ArticleBMJ open2012
Quality of medical care and excess mortality in psychiatric patients--a nationwide register-based study in Sweden.
Article in BMJ open, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 190 citations in OpenAlex.
- Barriers and facilitators of accessing primary healthcare for patients with severe mental illness: a mixed-methods systematic review using framework synthesis.BMC psychiatry · 2025Pooled it
- Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis.JAMA psychiatry · 2015Pooled it
- "Although I'm mentally ill, that doesn't mean that I'm not also physically ill" - barriers, facilitators and diagnostic overshadowing in healthcare for individuals with lived experience of mental ill-health.Frontiers in public health · 2026Article
- Acceptability of shared medication coordination in social psychiatric residence consultations: a qualitative interview study.BMC psychiatry · 2025Article
- Impact of the mental health reform in Israel on health care and mortality among people with severe mental illness.Social psychiatry and psychiatric epidemiology · 2024Article
- Mortality in Qatari individuals with mental illness: a retrospective cohort study.Annals of general psychiatry · 2024Article
- Mortality in Schizophrenia-Spectrum Disorders: Recent Advances in Understanding and Management.Healthcare (Basel, Switzerland) · 2022Article
- Mortality in people with mental disorders in Poland: A nationwide, register-based cohort study.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Primary care for individuals with serious mental illness (PriSMI): protocol for a convergent mixed methods study.BMJ open · 2022Article
- Morbidity and mortality in schizophrenia with comorbid substance use disorders.Acta psychiatrica Scandinavica · 2021Article
- Making It Real: FromAdvances in medical education and practice · 2021Article
- Mental disorders and total mortality after 20 years in an adult general population sample.European psychiatry : the journal of the Association of European Psychiatrists · 2020Article
- Mortality Among Patients Discharged From an Acute Psychiatric Department: A 5-Year Prospective Study.Frontiers in psychiatry · 2020Article
- Sick leave due to mental disorders, morbidity and mortality: a prospective study of discordant twin pairs.Social psychiatry and psychiatric epidemiology · 2020Article
- The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care.Frontiers in psychiatry · 2019Review
- Using the capabilities approach to understand inequality in primary health-care services for people with severe mental illness.Israel journal of health policy research · 2018Article
- Total and cause-specific standardized mortality ratios in patients with schizophrenia and/or substance use disorder.PloS one · 2018Article
- Double disparities in the health care for people with schizophrenia of an ethnic-national minority.Israel journal of health policy research · 2017Article
- Cardiovascular Disease in Clozapine-Treated Patients: Evidence, Mechanisms and Management.CNS drugs · 2017Review
- The Hotel Study-Clinical and Health Service Effectiveness in a Cohort of Homeless or Marginally Housed Persons.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess overall and cause-specific mortality and the quality of somatic care among psychiatric patients.
designA register-based cohort study.
settingAll individuals aged 20-79 years in Sweden in 2005.
participantsIn total 6 294 339 individuals. PRIMARY OUTCOME MEASURE: The individuals were followed for mortality in 2006 and 2007, generating 72 187 deaths. Psychiatric patients were grouped according to their diagnosis in the National Patient Register. Mortality risk of psychiatric patients was compared with that of non-psychiatric patients. Estimates of RR of mortality were calculated as incidence rate ratios (IRRs) with 95% CIs using Poisson regression analysis. Psychiatric patients were compared with non-psychiatric patients for three healthcare quality indicators: the proportion of avoidable hospitalisations, case death rate after myocardial infarction and statin use among diabetic patients.
resultsCompared with individuals with no episodes of treatment for mental disorder, psychiatric patients had a substantially increased risk of all studied causes of death as well as death from conditions considered amenable to intervention by the health service, that is, avoidable mortality. The highest mortality was found among those with another mental disorder, predominantly substance abuse (for women, an IRR of 4.7 (95% CI 4.3 to 5.0) and for men, an IRR of 4.8 (95% CI 4.6 to 5.0)). The analysis of quality of somatic care revealed lower levels of healthcare quality for psychiatric patients, signalling failures in public health and medical care.
conclusionThis study shows a marked increase in excess mortality, suggesting a lower quality of somatic healthcare in psychiatric patients.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.