Total population-based study of the impact of substance use disorders on the overall survival of psychiatric inpatients

Nordic Journal of Psychiatry
Steinn SteingrimssonAndres Magnusson

Abstract

Patients with severe mental illness have a shortened lifespan, and substance use disorder (SUD) is an especially important diagnosis in this respect. There have been no studies comparing directly SUD to other diagnoses in a nationwide cohort. To directly compare differences in mortality rates of psychiatric inpatients with a discharge diagnosis of SUD versus other psychiatric diagnoses. A register-based study was made of all patients admitted to psychiatric hospitals in Iceland between 1983 and 2007. Patients were grouped according to discharge diagnoses. Survival with respect to SUD was compared using Cox-proportional hazard ratio, excluding those with an organic mental disorder. Furthermore, the survival of patients with SUD and co-morbid diagnoses was evaluated. A total of 14,281 patients (over the age of 18 years) were admitted to a psychiatric hospital in Iceland during the study period, with a total of 156,356 years of follow-up. For both men and women, a diagnosis of SUD conferred similar mortality as a diagnosis of schizophrenia without SUD, while individuals with a diagnosis of a mood disorder or "other disorders" had significantly lower mortality than SUD. For men with SUD, a co-occurring mental disorder was associate...Continue Reading

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Citations

May 4, 2018·Nordic Journal of Psychiatry·Ilkka OjansuuJari Tiihonen
Nov 2, 2018·Nordic Journal of Psychiatry·Sebastián PeñaSeppo Koskinen
Nov 10, 2017·Nordic Journal of Psychiatry·Tina SørensenAnders Fink-Jensen
Sep 25, 2017·Nordic Journal of Psychiatry·Gergö Hadlaczky, Sebastian Hökby
Oct 20, 2018·International Journal of Environmental Research and Public Health·Laura MasferrerBeatriz Caparrós
Dec 20, 2016·European Psychiatry : the Journal of the Association of European Psychiatrists·H K CarlsenA Magnússon
Oct 27, 2020·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Ani Anic, Lesley J Robertson

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