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Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study

Wilson, Rebecca, Gaughran, Fiona, Whitburn, Tara, Higginson, Irene J. and Gao, Wei 2019. Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study. BJPsych Open 5 (2) , e23. 10.1192/bjo.2019.5

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Abstract

ackground Patients with serious mental disorders have poorer healthcare outcomes at the end of life and are at greater risk of dying from unnatural causes. Aims To explore place of death and demographic and clinical correlates of unnatural causes of death in patients with serious mental disorders. Method Routinely collected patient data were used to explore bivariate and adjusted associations between covariates and natural/unnatural cause of death. Results In multivariable analysis (n = 1029), dying at home (odds ratio (OR) = 1.87, 95% CI 1.03–3.40), ‘other’ locations (OR = 16.50, 95% CI 7.57–36.00), younger age (OR = 17.26, 95% CI 8.28–36.00) and a diagnosis other than schizophrenia spectrum disorder (OR = 1.69, 95% CI 1.04–2.73) were correlates of unnatural cause of death. Conclusions Deaths from unnatural causes were high and more likely to occur at home and non-healthcare settings. Unnatural causes of death were higher in younger patients with non-schizophrenia spectrum disorder diagnoses.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: Cambridge University Press
Date of First Compliant Deposit: 13 February 2020
Date of Acceptance: 25 January 2019
Last Modified: 06 Jan 2022 02:17
URI: https://orca.cardiff.ac.uk/id/eprint/129487

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