The Iowa Record-Linkage Study

Donald W. Black

112 citations0/0 files storedArchives of General Psychiatry

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Suicide and Self-Harm Studies Psychiatric care and mental health services Mental Health Treatment and Access

Abstract

Our investigation of the pattern of mortality among former inpatients in nine diagnostic groups was based on deaths found among 4,869 former inpatients of the University of Iowa Psychiatric Hospital, Iowa City, during a ten-year period. Comparisons were made with expected values based on a relevant Iowa control population. The first two years of follow-up was a period of great risk but not after. Excessive mortality from "unnatural" causes was found among patients of either sex with an affective disorder, schizophrenia, alcohol or other drug abuse, and personality disorders, among men with acute schizophrenia or neuroses, and among women with depressive neuroses. Women with acute schizophrenia or a psychophysiologic disorder or special symptom were at risk for a "natural" death. These findings confirm the risk of reduced life span that patients in all nine categories share.

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References

1970Suicide and Primary Affective Disorders 1975The Concept of Disease and its Implications for Psychiatry 1982Excess Mortality in Panic Disorder 1969The Mortality Experience of a Population with Psychiatric Illness 1985The Iowa Record-Linkage Study 1983The Increasing Rate of Suicide by Firearms 1985Excess mortality among psychiatric patients. The Iowa Record-Linkage Study 1982The predictive value of adjustment disorders: a follow-up study

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1991Excess Mortality Among 3302 Patients With 'Pure' Anxiety Neurosis 1992Risk of Suicide Among Persons With AIDS 1991Suicide and panic disorder: a review 1987Mortality in severe depression 1996Death Rates in 71 Men with Antisocial Personality Disorder 1995Psychopathology and mortality in the general population 1985Mortality Studies in Psychiatry

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