Cited by 1,087Schizophrenia research and treatmentSuicide and Self-Harm StudiesMental Health and Psychiatry

Causes of the excess mortality of schizophrenia

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Brown, Steve, Inskip, Hazel, Barraclough, Brian·2000·British Journal of Psychiatry

Abstract

Background: The excess mortality of schizophrenia is well recognised, but its precise causes are not well understood. Aims: To measure the standardised mortality ratio (SMR) and examine the reasons for any excess mortality in a community cohort with schizophrenia. Method: We carried out a 13-year follow-up of 370 patients with schizophrenia, identifying those who died and their circumstances. Results: Ninety-six per cent of the cohort was traced. There were 79 deaths. The SMRs for all causes (298), for natural (232) and for unnatural causes (1273), were significantly higher than those to be expected in the general population, as were the SMRs for disease of the circulatory, digestive, endocrine, nervous and respiratory systems, suicide and undetermined death. Smoking-related fatal disease was more prominent than in the general population. Conclusions: Some of the excess mortality of schizophrenia could be lessened by reducing patients' smoking and exposure to other environmental risk factors and by improving the management of medical disease, mood disturbance and psychosis.

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Authors
Brown, S., Inskip, H., & Barraclough, B.
Affiliations
University of Southampton (GB)
Corresponding author
Brown, Steve
Venue
British Journal of Psychiatry
Published
2000-09
Volume
177
Issue
3
Pages
212-217
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
OpenAlex
W2140154855
Cited by
1,087
References
33
Citations by year
2026: 7 · 2025: 12 · 2024: 17 · 2023: 14 · 2022: 22 · 2021: 24 · 2020: 27 · 2019: 34 · 2018: 33 · 2017: 40 · 2016: 39 · 2015: 40 · 2014: 56 · 2013: 59 · 2012: 78
FWCI
9.36
Type
journal article
Language
en
Open access
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • University of Southampton
  • Medical Research Council
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
schizophrenia, excess mortality, standardized mortality ratio, causes of death, smoking-related mortality, suicide, circulatory diseases, respiratory diseases, endocrine disorders, gastrointestinal diseases, neurological disorders, environmental risk factors, comorbidities, community-based cohort
MeSH terms
Adolescent, Adult, Aged, Cause of Death, England, Female, Follow-Up Studies, Humans, Male, Middle Aged, Schizophrenia, Suicide, Cohort Studies, Health Behavior, Age Distribution, Sex Distribution

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