Dataset Information

Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study.

ABSTRACT:

Background

Patients 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.

Method

Routinely collected patient data were used to explore bivariate and adjusted associations between covariates and natural/unnatural cause of death.

Results

In 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.

Conclusions

Deaths 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.

SUBMITTER: Wilson R

PROVIDER: S-EPMC6401542 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study.

Wilson Rebecca R Gaughran Fiona F Whitburn Tara T Higginson Irene J IJ Gao Wei W

BJPsych open 20190301 2

<h4>Background</h4>Patients 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.<h4>Method</h4>Routinely collected patient data were used to explore bivariate and adjusted associations between covariates and natural/unnatural cause of death.<h4>Results</h4>In multivariable a ...[more]

PMID: 31068233

Similar Datasets

Project description:Due to the relatively low offspring survival rate, surviving adult leopards play a critical role in the species' viability. The unnatural mortality of leopards, caused by human activities can seriously compromise the species' long-term population survival. An analysis of spatial distribution and sex ratio of unnatural mortality of 147 recorded Persian leopard (Panthera pardus saxicolor) carcasses during a fifteen-year period (from 2000-2015) in Iran indicated that road mortality is the second most frequent cause of unnatural mortality of Persian leopards' after illegal hunting (or prey poisoning, such as poisoned meat) by villagers, shepherds and military forces. The greatest percent of unnatural mortality events were recorded in the Golestan provinc in the north of Iran and eastern most parts of the Hyrcanian forests. Using distribution models of species, based on road accident locations as species data, we mapped the species' distribution and critical areas of unnatural mortality of Persian leopard that can be used in prioritizing leopard-human conflicts management. Our results showed that mortality records were significantly higher in non-protected compared to protected areas. Males constituted 65 percent of the records used in the study as males dispersed more widely compared to the females. This imbalance can have severe demographic effects. A large proportion of leopards' activity, occurrence area, and habitat lies in non-protected areas, which is mirrored by the greater number of unnatural mortality outside protected areas. Most of the incidents were due to human factors, thus management interventions such as traffic speed limitations, signs, cameras, and faunal bridges as well as increasing public participation and awareness (especially among rural communities) will positively affect the species' conservation programs. This research aimed to produce unnatural mortality of leopards' risk map throughout Iran and discuss the different aspects of this phenomenon, major human-caused threats and the efficiency of the legal protected areas in satisfying the species' ecological requirements. We propose management interventions such as traffic speed limitations, signs, cameras, and faunal bridges as well as increasing public awareness and participation, especially among rural communities, to support the species' conservation.

Dataset Information

Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study.

Background

Method

Results

Conclusions

Publications

Place of death and other factors associated with unnatural mortality in patients with serious mental disorders: population-based retrospective cohort study.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets