Roisin Doyle1, Donal O'Keeffe2, Ailish Hannigan3, Anthony Kinsella2, Caragh Behan2, Aine Kelly4, Ann Sheridan5, Kevin Madigan6,7, Elizabeth Lawlor2,6, Mary Clarke2,8. 1. Dublin and East Treatment and Early Care Team (DETECT) Services, Blackrock, Dublin, Ireland. roisindoyle1@hotmail.com. 2. Dublin and East Treatment and Early Care Team (DETECT) Services, Blackrock, Dublin, Ireland. 3. Graduate Entry Medical School, University of Limerick, Limerick, Ireland. 4. Research Department, Saint John of God Hospitaller Ministries, Stillorgan, Dublin, Ireland. 5. School of Nursing Midwifery and Health Systems, University College Dublin, Belfield, Dublin 4, Ireland. 6. Saint John of God Community Mental Health Services, Blackrock, Dublin, Ireland. 7. School of Post Graduate Studies, Royal College of Surgeons in Ireland, Dublin, Ireland. 8. School of Medicine and Medical Science, University College Dublin, Belfield, Dublin 4, Ireland.
Abstract
PURPOSE: Increased mortality rates have been found in those with a diagnosis of psychosis; studies suggest a shortened life expectancy of up to 20 years less than that of the general population. This study aimed to investigate the mortality of a first episode psychosis cohort at 20-year follow-up, compare it to that of the general Irish population, and explore whether the mortality gap has changed over time. METHODS: 171 individuals diagnosed with a first episode psychosis identified between 1995 and 1999 in a community mental health service were traced. Mortality was established by matching death certificates to deceased cohort members (using name, age at date of death, and address at date of death). Date of first presentation to service was used as date of entry point and date of death or end of follow-up as the end point. RESULTS: Of the 171 cases there were 20 deaths during follow-up. Nine deaths were attributed to natural causes; 7 to unnatural causes; and 4 were unknown. Comparing standardised mortality rates at 20-year follow-up to those at 12 year showed a reduction in rates over time. CONCLUSION: Findings suggest that the mortality gap in people with schizophrenia and other psychoses remains high, especially in young males.
PURPOSE: Increased mortality rates have been found in those with a diagnosis of psychosis; studies suggest a shortened life expectancy of up to 20 years less than that of the general population. This study aimed to investigate the mortality of a first episode psychosis cohort at 20-year follow-up, compare it to that of the general Irish population, and explore whether the mortality gap has changed over time. METHODS: 171 individuals diagnosed with a first episode psychosis identified between 1995 and 1999 in a community mental health service were traced. Mortality was established by matching death certificates to deceased cohort members (using name, age at date of death, and address at date of death). Date of first presentation to service was used as date of entry point and date of death or end of follow-up as the end point. RESULTS: Of the 171 cases there were 20 deaths during follow-up. Nine deaths were attributed to natural causes; 7 to unnatural causes; and 4 were unknown. Comparing standardised mortality rates at 20-year follow-up to those at 12 year showed a reduction in rates over time. CONCLUSION: Findings suggest that the mortality gap in people with schizophrenia and other psychoses remains high, especially in young males.
Entities:
Keywords:
20-year follow-up; Epidemiological; First episode psychosis; Incidence cohort; Mortality
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