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Cited by 333Mental Health Treatment and AccessSchizophrenia research and treatmentSuicide and Self-Harm Studies

Mental disorders and cause-specific mortality

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Joukamaa, Matti, HeliöVaara, Markku, Knekt, Paul, Aromaa, Arpo, Raitasalo, Raimo, Lehtinen, Ville·2001·British Journal of Psychiatry
DOI 10.1192/bjp.179.6.498
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Abstract

BACKGROUND: The impact of clinically diagnosed mental disorders on mortality in the general population has not been established. Aims To examine mental disorders for their prediction of cause-specific mortality. METHOD: Mental disorders were determined using the 36-item version of the General Health Questionnaire and the Present State Examination in a nationally representative sample of 8000 adult Finns. RESULTS: During the 17-year follow-up period 1597 deaths occurred. The presence of a mental disorder detected at baseline was associated with an elevated mortality rate. The relative risk in men was 1.6(95% confidence interval 1.3-1.8) and in women, 1.4 (95% Cl 1.2-1.6). In men and women with schizophrenia the relative risks of death during the follow-up period were 3.3 (95% Cl 2.3-4.9) and 2.3 (95% Cl 1.3-3.8) respectively, compared with the rest of the sample. In both men and women with schizophrenia the risk of dying of respiratory disease was increased, but the risk of dying of cardiovascular disease was increased only in men with neurotic depression. CONCLUSIONS: Schizophrenia and depression are associated with an elevated risk of natural and unnatural deaths.

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  • A Finnish study found excess mortality in schizophrenic patients 3.3 for men and 2.3 for women.

    “In a Finnish study ( Joukamaa et al. 2001), the excess mortality in schizophrenic patients was 3.3 for men and 2.3 for women.”

    From Excess early mortality in schizophrenia. (2014) · cites this paper as Joukamaa et al. 2001

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Authors
Joukamaa, M., HeliöVaara, M., Knekt, P., Aromaa, A., Raitasalo, R., & Lehtinen, V.
Affiliations
  • Oulu University Hospital (FI)
  • Social Insurance Institution (FI)
Corresponding author
Joukamaa, Matti
ORCID
Venue
British Journal of Psychiatry
Publisher
Royal College of Psychiatrists
Published
2001-12
Volume
179
Issue
6
Pages
498-502
ISSN
  • 0007-1250 (ISSN-L)
  • 1472-1465
DOI
10.1192/bjp.179.6.498
OpenAlex
W2166869007
Cited by
328
References
33
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 12 · 2017: 9 · 2016: 10 · 2015: 12 · 2014: 13 · 2013: 33 · 2012: 23
FWCI
12.63
Type
journal article
Language
en
Open access
Licence
www.cambridge.org/core/terms (unspecified, 5876 d)
Locations
  • The British Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords
mental illness, cause-specific mortality, schizophrenia, depression, neurotic depression, respiratory mortality, cardiovascular mortality, sex differences, General Health Questionnaire, Finnish adults
MeSH terms
Adult, Aged, Mental Disorders, Cardiovascular Diseases, Cause of Death, Depressive Disorder, Female, Finland, Follow-Up Studies, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Respiration Disorders, Schizophrenia, Sex Factors, Suicide, Survival Rate

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