Time trends in schizophrenia mortality in Stockholm County, Sweden: cohort study

doi:10.1136/bmj.321.7259.483

BMJ 2000;321:483-484 ( 19 August )

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Time trends in schizophrenia mortality in Stockholm County, Sweden: cohort study

Urban Ösby, consultant ^a, Nestor Correia, associate professor ^b, Lena Brandt, researcher ^a, Anders Ekbom, professor ^b, Pär Sparén, associate professor ^b.

^a Department of Clinical Neuroscience, Karolinska Institute, S-171 76 Stockholm, Sweden, ^b Department of Medical Epidemiology, Karolinska Institute

Correspondence to: U Ösby Urban.Osby@nvso.sll.se

The first 150 words of the full text of this article appear below.

Although mortality in patients with schizophrenia is two to three times higher than that in the general population, littleis known about time trends in mortality rates.^1-3 We aimed toassess mortality over time after a first admission to hospitalwith schizophrenia. In those patients who died, the cause of deathwas categorised as natural, cardiovascular, suicide, or unspecifiedviolence.

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Subjects, methods, and results

The Swedish patient register details all psychiatric inpatient treatments since 1 January 1971. Data on residents of StockholmCounty (population 1.8 million) whose first admission to hospitalwith a diagnosis of schizophrenia had occurred between 1976 and1995 were linked to the national causes of death register, andthe date and underlying cause of death were determined in thosewho had died. Because mortality $---$ and particularly mortality fromsuicide $---$ is increased in the period after a first admission tohospital,^1-3 we confined our study to these patients and excludedany who had been diagnosed before . . . [Full text of this article]

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