Cited by 269Cardiac Health and Mental HealthMental Health Treatment and AccessHealthcare Systems and Public Health

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Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998

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Lawrence, David M., D'Arcy, Cashel, Holman, J., Jablensky, Assen V., Hobbs, Michael S. T.·2003·British Journal of Psychiatry

DOI 10.1192/bjp.182.1.31

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Abstract

Background: People with mental illness suffer excess mortality due to physical illnesses. Aims: To investigate the association between mental illness and ischaemic heart disease (IHD) hospital admissions, revascularisation procedures and deaths. Method: A population-based record-linkage study of 210 129 users of mental health services in Western Australia during 1980–1998. IHD mortality rates, hospital admission rates and rates of revascularisation procedures were compared with those of the general population. Results: IHD (not suicide) was the major cause of excess mortality in psychiatric patients. In contrast to the rate in the general population, the IHS mortality rate in psychiatric patients did not diminish over time. There was little difference in hospital admission rates for IHD between psychiatric patients and the general community, but much lower rates of revascularisation procedures with psychiatric patients, particularly in people with psychoses. Conclusions: People with mental illness do not receive an equitable level of intervention for IHD. More attention to their general medical care is needed.

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Authors: Lawrence, D. M., D'Arcy, C., Holman, J., Jablensky, A. V., & Hobbs, M. S. T.
Affiliations: The University of Western Australia (AU)
Corresponding author: Lawrence, David M.
ORCID: Lawrence, David M.
Jablensky, Assen V.
Venue: British Journal of Psychiatry
Publisher: Royal College of Psychiatrists
Published: 2003-01-02
Volume: 182
Issue: 1
Pages: 31-36
ISSN: 0007-1250 (ISSN-L)
1472-1465
DOI: 10.1192/bjp.182.1.31
OpenAlex: W2126288513
Cited by: 269
References: 21
Citations by year: 2025: 5 · 2024: 4 · 2023: 5 · 2022: 6 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 4 · 2017: 5 · 2016: 13 · 2015: 19 · 2014: 18 · 2013: 19 · 2012: 19
FWCI: 6.09
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.cambridge.org/core/terms (unspecified, 5479 d)
Locations: The British Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
UWA Profiles and Research Repository (UWA) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
Keywords: ischemic heart disease, excess mortality, psychiatric patients, mental illness, hospitalization, psychosis, data linkage, Western Australia, general medical care, health disparities
MeSH terms: Australia, Mental Disorders, Coronary Artery Disease, Female, Hospitalization, Humans, Male, Myocardial Infarction, Myocardial Revascularization, Regression Analysis, Sex Factors, Time Factors, Myocardial Ischemia

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Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998

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