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Mental disorders and cause-specific mortality

机译：精神障碍和特定病因死亡率

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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.
机译：背景技术尚未确定临床诊断出的精神障碍对普通人群死亡率的影响。目的检查精神障碍对特定原因死亡率的预测。方法使用36项版本的《一般健康状况调查表》和《国家现行考试》确定精神障碍，该研究在8000名成年芬兰人的全国代表性样本中进行。结果在17年的随访期间，发生了1597例死亡。在基线时检测到精神障碍的存在与死亡率升高相关。男性的相对风险为1.6（95％置信区间1.3-1.8），女性为1.4（95％Cl 1.2-1.6）。与其余样本相比，在精神分裂症的男性和女性中，随访期间死亡的相对风险分别为3.3（95％Cl 2.3-4.9）和2.3（95％Cl 1.3-3.8）。在患有精神分裂症的男性和女性中，死于呼吸系统疾病的风险均增加，但仅在患有神经性抑郁症的男性中，死于心血管疾病的风险才增加。结论精神分裂症和抑郁症与自然死亡和非自然死亡的风险增加有关。

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