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Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998

  • David M. Lawrence (a1), Cashel D'Arcy (a1), J. Holman (a1), Assen V. Jablensky (a2) and Michael S. T. Hobbs (a1)...
Abstract
Background

People with mental illness suffer excess mortality due to physical illnesses.

Aims

To investigate the association between mental illness and ischaemic heart disease (IHD) hospital admissions, revascularisation procedures and deaths.

Method

A population-based record-linkage study of 210 129 users of mental health services in Western Australia during 1980–1998. IHD mortality rates, hospital admission rates and rates of revascularisation procedures were compared with those of the general population.

Results

IHD (not suicide) was the major cause of excess mortality in psychiatric patients. In contrast to the rate in the general population, the IHS mortality rate in psychiatric patients did not diminish over time. There was little difference in hospital admission rates for IHD between psychiatric patients and the general community, but much lower rates of revascularisation procedures with psychiatric patients, particularly in people with psychoses.

Conclusions

People with mental illness do not receive an equitable level of intervention for IHD. More attention to their general medical care is needed.

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Copyright
Corresponding author
David Lawrence, Centre for Developmental Health, Curtin University of Technology, Telethon Institute for Child Health Research, PO Box 855, West Perth WA 6872, Australia. Tel: +61 89489 7720; fax: +61 8 9489 7700; e-mail: dlawrence@ichr.uwa.edu.au
Footnotes
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Declaration of interest

None. Study funded by National Health and Medical Research Council of Australia. Setting up of Western Australian (WA) Health Services Research Linked Database funded by Lotteries Commission.

Footnotes
References
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Allison, D. B., Mentore, J. L., Heo, M., et al (1999) Antipsychotic-induced weight gain: a comprehensive research synthesis. American Journal of Psychiatry, 156, 16861696.
Appleby, L., Shaw, J., Amos, T., et al (2000) Sudden unexplained death in psychiatric in-patients. British Journal of Psychiatry, 176, 405406.
Australian Bureau of Statistics (1980–1998) Population by Age and Sex, Western Australia. ABS Cat. 3235.5. Canberra: Australian Bureau of Statistics.
Australian Bureau of Statistics (1999) Mental Health and Well-being: Profile of Adults, Western Australia 1997–98. ABS Cat. 4326.0. Canberra: Australian Bureau of Statistics.
Beaglehole, R., Stewart, A. W., Jackson, R., et al (1997) Declining rates of coronary heart disease in New Zealand and Australia. American Journal of Epidemiology, 145, 707713.
Druss, B. G., Bradford, D. W., Rosenheck, R. A., et al (2000) Mental disorders and use of cardiovascular procedures after myocardial infarction. JAMA, 283, 506511.
Glassman, A. H. (1998) Cardiovascular effects of antidepressant drugs: updated. Journal of Clinical Psychiatry, 59 (suppl. 15), 1318.
Gopalaswamy, K. & Morgan, R. (1985) Too many chronically mentally disabled patients are too fat. Acta Psychiatrica Scandinavica, 72, 254258.
Haghighat, R. (2001) A unitary theory of stigmatisation: pursuit of self-interest and routes to destigmatisation. British Journal of Psychiatry, 178, 207215.
Harris, E. C. & Barraclough, B. (1998) Excess mortality of mental disorder. British Journal of Psychiatry, 173, 1153.
Holman, C. D. J., Bass, A. J., Rouse, I. L., et al (1999) Population-based linkage of health records in Western Australia: development of a health services research linked database. Australian and New Zealand Journal of Public Health, 23, 453459.
Jablensky, A., McGrath, J., Herrman, H., et al (1999) National Survey of Mental Health and Well-being. Report 4. People Living with Psychotic Illness: an Australian Study. Canberra: Commonwealth Department of Health and Aged Care.
Kendrick, T. (1996) Cardiovascular and respiratory risk factors and symptoms among general practice patients with long-term mental illness. British Journal of Psychiatry, 169, 733739.
Koran, L. M., Sox, H. C., Marton, K. I., et al (1989) Medical evaluation of psychiatric patients. I. Results in a state mental health system. Archives of General Psychiatry, 46, 733740.
Koranyi, E. K. (1979) Morbidity and rate of undiagnosed physical illnesses in a psychiatric clinic population. Archives of General Psychiatry, 46, 733740.
Martinsen, E. W. (1990) Physical fitness, anxiety and depression. British Journal of Hospital Medicine, 43, 194199.
McCreadie, R. G., MacDonald, E., Blacklock, C., et al (1998) Dietary intake of schizophrenia patients in Nithsdale, Scotland: case-control study. BMJ, 317, 784785.
McIntyre, J. S. & Romano, J. (1977) Is there a stethoscope in the house (and is it used)? Archives of General Psychiatry, 34, 11471151.
National Coding Centre (1996) The Official NCC Australian Version of the International Classification of Diseases, 9th Revision, Clinical Modification (ICD–9–CM). Sydney: National Coding Centre.
Patterson, C. H. (1978) Psychiatrists and physical examinations: a survey. American Journal of Psychiatry, 135, 967968.
Rothman, K. J. (1986) Modern Epidemiology. Toronto: Little Brown.
Silverstone, T., Smith, G. & Goodall, E. (1988) Prevalence of obesity in patients receiving depot antipsychotics. British Journal of Psychiatry, 153, 214217.
Waddington, J. L., Youssef, H. A. & Kinsella, A. (1998) Mortalityin schizophrenia. Antipsychotic polypharmacy and absence of adjunctive anticholinergics over the course of a 10-year prospective study. British Journal of Psychiatry, 173, 325329.
Wallace, B. & Tenant, C. (1998) Nutrition and obesity in the chronic mentally ill. Australian and New Zealand Journal of Psychiatry, 32, 8285.
World Health Organization (1977a) Manual of the International Classification of Diseases (ICD–9). Geneva: World Health Organization.
World Health Organization (1977b) Manual of the International Classification of Procedures in Medicine. Geneva: World Health Organization.
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Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998

  • David M. Lawrence (a1), Cashel D'Arcy (a1), J. Holman (a1), Assen V. Jablensky (a2) and Michael S. T. Hobbs (a1)...
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