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Increased Mortality Among Patients Admitted With Major Psychiatric Disorders: A Register-Based Study Comparing Mortality in Unipolar Depressive Disorder, Bipolar Affective Disorder, Schizoaffective Disorder, and Schizophrenia
Abstract
CONTEXT: Persons suffering from severe mental disorder have an excess mortality compared to persons with no mental disorder. However, the magnitude of the excess mortality differs from one mental disorder to another, and the impact on mortality if a first-degree family member suffers from a mental disorder has never been examined in a population-based study. OBJECTIVE: Our objective was to examine and compare mortality rates after admission with schizophrenia, schizoaffective disorder, unipolar depressive disorder, or bipolar affective disorder and to examine the impact of family history of psychiatric admission on mortality. METHOD: We established a register-based cohort study of 5.5 million persons born in Denmark who were alive on or born after January 1, 1973 and alive on their 15th birthday. Mortality rate ratios were estimated by survival analysis, using Poisson regression. RESULTS: Unipolar depressive disorder, bipolar affective disorder, and schizoaffective disorder were associated with the same pattern of excess mortality. Schizophrenia had a lower mortality from unnatural causes of death and a higher mortality from natural causes compared to the 3 other disorders. Family history of psychiatric admission was associated with excess mortality. CONCLUSION: Patients suffering from the 4 disorders all had an excess mortality, but the pattern of excess mortality was not the same. There was an excess mortality associated with mental disorder in a first-degree family member, but this only explained a small part of the general excess mortality associated with the 4 mental disorders examined.
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“Notably, the SMR for cancer was only 1.37, which has also been observed in other studies (Laursen et al. 2007;Mortensen & Juel 1990, 1993).”
From Excess early mortality in schizophrenia. (2014) · cites this paper as Laursen et al. 2007
In the citing paper
“Patients with bipolar disorder or schizophrenia seem to be a particular vulnerable patient group [6].”
From Life expectancy and death by diseases of the circulatory system in patients with bipolar disorder or schizophrenia in the Nordic countries. (2013) · cites this paper as [6]
In the citing paper
“Today, respiratory diseases are still more prevalent in people with SMI (8,(410)(411)(412)(413)(414)(415)(416)(417).”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [8]
In the citing paper
“In the population of bipolar spectrum disorders, deaths from cancer are not higher (8,288,416,417,454-456) or only slightly elevated (417,418,456) compared with the general population, despite the higher number of risk factors for cancer (such as obesity) in this population.”
From Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care (2011) · cites this paper as [8]
In the citing paper
“The excess mortality is not solely explained by increased risk of suicide and other external causes of death; it is also due to diseases and medical conditions.”
From Excess mortality, causes of death and life expectancy in 270,770 patients with recent onset of mental disorders in Denmark, Finland and Sweden (2013) · cites this paper as [6]
In the citing paper
“A recent Danish study confirms that mortality from cardiovascular disease, malignant neoplasms, respiratory diseases and endocrine and metabolic conditions was more than twofold higher for both men and women with schizophrenia and affective disorders compared to the general population. [6].”
From Excess mortality, causes of death and life expectancy in 270,770 patients with recent onset of mental disorders in Denmark, Finland and Sweden (2013) · cites this paper as [6]
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“, 2011); reduced life expectancy (Laursen et al., 2007); exclusion from higher education and employment (Social Exclusion Unit, 2004); increased risk of contact with criminal justice systems; victimisation (Clement et al.”
