The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers

Lawrence, David, Hancock, Kirsten J. and Kisely, Stephen (2013) The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers. BMJ, 346 7909: f2539.1-f2539.14. doi:10.1136/bmj.f2539


Author Lawrence, David
Hancock, Kirsten J.
Kisely, Stephen
Title The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers
Journal name BMJ
ISSN 0959-535X
1756-1833
Publication date 2013-05-21
Year available 2013
Sub-type Article (original research)
DOI 10.1136/bmj.f2539
Open Access Status DOI
Volume 346
Issue 7909
Start page f2539.1
End page f2539.14
Total pages 14
Place of publication London, United Kingdom
Publisher B M J Group
Language eng
Abstract Objective To examine the mortality experience of psychiatric patients in Western Australia compared with the general population.
Formatted abstract
Objective To examine the mortality experience of psychiatric patients in Western Australia compared with the general population.

Design Population based study.

Setting
Western Australia, 1985-2005.

Participants
Psychiatric patients (292 585) registered with mental health services in Western Australia.

Main outcome measures
Trends in life expectancy for psychiatric patients compared with the Western Australian population and causes of excess mortality, including physical health conditions and unnatural causes of death.

Results When using active prevalence of disorder (contact with services in previous five years), the life expectancy gap increased from 13.5 to 15.9 years for males and from 10.4 to 12.0 years for females between 1985 and 2005. Additionally, 77.7% of excess deaths were attributed to physical health conditions, including cardiovascular disease (29.9%) and cancer (13.5%). Suicide was the cause of 13.9% of excess deaths.

Conclusions Despite knowledge about excess mortality in people with mental illness, the gap in their life expectancy compared with the general population has widened since 1985. With most excess deaths being due to physical health conditions, public efforts should be directed towards improving physical health to reduce mortality in people with mental illness, in addition to ongoing efforts to prevent suicide.
Keyword Serious Mental-Illness
Premature Mortality
Excess Mortality
Heart-Disease
Risk-Factors
Health-Care
Schizophrenia
People
Smoking
Disorders
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article number f2539

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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