatric emergency room population', 'volume': '36', 'author': 'Hillard', 'year': '1985', 'journal-title': 'Hospital and Community Psychiatry'} / Hospital and Community Psychiatry / Accidental and homicidal death in a psychiatric emergency room population by Hillard (1985)
  33. 10.1111/j.1600-0447.1985.tb02558.x
  34. {'key': 'S0007125000181668_ref14', 'first-page': '399', 'volume-title': 'Handbook of Schizophrenia', 'volume': 'Vol. 3', 'author': 'Craig', 'year': '1988'} / Handbook of Schizophrenia by Craig (1988)
  35. 10.1056/NEJM197603112941104
  36. {'key': 'S0007125000181668_ref42', 'first-page': '245', 'volume-title': 'Handbook of Schizophrenia', 'volume': 'Vol. 3', 'author': 'Simpson', 'year': '1988'} / Handbook of Schizophrenia by Simpson (1988)
  37. 10.1007/BF01787819
  38. Breslow N. E. & Day N. E. (1987) Statistical Methods in Cancer Research Volume II - The Design and Analysis of Cohort Studies. Lyon: IARC Scientific Publications No. 82.
  39. 10.1093/ije/13.1.112
  40. 10.1016/0920-9964(91)90004-B
  41. 10.1093/schbul/18.2.217
  42. 10.1001/archpsyc.1960.03590090070011
  43. {'key': 'S0007125000181668_ref15', 'first-page': '257', 'volume-title': 'Information Support to Mental Health Programs. An International Perspective', 'author': 'Dupont', 'year': '1983'} / Information Support to Mental Health Programs. An International Perspective by Dupont (1983)
  44. 10.1001/archpsyc.1981.01780330093011
  45. 10.1111/j.1600-0447.1978.tb06904.x
  46. 10.1111/j.1600-0447.1989.tb10275.x
  47. 10.1016/S0193-953X(18)30644-0 / Psychiatric Clinics of North America / Depression, attempted suicide, and suicide in patients with chronic schizophrenia by Roy (1986)
  48. 10.1093/schbul/16.4.571
  49. {'key': 'S0007125000181668_ref34', 'first-page': '2229', 'article-title': 'Aendringer i danskemes rygevaner 1970–1987', 'volume': '150', 'author': 'Nielsen', 'year': '1988', 'journal-title': 'Ugeskrift for Laeger'} / Ugeskrift for Laeger / Aendringer i danskemes rygevaner 1970–1987 by Nielsen (1988)
  50. 10.1176/ajp.143.8.993 / American Journal of Psychiatry / Prevalence of smoking among psychiatric out-patients by Hughes (1986)
Dates
Type When
Created 16 years, 10 months ago (Oct. 15, 2008, 1:21 a.m.)
Deposited 7 months ago (Feb. 1, 2025, 2:21 p.m.)
Indexed 2 months, 1 week ago (June 30, 2025, 4:41 p.m.)
Issued 32 years, 1 month ago (Aug. 1, 1993)
Published 32 years, 1 month ago (Aug. 1, 1993)
Published Online 7 years, 8 months ago (Jan. 2, 2018)
Published Print 32 years, 1 month ago (Aug. 1, 1993)
Funders 0

None

@article{Mortensen_1993, title={Mortality and Causes of Death in First Admitted Schizophrenic Patients}, volume={163}, ISSN={1472-1465}, url={http://dx.doi.org/10.1192/bjp.163.2.183}, DOI={10.1192/bjp.163.2.183}, number={2}, journal={British Journal of Psychiatry}, publisher={Royal College of Psychiatrists}, author={Mortensen, Preben Bo and Juel, Knud}, year={1993}, month=aug, pages={183–189} }