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Hospital-treated physical illnesses and mortality: An 11-year follow-up study of long-stay psychiatric patients

Published online by Cambridge University Press:  16 April 2020

Sami Räsänen ,
Victor Benno Meyer-Rochow ,
Juha Moring  and
Helinä Hakko
Sami Räsänen
Affiliation:
Department of Psychiatry, Oulu University Hospital, PO Box 26, 90029Oulu, Finland
Victor Benno Meyer-Rochow
Affiliation:
International University Bremen IUB, Faculty of Engineering & Science, PO Box 750 561, 28725Bremen, Germany
Juha Moring
Affiliation:
Department of Psychiatry, Oulu University Hospital, PO Box 26, 90029Oulu, Finland
Helinä Hakko*
Affiliation:
Department of Psychiatry, Oulu University Hospital, PO Box 26, 90029Oulu, Finland
*
*Corresponding author. Tel.: +358 8 3152011; fax: +358 8 336169. E-mail address:[email protected] (H. Hakko).
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Abstract

Under-recognitions of somatic illnesses have frequently been suggested to explain the well-known increased risks of mortality in long-stay psychiatric patients. There are, however, no studies, in which register information on realized somatic hospitalisations and mortality from somatic illnesses in psychiatric patients are actually linked and simultaneously evaluated. In this study, 208 long-stay psychiatric patients, suffering from functional psychoses (mainly schizophrenia) in Northern Finland were followed up for 11 years, and screened for all somatic hospitalisations and subsequent causes of death. 86.5% of the patients had undergone hospital treatment due to some physical illness after their first psychiatric admission. During specialized psychiatric care the majority of the deceased patients had received some somatic treatment for illnesses that ultimately caused their deaths: 81% representing circulatory, 71% digestive, 56% neoplastic, and 36% respiratory ailments. We found no evidence for the frequently expressed view that somatic illnesses in psychiatric patients were under-recognized. Thus, the widely-documented poor physical outcome of long-stay psychiatric patients may be not attributable to neglect of care or abandon, but to difficulties in efficaciously addressing medical conditions in a population characterised by unhealthy life-style habits, psychiatric disability and isolation. The health care systems apparently offer a range of services, but the latter do not always reach the patients. Why this is so requires detailed further investigation.

Keywords

Schizophrenia and psychosesEpidemiology
Type
Original article
Information
European Psychiatry , Volume 22 , Issue 4 , May 2007 , pp. 211 - 218
Copyright
Copyright © Elsevier Masson SAS 2007

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Footnotes

1

Tel.: +49 421 2003242; fax: +49 421 2003249.

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