Higher Rate of Death and Imprisonment Rate Among Male Psychiatric Inpatients - 09/06/15
Résumé |
Introduction |
Admission to a psychiatric hospital is a strong predictor for future adverse outcome such as imprisonment and death. There exists a large gender gap for this relationship for men and women.
Aim |
To study sex difference in the time from admission to psychiatric hospital and time to imprisonment or death.
Methods |
All patients over 18 years of age admitted for the first time to psychiatric in-patient care in a nationwide population were found through administrative registers in Iceland. A Cox proportional hazard ratio was calculated for a composite outcome variable of either imprisonment or death for 10 years following admission.
Results |
During a 27-year period, a total of 4,459 individuals were admitted to psychiatric services in Iceland out of which 2,303 were men (51.6%). The average age at first admission was 25.9 ± 5.7 for men and 25.8 ± 5.8 for women (p=0.64). Substance use disorder was the most common discharge diagnosis in 46% of admissions, mood disorder in 35.6%, personality disorder in 12.8% and schizophrenia and related disorders in 7.9%. A Cox proportional hazard model showed a hazard ratio (HR) of adverse outcome for men 2.52 (95%-confidence interval (95%-CI): 1.87–3.39, p>0.001). HR for substance use disorder was 3.08 (95%-CI: 2.31-4.11), personality disorders HR = 1.85 (95%-CI: 1.34-2.55), whereas older age at admission was protective HR 0.96 (95%-CI: 0.93-0.98, p=0.003) as was admission later in the period HR 0.96 (95%-CI: 0.93-0.98).
Conclusion |
Men have a statistically worse prognosis when looking at hard endpoints such as imprisonment and death.
Le texte complet de cet article est disponible en PDF.Vol 30 - N° S1
P. 299 - mars 2015 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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