AIMS: People with experience of mental illness, in particular those accessing mental health services, have increased mortality compared to the general population, but no studies have examined the situation in New Zealand. This study uses a complete national dataset to estimate mortality rates from natural and external causes for adults using psychiatric services compared to the general New Zealand population. METHODS: Routinely collected data on adults aged 18-64 using secondary mental health services between January 2002 and December 2010 were linked to death registrations over the same period. Indirect standardisation was used to estimate the mortality ratio (SMR) for those with any contact with mental health services over this period compared to the New Zealand population. RESULTS: Both men and women using mental health services in New Zealand have more than twice the mortality rate of the total population [combined SMR 2.14 (95% CI 2.09-2.19)], with an increased risk of death from cancer and cardiovascular disease [SMRs=1.31(1.24-1.37), and 1.69 (1.60-1.79) respectively], and external causes (suicide and accidents) [SMR 3.11 (3.00-3.23)]. People with a diagnosis of a psychotic disorder had three times the overall death rate of the population. CONCLUSIONS: This study confirms that those using mental health services in New Zealand are dying prematurely from both natural and external causes, and provides evidence which supports calls for coordinated action on this issue.
AIMS: People with experience of mental illness, in particular those accessing mental health services, have increased mortality compared to the general population, but no studies have examined the situation in New Zealand. This study uses a complete national dataset to estimate mortality rates from natural and external causes for adults using psychiatric services compared to the general New Zealand population. METHODS: Routinely collected data on adults aged 18-64 using secondary mental health services between January 2002 and December 2010 were linked to death registrations over the same period. Indirect standardisation was used to estimate the mortality ratio (SMR) for those with any contact with mental health services over this period compared to the New Zealand population. RESULTS: Both men and women using mental health services in New Zealand have more than twice the mortality rate of the total population [combined SMR 2.14 (95% CI 2.09-2.19)], with an increased risk of death from cancer and cardiovascular disease [SMRs=1.31(1.24-1.37), and 1.69 (1.60-1.79) respectively], and external causes (suicide and accidents) [SMR 3.11 (3.00-3.23)]. People with a diagnosis of a psychotic disorder had three times the overall death rate of the population. CONCLUSIONS: This study confirms that those using mental health services in New Zealand are dying prematurely from both natural and external causes, and provides evidence which supports calls for coordinated action on this issue.
Authors: Kate M Scott; Carmen Lim; Ali Al-Hamzawi; Jordi Alonso; Ronny Bruffaerts; José Miguel Caldas-de-Almeida; Silvia Florescu; Giovanni de Girolamo; Chiyi Hu; Peter de Jonge; Norito Kawakami; Maria Elena Medina-Mora; Jacek Moskalewicz; Fernando Navarro-Mateu; Siobhan O'Neill; Marina Piazza; José Posada-Villa; Yolanda Torres; Ronald C Kessler Journal: JAMA Psychiatry Date: 2016-02 Impact factor: 21.596
Authors: Yongzhao Shao; Nedim Durmus; Yian Zhang; Sultan Pehlivan; Maria-Elena Fernandez-Beros; Lisette Umana; Rachel Corona; Adrienne Addessi; Sharon A Abbott; Sheila Smyth-Giambanco; Alan A Arslan; Joan Reibman Journal: Int J Environ Res Public Health Date: 2021-02-09 Impact factor: 3.390
Authors: Marko Manninen; Maiju Pankakoski; Mika Gissler; Jaana Suvisaari Journal: Child Adolesc Psychiatry Ment Health Date: 2015-09-02 Impact factor: 3.033
Authors: Xiao Wei Tan; Christopher Yi Wen Chan; Alvin Wai Mum Lum; Eng Sing Lee; Yee Ming Mok; Daniel Shuen Sheng Fung; Phern Chern Tor Journal: BMC Psychiatry Date: 2022-01-18 Impact factor: 3.630