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Altamura, A. C., Serati, M., Albano, A., Paoli, R. A., Glick, I. D., & Dell’Osso, B. M. (2011) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-011-0196-4 · Cited by 56
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BackgroundMortality of 403 patients with mood disorders 48 to 52 years after their psychiatric hospitalisation
Angst, J., Hengartner, M. P., Gamma, A., Zerssen, D. V., & Angst, F. (2012) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-012-0380-1 · Cited by 53
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Backgroundthe INDIGO READ study group, Deb, T., Lempp, H. K., Bakolis, I., Vince, T., Waugh, W. L., & Henderson, C. (2019) · BMC Medical Education · doi:10.1186/s12909-019-1472-7 · Cited by 54
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InfluentialChoong, E., Bondolfi, G., Etter, M., Jermann, F., Aubry, J., Bartolomei, J., Gholam‐Rezaee, M., & Eap, C. B. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.01.014 · Cited by 46
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BackgroundPrevalence of the metabolic syndrome in Danish psychiatric outpatients treated with antipsychotics
Krane‐Gartiser, K., Breum, L., Glümer, C., Linneberg, A. R., Madsen, M., Køster, A., Jepsen, P. W., & Fink‐Jensen, A. (2011) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2011.565799 · Cited by 45
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“…and discrimination (Thornicroft et al., 2007), towards people with mental illness contributes to inequality (Phelan et al., 2014), excess mortality (Laursen et al., 2007; Gissler et al., 2013; Starace et al., 2018) and affects help-seeking behaviour (Thornicroft, 2008; Henderson et al., 2013;…”
BackgroundRisk factors for suicidal ideations in patients with bipolar disorder
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Self-citationMortality and tardive dyskinesia: long-term study using the US National Death Index
Dean, C. E., & THURAS, P. D. (2009) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.108.049395 · Cited by 42
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BackgroundLemogne, C., Nabi, H., Melchior, M., Goldberg, M., Limosin, F., Consoli, S., & Zins, M. (2013) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2013.03.015 · Cited by 37
“, Journal of Psychiatric Researc natural mortality across five age categories, found higher risks associated with other SMD than depressive disorders, regardless of age and gender (Laursen et al., 2007).”
BackgroundResultInfluentialCarstensen, K., Lou, S., Jensen, L. G., Nissen, N. K., Ørtenblad, L., Pfau, M., & Ankersen, P. V. (2017) · Nordic Journal of Psychiatry · doi:10.1080/08039488.2017.1288759 · Cited by 40
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Bivanco-Lima, D., Santos, I. S., Vannucchi, A. M. C., & Ribeiro, M. C. S. D. A. (2013) · Revista da Associação Médica Brasileira · doi:10.1016/j.ramb.2012.12.006 · Cited by 41
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“3 Introduction There is mounting evidence of a higher all-cause mortality in people with mental illness than general population (1-9).”
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Dopamine D2 receptor signaling modulates pancreatic beta cell circadian rhythms
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“Bipolar disorder is a serious illness causing substantial morbidity and mortality [1,2].”
BackgroundFond, G. B., Llorca, P., Boucékine, M., Zendjidjian, X. Y., Brunel, L., Lançon, C., Auquier, P., & Boyer, L. (2016) · Scientific Reports · doi:10.1038/srep20256 · Cited by 37
Bartoli, F., Crocamo, C., Caslini, M., Clerici, M., & Carrà, G. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.04.028 · Cited by 33
“…but also to SCZ/ONAP, of suffering from comorbid MetS, that represents an important risk factor (Galassi et al., 2006; Gami et al., 2007; Mottillo et al., 2010; Wu et al., 2010) at least partially explaining the excess mortality among SD patients (Capasso et al., 2008; Laursen et al., 2007).”
BackgroundGomes, F. A., de Almeida, K. M., Magalhães, P. V. D. S., Caetano, S. C., Kauer‐Sant’Anna, M., Lafer, B., & Kapczinski, F. P. (2013) · Brazilian Journal of Psychiatry · doi:10.1590/1516-4446-2011-0768 · Cited by 35
Gasse, C., Laursen, T. M., & Baune, B. T. (2012) · European Journal of Preventive Cardiology · doi:10.1177/2047487312467874 · Cited by 34
“The phenomenon of decreasing excess mortality with age has previously been observed in patients across different severe psychiatric disorders both with regard to natural and unnatural causes of death.(26) Second, the analysis of time since incident depression diagnosis prior to the cardiac events Table 3.”
BackgroundSelf-citationCan Exercise Increase Fitness and Reduce Weight in Patients with Schizophrenia and Depression?
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Self-citationPratt, L. A. (2012) · Psychiatric Services · doi:10.1176/appi.ps.201100442 · Cited by 34
“Also, there may be survival bias, given studies showing that persons with serious mental illness have higher mortality rates than the general population (6).”
