Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study
BackgroundPatients with serious mental disorders have poorer healthcare outcomes at the end of life and are at greater risk of dying from unnatural causes.AimsTo explore place of death and demographic and clinical correlates of unnatural causes of death in patients with serious mental disorders.Meth...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2019-03-01
|
| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S205647241900005X/type/journal_article |
| _version_ | 1811156991025872896 |
|---|---|
| author | Rebecca Wilson Fiona Gaughran Tara Whitburn Irene J. Higginson Wei Gao |
| author_facet | Rebecca Wilson Fiona Gaughran Tara Whitburn Irene J. Higginson Wei Gao |
| author_sort | Rebecca Wilson |
| collection | DOAJ |
| description | BackgroundPatients with serious mental disorders have poorer healthcare outcomes at the end of life and are at greater risk of dying from unnatural causes.AimsTo explore place of death and demographic and clinical correlates of unnatural causes of death in patients with serious mental disorders.MethodRoutinely collected patient data were used to explore bivariate and adjusted associations between covariates and natural/unnatural cause of death.ResultsIn 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.ConclusionsDeaths 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 interestF.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. |
| first_indexed | 2024-04-10T04:59:59Z |
| format | Article |
| id | doaj.art-28a83d59ec45448e91ae59d241a9e9e7 |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-10T04:59:59Z |
| publishDate | 2019-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-28a83d59ec45448e91ae59d241a9e9e72023-03-09T12:28:48ZengCambridge University PressBJPsych Open2056-47242019-03-01510.1192/bjo.2019.5Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort studyRebecca Wilson0https://orcid.org/0000-0003-4709-7260Fiona Gaughran1Tara Whitburn2Irene J. Higginson3Wei Gao4Research Associate, Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, UKLead Consultant/Senior Lecturer, Psychosis Studies Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London; and National Psychosis Unit, South London and Maudsley NHS Foundation Trust, UKConsultant in Palliative Medicine, Barts Health NHS Trust, Macmillan Palliative Care Team, St Bartholomew's Hospital, UKHead of Department, Head of Division and Director of Cicely Saunders Institute, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, UKReader in Statistics and Epidemiology, Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, UKBackgroundPatients with serious mental disorders have poorer healthcare outcomes at the end of life and are at greater risk of dying from unnatural causes.AimsTo explore place of death and demographic and clinical correlates of unnatural causes of death in patients with serious mental disorders.MethodRoutinely collected patient data were used to explore bivariate and adjusted associations between covariates and natural/unnatural cause of death.ResultsIn 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.ConclusionsDeaths 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 interestF.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.https://www.cambridge.org/core/product/identifier/S205647241900005X/type/journal_articleSerious mental disorderunnatural cause of deathplace of deathroutine datamortality |
| spellingShingle | Rebecca Wilson Fiona Gaughran Tara Whitburn Irene J. Higginson Wei Gao Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study BJPsych Open Serious mental disorder unnatural cause of death place of death routine data mortality |
| title | Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study |
| title_full | Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study |
| title_fullStr | Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study |
| title_full_unstemmed | Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study |
| title_short | Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study |
| title_sort | place of death and other factors associated with unnatural mortality in patients with serious mental disorders population based retrospective cohort study |
| topic | Serious mental disorder unnatural cause of death place of death routine data mortality |
| url | https://www.cambridge.org/core/product/identifier/S205647241900005X/type/journal_article |
| work_keys_str_mv | AT rebeccawilson placeofdeathandotherfactorsassociatedwithunnaturalmortalityinpatientswithseriousmentaldisorderspopulationbasedretrospectivecohortstudy AT fionagaughran placeofdeathandotherfactorsassociatedwithunnaturalmortalityinpatientswithseriousmentaldisorderspopulationbasedretrospectivecohortstudy AT tarawhitburn placeofdeathandotherfactorsassociatedwithunnaturalmortalityinpatientswithseriousmentaldisorderspopulationbasedretrospectivecohortstudy AT irenejhigginson placeofdeathandotherfactorsassociatedwithunnaturalmortalityinpatientswithseriousmentaldisorderspopulationbasedretrospectivecohortstudy AT weigao placeofdeathandotherfactorsassociatedwithunnaturalmortalityinpatientswithseriousmentaldisorderspopulationbasedretrospectivecohortstudy |