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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

  • Rebecca Wilson (a1), Fiona Gaughran (a2), Tara Whitburn (a3), Irene J. Higginson (a4) and Wei Gao (a5)...
Abstract
Background

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.

Declaration of interest

F.G. has received support or honoraria for CME, advisory work and lectures from Bristol-Myers Squibb, Janssen, Lundbeck, Otsuka, Roche, and Sunovion, and has a family member with professional links to Lilly and GSK, including shares.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence: Rebecca Wilson, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, Bessemer Road, London SE5 9PJ, UK. Email: rebecca.wilson@kcl.ac.uk
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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

  • Rebecca Wilson (a1), Fiona Gaughran (a2), Tara Whitburn (a3), Irene J. Higginson (a4) and Wei Gao (a5)...
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