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Vancampfort, D., Probst, M., Sweers, K., Maurissen, K., Knapen, J., Willems, J. B., Heip, T., & Hert, M. A. F. D. (2011) · European Psychiatry · doi:10.1016/j.eurpsy.2011.01.009 · Cited by 34
“In addition to the effects of antipsychotic treatment [12,29,30], the association of schizophrenia or schizoaffective disorder with increased cardio-metabolic risk factors is a complex interplay between unhealthy lifestyle (physical inactivity, unhealthy diet, smoking and substance use) [5,23,39], genetic risk [28,34]…”
Mental health related stigma in Romania: systematic review and narrative synthesis
Manescu, E. A., Henderson, C., Paroiu, C. R., & Mihai, A. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05147-3 · Cited by 36
“Researchers have reported several negative effects of stigma such as reluctance to seek help, engage in and maintain treatment [3], and an overall increase in co-morbidity and mortality [4, 5]; fewer opportunities for school, work or social interactions or trouble obtaining accommodation [6, 7].”
BackgroundRibe, A. R., Laurberg, T., Laursen, T. M., Charles, M., Vedsted, P., & Vestergaard, M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0158013 · Cited by 35
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Attar, R., Johansen, M. B., Valentin, J. B., Aagaard, J., & Jensen, S. E. (2017) · PLoS ONE · doi:10.1371/journal.pone.0189289 · Cited by 33
Inhibition of mouse brown adipocyte differentiation by second-generation antipsychotics
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Sugai, T., Suzuki, Y., Yamazaki, M., Shimoda, K., Mori, T., Ozeki, Y., Matsuda, H., Sugawara, N., Yasui‐Furukori, N., Minami, Y., et al. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.01.016 · Cited by 30
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Kiviniemi, M., Suvisaari, J., Pirkola, S. P., Häkkinen, U., Isohanni, M. K., & Hakko, H. H. (2010) · Psychiatric Services · doi:10.1176/ps.2010.61.3.272 · Cited by 32
Treatment of bipolar disorder: New perspectives
Alda, M., Hájek, T., Calkin, C., & O’Donovan, C. (2008) · Annals of Medicine · doi:10.1080/07853890802409489 · Cited by 30
“Mood disorders are potentially lethal conditions, not only due to suicide, but also due to somatic causes, perhaps with the exception of malignancy (81).”
BackgroundRamsey, C. M., Spira, A. P., Mojtabai, R., Eaton, W. W., Roth, K. B., & Lee, H. B. (2013) · Journal of Affective Disorders · doi:10.1016/j.jad.2013.06.019 · Cited by 28
“Most of these studies have concluded that bipolar disorder is associated with an increased risk of all-cause and cause-specific mortality (Osby et al., 2001; Hoyer et al., 2000; Sharma and Markar, 1994; Black et al., 1987a; Laursen et al., 2007; Hoang et al., 2011; Chang et al., 2011; Angst et al., 2002; Tsai et al.,…”
BackgroundMethodInfluentialFreyberg, Z., & McCarthy, M. J. (2017) · Schizophrenia · doi:10.1038/s41537-017-0018-4 · Cited by 28
Frailty and depressive symptoms in older adults: data from the FIBRA study - UNICAMP
do Nascimento, P. P. P., Batistoni, S. S. T., & Neri, A. L. (2016) · Psicologia Reflexão e Crítica · doi:10.1186/s41155-016-0033-9 · Cited by 25
“1999), pain, isolation (Tavares 2004), mortality (Laursen et al. 2007) and frailty.”
