Author:
Fekadu Abebaw,Medhin Girmay,Kebede Derege,Alem Atalay,Cleare Anthony J.,Prince Martin,Hanlon Charlotte,Shibre Teshome
Abstract
BackgroundEvidence on mortality in severe mental illness (SMI) comes primarily from
clinical samples in high-income countries.AimsTo describe mortality in people with SMI among a population cohort from a
low-income country.MethodWe followed-up 919 adults (from 68 378 screened) with SMI over 10 years.
Standardised mortality ratios (SMR) and years of life lost (YLL) as a
result of premature mortality were calculated.ResultsIn total 121 patients (13.2%) died. The overall SMR was twice that of the
general population; higher for men and people with schizophrenia.
Patients died about three decades prematurely, mainly from infectious
causes (49.6%). Suicide, accidents and homicide were also common causes
of death.ConclusionsMortality is an important adverse outcome of SMI irrespective of setting.
Addressing common natural and unnatural causes of mortality are urgent
priorities. Premature death and mortality related to self-harm should be
considered in the estimation of the global burden of disease for SMI.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
121 articles.
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