Evidence map›Paper›PMID 40851973›Full record

ReviewAnnals of medicine and surgery (2012)2025

Trends in schizophrenia-related mortality from 1999 to 2020: year, gender, and regional variations.

Hurmat Fatima Bhatti, Maham Tahir, Muhammad Shaheer Bin Faheem, Momina Khabir, Ali Tahir, Muhammad Abdullah Aftab Qureshi, Danish Ali Ashraf, Muhammad Saad Iqbal, Sumaya Samadi

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trends in Sudden Death Among Schizophrenia Inpatients.Medicina (Kaunas, Lithuania) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hurmat Fatima BhattiDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Maham TahirDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Muhammad Shaheer Bin FaheemDepartment of Internal Medicine, Karachi Institute of Medical Sciences, KIMS, Karachi, Pakistan.ORCID https://orcid.org/0009-0005-6878-2031
Momina KhabirDepartment of Internal Medicine, Dow Medical College, Karachi, Pakistan.
Ali TahirDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Muhammad Abdullah Aftab QureshiDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Danish Ali AshrafDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Muhammad Saad IqbalDepartment of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan.
Sumaya SamadiDepartment of Internal Medicine, Kabul University of Medical Sciences "Abu Ali Ibn Sina", Kabul, Afghanistan.ORCID https://orcid.org/0009-0001-1510-1168

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Schizophrenia affects about 1% of the global population, with 1.5 million Americans diagnosed annually. Despite higher mortality rates in this group, trends by year, gender, and region remain insufficiently explored. This study evaluated global trends in schizophrenia (F20) mortality from 1999 to 2020, analyzing variations by year, gender, and region. Additionally, we examined age-adjusted mortality rates (AAMRs) by place of death and year to provide a comprehensive understanding of these trends. Methods: The CDC WONDER database was used to analyze schizophrenia-related mortality from 1999 to 2020, calculating mortality rates and 95% confidence intervals (CIs) to assess national trends. Results: Throughout the study, males had higher AAMRs for schizophrenia (1.3%, 95% CI: 1.3-1.3) than females (0.9%, 95% Cl: 0.9-1.4). In metropolitan areas, the AAMR was 96.6, declining from 1999 to 2015 (APC: -1.07%) before rising (APC: 6.41%). Non-metropolitan areas had an AAMR of 58.9, decreasing from 1999 to 2017 (APC: -0.86%) before increasing by 2020 (APC: 8.95%). Overall, schizophrenia-related AAMRs rose from 1.2 in 1999 to 1.4 in 2020, with fluctuations. Conclusion: Schizophrenia-related mortality declined from 1999 to 2015 but rose afterward. Males consistently had higher AAMRs, while urban areas showed greater mortality, reflecting social and environmental risks. Early declines may be linked to improved psychiatric care, whereas the recent rise correlates with the opioid epidemic and COVID-19. These findings highlight the need for better investment in mental health care, early intervention, access in underserved areas, and better management of comorbidities.

Indexed as

age-adjusted mortality ratesCDC WONDERchronic psychiatric disordermortality trendsschizophrenia

Identifiers

PMID40851973
PMCPMC12369731

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.