BackgroundForoughi, M., Medina‐Inojosa, J. R., Lopez-Jimenez, F., Saeidifard, F., Suarez, L., Stokin, G. B., Prieto, M. L., Rocca, W. A., Frye, M. A., & Morgan, R. J. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000001017 · Cited by 33
“Fourth, the patients in our cohort were not required to have seen a psychiatrist or to have been psychiatrically or medically hospitalized, potentially making these data more generalizable to community settings than prior studies that have used the inclusion criteria for hospitalization or presentation to psychiatric…”
ResultVancampfort, D., Sweers, K., Probst, M., Mitchell, A. J., Knapen, J., & Binder, M. D. (2011) · Community Mental Health Journal · doi:10.1007/s10597-011-9431-8 · Cited by 26
“The high prevalence of metabolic and CVD risk factors in people with schizophrenia is a complex interplay between environmental (physical inactivity, an unhealthy diet, substance abuse) (Hennekens et al. 2005; Bobes et al. 2010; Vancampfort et al. 2010, 2011), genetic (van Winkel et al. 2010) and illness related facto…”
BackgroundEuropean Psychiatric Association (EPA) guidance on quality assurance in mental healthcare
Gäebel, W., Großimlinghaus, I., Heun, R., Janssen, B., Johnson, B., Kurimay, T., Montellano, P., Muijen, M., Munk‐Jørgensen, P., Wulf Rössler, A., et al. (2015) · European Psychiatry · doi:10.1016/j.eurpsy.2015.01.011 · Cited by 31
“…care predicted better health outcomes Agreement of patients and carers on needs is one of the factors influencing patient outcomes Evidence level I Laursen et al., 2007 [56] Register-based cohort study 5.5 million persons in Denmark Excess mortality was found for patients with unipolar depressive…”
BackgroundInfluentialZhai, D., Cui, T., Xu, Y., Feng, Y., Wang, X., Yang, Y., Li, S., Zhou, D., Dong, G., Zhao, Y., et al. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.09.001 · Cited by 25
“…is predominantly related to cardiovascular illness and obesityrelated diseases (McEvoy et al., 2005; Colton and Manderscheid, 2006; Hennekens, 2007; Laursen et al., 2007; Saha et al., 2007; Brown et al., iversity, School of Pharmacy, ork UpstateMedical University, 13210, USA. iversity, The Second…”
BackgroundOut-of-hospital cardiac arrest in patients with psychiatric disorders — Characteristics and outcomes
Barcella, C. A., Mohr, G. H., Kragholm, K. H., Blanche, P., Gerds, T. A., Wissenberg, M., Hansen, S. M., Ringgren, K. B., Lippert, F. K., Folke, F., et al. (2019) · Resuscitation · doi:10.1016/j.resuscitation.2019.07.008 · Cited by 24
“Accordingly, schizophrenia is associated more often than other psychiatric disorders with medical causes of death, including cardiovascular death.(8) Unwitnessed cardiac arrest and reduced probability of bystander intervention were seen in patients with schizophrenia and substance-abuse; possibly because of a stronger…”
BackgroundKuczynski, A. M., Kanter, J. W., & Robinaugh, D. J. (2019) · Quality of Life Research · doi:10.1007/s11136-019-02298-3 · Cited by 29
Ilgen, M. A., Czyz, E. K., Welsh, D. E., Zeber, J. E., Bauer, M. S., & Kilbourne, A. M. (2008) · Journal of Affective Disorders · doi:10.1016/j.jad.2008.07.019 · Cited by 27
Vascular Mortality in Participants of a Bipolar Genomics Study
Fiedorowicz, J. G., Jancic, D., Potash, J. B., Butcher, B. D., & Coryell, W. H. (2014) · Psychosomatics · doi:10.1016/j.psym.2014.02.001 · Cited by 26
Information systems for mental health
Amaddeo, F., & Tansella, M. (2009) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00001378 · Cited by 25
“Other examples are mortality studies, where MHISs are linked with “causes of death” databases (Amaddeo et al. , 1995; 2007; Laursen et al. , 2007); or ecological studies on the effect of deprivation or environmental factors on incidence, prevalence and services utilisation (Tello et al. , 2005;…”
BackgroundElectroconvulsive Therapy and All-Cause Mortality in Texas, 1998–2013
Dennis, N. M., Dennis, P. A., Shafer, A., Weiner, R. D., & Husain, M. M. (2016) · Journal of Ect · doi:10.1097/yct.0000000000000340 · Cited by 25
“However, it is unclear whether such a relationship might be a reflection of the higher overall death rate for patients with bipolar disorder or schizophrenia in comparison to patients with major depressive disorder, as has been demonstrated in population-level studies.(19) Although racial disparities in death rates we…”
Wang, D., Ma, J., Tan, L., Chen, Y., Li, X., Tian, X., Zhou, X., & Liu, X. (2017) · PLoS ONE · doi:10.1371/journal.pone.0188312 · Cited by 24
Schizophrenia — A predictor of suicide during the second half of life?
Erlangsen, A., Eaton, W. W., Mortensen, P. B., & Conwell, Y. (2011) · Schizophrenia Research · doi:10.1016/j.schres.2011.09.032 · Cited by 24
“…by Mortensen and Juel (1990), an effect similar to the healthy worker effect might explain this; older adults with schizophrenia might represent a select group that survived the high mortality due to both natural and other causes earlier in life (Harris and Barraclough, 1998; Laursen et al., 2007).”
