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Excess Mortality in Schizophrenia and Affective Disorders: Do Suicides and Accidental Deaths Solely Account for This Excess?
Abstract
Excess mortality was found in the first decade of follow-up for schizophrenia and affective disorders. This trend continued for schizophrenia throughout the entire four decades of the follow-up period. Suicides were higher than expected for all psychiatric groups except female schizophrenics and male manics. Accidental deaths were higher in these two groups, which did not show significantly excessive suicide rates. Suicides and accidental deaths were then excluded from the mortality analysis to determine their contribution to excess nortality. We conclude that death due to suicides and accidental deaths is not the sole cause for excess mortality, especially in schizophrenia.
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Citations
Cited by
Affective disorders and suicide risk: a reexamination
Bostwick, J. M., & Pankratz, V. S. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.12.1925 · Cited by 878
Mortality of patients with mood disorders: follow-up over 34–38 years
Angst, F., Stassen, H. H., Clayton, P. J., & Angst, J. (2002) · Journal of Affective Disorders · doi:10.1016/s0165-0327(01)00377-9 · Cited by 881
A systematic review of the mortality of depression
Wulsin, L. R., Vaillant, G. E., & Wells, V. E. (1999) · Psychosomatic Medicine · doi:10.1097/00006842-199901000-00003 · Cited by 703
The Chestnut Lodge Follow-up Study: I. Follow-up Methodology and Study Sample
McGlashan, T. H. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790170047006 · Cited by 444
Mortality and medical comorbidity among psychiatric patients: a review
(1996) · Psychiatric Services · doi:10.1176/ps.47.12.1356 · Cited by 393
Metadata
- Authors
- Tsuang, M. T.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1978-10-01
- Volume
- 35
- Issue
- 10
- Pages
- 1181
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2061316662
- Cited by
- 175
- References
- 0
- FWCI
- 4.64
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Excess Mortality in Schizophrenia and Affective Disorders: Do Suicides and Accidental Deaths Solely Account for This Excess? https://app.cochat.ai/papers/10.1001/archpsyc.1978.01770340031002
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- Tsuang, M. T. (1978). Excess Mortality in Schizophrenia and Affective Disorders: Do Suicides and Accidental Deaths Solely Account for This Excess? Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.1978.01770340031002
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
