Cargando…

Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006

BACKGROUND: Mortality among patients with mental disorders is higher than in general population. By using national longitudinal registers, we studied mortality changes and excess mortality across birth cohorts among people with severe mental disorders in Denmark and Finland. METHODS: A cohort of all...

Descripción completa

Detalles Bibliográficos
Autores principales: Gissler, Mika, Laursen, Thomas Munk, Ösby, Urban, Nordentoft, Merete, Wahlbeck, Kristian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3850635/
https://www.ncbi.nlm.nih.gov/pubmed/24025120
http://dx.doi.org/10.1186/1471-2458-13-834
_version_ 1782294132784365568
author Gissler, Mika
Laursen, Thomas Munk
Ösby, Urban
Nordentoft, Merete
Wahlbeck, Kristian
author_facet Gissler, Mika
Laursen, Thomas Munk
Ösby, Urban
Nordentoft, Merete
Wahlbeck, Kristian
author_sort Gissler, Mika
collection PubMed
description BACKGROUND: Mortality among patients with mental disorders is higher than in general population. By using national longitudinal registers, we studied mortality changes and excess mortality across birth cohorts among people with severe mental disorders in Denmark and Finland. METHODS: A cohort of all patients admitted with a psychiatric disorder in 1982–2006 was followed until death or 31 December 2006. Total mortality rates were calculated for five-year birth cohorts from 1918–1922 until 1983–1987 for people with mental disorder and compared to the mortality rates among the general population. RESULTS: Mortality among patients with severe mental disorders declined, but patients with mental disorders had a higher mortality than general population in all birth cohorts in both countries. We observed two exceptions to the declining mortality differences. First, the excess mortality stagnated among Finnish men born in 1963–1987, and remained five to six times higher than at ages 15–24 years in general. Second, the excess mortality stagnated for Danish and Finnish women born in 1933–1957, and remained six-fold in Denmark and Finland at ages 45–49 years and seven-fold in Denmark at ages 40–44 years compared to general population. CONCLUSIONS: The mortality gap between people with severe mental disorders and the general population decreased, but there was no improvement for young Finnish men with mental disorders. The Finnish recession in the early 1990s may have adversely affected mortality of adolescent and young adult men with mental disorders. Among women born 1933–1957, the lack of improvement may reflect adverse effects of the era of extensive hospitalisation of people with mental disorders in both countries.
format Online
Article
Text
id pubmed-3850635
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-38506352013-12-05 Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006 Gissler, Mika Laursen, Thomas Munk Ösby, Urban Nordentoft, Merete Wahlbeck, Kristian BMC Public Health Research Article BACKGROUND: Mortality among patients with mental disorders is higher than in general population. By using national longitudinal registers, we studied mortality changes and excess mortality across birth cohorts among people with severe mental disorders in Denmark and Finland. METHODS: A cohort of all patients admitted with a psychiatric disorder in 1982–2006 was followed until death or 31 December 2006. Total mortality rates were calculated for five-year birth cohorts from 1918–1922 until 1983–1987 for people with mental disorder and compared to the mortality rates among the general population. RESULTS: Mortality among patients with severe mental disorders declined, but patients with mental disorders had a higher mortality than general population in all birth cohorts in both countries. We observed two exceptions to the declining mortality differences. First, the excess mortality stagnated among Finnish men born in 1963–1987, and remained five to six times higher than at ages 15–24 years in general. Second, the excess mortality stagnated for Danish and Finnish women born in 1933–1957, and remained six-fold in Denmark and Finland at ages 45–49 years and seven-fold in Denmark at ages 40–44 years compared to general population. CONCLUSIONS: The mortality gap between people with severe mental disorders and the general population decreased, but there was no improvement for young Finnish men with mental disorders. The Finnish recession in the early 1990s may have adversely affected mortality of adolescent and young adult men with mental disorders. Among women born 1933–1957, the lack of improvement may reflect adverse effects of the era of extensive hospitalisation of people with mental disorders in both countries. BioMed Central 2013-09-11 /pmc/articles/PMC3850635/ /pubmed/24025120 http://dx.doi.org/10.1186/1471-2458-13-834 Text en Copyright © 2013 Gissler et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gissler, Mika
Laursen, Thomas Munk
Ösby, Urban
Nordentoft, Merete
Wahlbeck, Kristian
Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title_full Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title_fullStr Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title_full_unstemmed Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title_short Patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of Denmark and Finland in 1982–2006
title_sort patterns in mortality among people with severe mental disorders across birth cohorts: a register-based study of denmark and finland in 1982–2006
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3850635/
https://www.ncbi.nlm.nih.gov/pubmed/24025120
http://dx.doi.org/10.1186/1471-2458-13-834
work_keys_str_mv AT gisslermika patternsinmortalityamongpeoplewithseverementaldisordersacrossbirthcohortsaregisterbasedstudyofdenmarkandfinlandin19822006
AT laursenthomasmunk patternsinmortalityamongpeoplewithseverementaldisordersacrossbirthcohortsaregisterbasedstudyofdenmarkandfinlandin19822006
AT osbyurban patternsinmortalityamongpeoplewithseverementaldisordersacrossbirthcohortsaregisterbasedstudyofdenmarkandfinlandin19822006
AT nordentoftmerete patternsinmortalityamongpeoplewithseverementaldisordersacrossbirthcohortsaregisterbasedstudyofdenmarkandfinlandin19822006
AT wahlbeckkristian patternsinmortalityamongpeoplewithseverementaldisordersacrossbirthcohortsaregisterbasedstudyofdenmarkandfinlandin19822006