BackgroundSelf-citationVascular function is not impaired early in the course of bipolar disorder
Murray, D. P., Metz, N. S., Haynes, W. G., & Fiedorowicz, J. G. (2012) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2011.12.006 · Cited by 25
“Perhaps as a consequence, individuals with bipolar disorder face nearly twice the adjusted risk for cardiovascular mortality [5–10].”
BackgroundEffects of psychopharmacological treatment with antidepressants on the vascular system
Kahl, K. G., Westhoff‐Bleck, M., & Krüger, T. H. C. (2017) · Vascular Pharmacology · doi:10.1016/j.vph.2017.07.004 · Cited by 25
Krogh, J., Lorentzen, A. K., Subhi, Y., & Nordentoft, M. (2014) · Mental health and physical activity · doi:10.1016/j.mhpa.2014.01.003 · Cited by 23
Self-citationSemız, M., Yücel, H., Kavakçı, Ö., Yıldırım, O., Zorlu, A., Yılmaz, M. B., Küçükdurmaz, Z., & Canan, F. (2013) · Europe PMC (PubMed Central) · Cited by 23
Is EMDR an Evidenced-Based Treatment for Depression? A Review of the Literature
Wood, E., & Ricketts, T. (2013) · Journal of EMDR Practice and Research · doi:10.1891/1933-3196.7.4.225 · Cited by 23
Chen, C.-C., Hsu, L., Huang, K., Goto, S., Chen, C., & Nakano, T. (2017) · Scientific Reports · doi:10.1038/s41598-017-11323-9 · Cited by 24
Lin, J., Liang, F., Li, C., & Lu, T. (2018) · Schizophrenia Research · doi:10.1016/j.schres.2018.01.011 · Cited by 23
Direct and indirect effects of psychopharmacological treatment on the cardiovascular system
Kahl, K. G. (2018) · Hormone Molecular Biology and Clinical Investigation · doi:10.1515/hmbci-2018-0054 · Cited by 23
Laursen, T. M., Trabjerg, B. B., Mors, O. N., Børglum, A. D., HOUGAARD, D. M., Mattheisen, M., Meier, S. M., Byrne, E. M., Mortensen, P. B., Munk‐Olsen, T., et al. (2016) · Schizophrenia Research · doi:10.1016/j.schres.2016.12.001 · Cited by 25
“Studies have shown that personswith schizophrenia have 2 to 3 fold higher mortality rates compared to the general population (Harris and Barraclough, 1998; Osby et al., 2000; Laursen et al., 2007; Saha et al., 2007), resulting in 15–20 years shorter life expectancy (Laursen, 2011).”
BackgroundSelf-citationTsai, S., Chang, W.-H., Cheng, C., Liang, C., Bai, Y., Hsu, J.-W., Huang, K., Su, T., Chen, T., & Chen, M. (2023) · Autism · doi:10.1177/13623613231167287 · Cited by 22
“…codes: F70, F71, F72, F73, F78, F79) (Hossain et al., 2020; Mutluer et al., 2022), which are also associated with an increased mortality rate (Laursen et al., 2007; Lomholt et al., 2019), these comorbidities also were investigated during the follow-up period for further evaluation of the…”
Prevention of Metabolic Syndrome in Serious Mental Illness
Ganguli, R., & Strassnig, M. (2011) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2010.11.004 · Cited by 22
Desai, R. A., Camacho, F., Tan, X., LeBaron, V. T., Blackhall, L. J., & Balkrishnan, R. (2019) · Journal of Oncology Practice · doi:10.1200/jop.18.00781 · Cited by 23
Schizophrenia and “unmet needs”: From diagnosis to care in Italy
Galderisi, S., Riva, M. A., Girardi, P., Amore, M., Carpiniello, B., Aguglia, E., Fagiolini, A. M., Mucci, A., & Vita, A. (2020) · European Psychiatry · doi:10.1192/j.eurpsy.2019.8 · Cited by 21
“Despite the increased mortality for cardiovascular disease [31,32], there is a very small number of studies on these factors.”
BackgroundChang, J., Chen, H.-H., Yen, A. M., Chen, S. L., & Lee, C. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.07.014 · Cited by 20
Mental health and barriers to the achievement of the ‘right to health’
Henderson, J., & Battams, S. (2011) · Australian Journal of Primary Health · doi:10.1071/py10063 · Cited by 21
Thiol/disulphide homeostasis in bipolar disorder
Erzın, G., Kotan, V. O., Topçuoğlu, C., et al. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2017.12.062 · Cited by 21
“Bipolar disorder (BD) is associated with increased mortality (Laursen et al., 2007) and one of the most debilitating psychiatric disorders characterized by disruptive episodes of mania/hypomania and depression (Anderson et al., 2012).”
BackgroundGervaix, J., Haour, G., Michel, M., & Chevreul, K. (2018) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796018000203 · Cited by 21
Christensen, M. R., Poulsen, H. E., Henriksen, T., Weimann, A., Ellervik, C., Lynnerup, N., Rungby, J., & Banner, J. (2018) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2018.08.029 · Cited by 21
Salte, K., Titlestad, I. L., & Halling, A. (2015) · PubMed · Cited by 20
Ageing with schizophrenia: an update
Solomon, H. V., Sinopoli, M., & DeLisi, L. E. (2021) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000694 · Cited by 20
Causes of mortality in a large population-based cohort of psychiatric patients in Southern Europe
Girardi, P., Schievano, E., Fedeli, U., Braggion, M., Nuti, M., & Amaddeo, F. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.01.050 · Cited by 20
Mental illness stigma among indigenous communities in Bangladesh: a cross-sectional study
Faruk, M. O., & Rosenbaum, S. (2023) · BMC Psychology · doi:10.1186/s40359-023-01257-5 · Cited by 24
“Subject to stigma lowers the quality of life [15] and can increase risk of poorer health outcomes including premature death [16, 17].”
BackgroundDefective Nitric Oxide–Cyclic Guanosine Monophosphate Signaling in Patients With Bipolar Disorder
Fontoura, P. C., Pinto, V. L. M., Matsuura, C., Resende, Â. C., de Bem, G. F., Ferraz, M. R., Cheniaux, E., Brunini, T. M. C., & Mendes‐Ribeiro, A. C. (2012) · Psychosomatic Medicine · doi:10.1097/psy.0b013e3182689460 · Cited by 20
“L-Tyrosine 36 (1) 57 (3) 42 (4) 49 (7)”
BackgroundKiviniemi, M. (2014) · Cited by 20
Madan, A., Clapp, J. D., Osborne, P. J., Walker, C. R., Frueh, B. C., Allen, J. G., Oldham, J. M., & Fowler, J. C. (2016) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000298 · Cited by 20
Nugent, C., Rosato, M., Hughes, L., & Leavey, G. (2020) · Psychiatric quarterly · doi:10.1007/s11126-020-09827-1 · Cited by 19
Leinonen, T., Martikainen, P., Laaksonen, M., & Lahelma, E. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-013-0747-2 · Cited by 21
“Those with depression and other mental disorders have a high risk of mortality from a wide range of natural and unnatural causes [11–15].”
BackgroundResultInfluential
Metadata
- Authors
- Laursen, T. M., Munk-Olsen, T., Nordentoft, M., & Mortensen, P. B.
- Affiliations
- Aarhus University (DK)
- Bispebjerg Hospital (DK)
- Venue
- The Journal of Clinical Psychiatry
- Publisher
- Physicians Postgraduate Press, Inc
- Published
- 2007-06-15
- Volume
- 68
- Issue
- 06
- Pages
- 899-907
- ISSN
- 0160-6689 (ISSN-L)
- OpenAlex
- W2006100396
- Cited by
- 380
- References
- 0
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 9 · 2023: 17 · 2022: 15 · 2021: 17 · 2020: 19 · 2019: 14 · 2018: 26 · 2017: 17 · 2016: 35 · 2015: 25 · 2014: 24 · 2013: 33 · 2012: 31
- FWCI
- 26.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Lundbeckfonden (R5-2006-227)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › 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
- excess mortality, severe mental illness, schizophrenia, schizoaffective disorder, major depressive disorder, bipolar disorder, first-degree relatives, causes of death, mortality rate ratio
- MeSH terms
- Adult, Aged, Aged, 80 and over, Bipolar Disorder, Cause of Death, Denmark, Depressive Disorder, Female, Humans, Male, Middle Aged, Mortality, Psychotic Disorders, Registries, Schizophrenia, Cohort Studies
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