Analysis on the causes of death and years of life lost among patients with severe mental disorders in Jining city from 2014 to 2020
10.11886/scjsws20220630002
- VernacularTitle:2014年-2020年济宁市严重精神障碍患者死因及减寿分析
- Author:
Xiaohui LI
1
;
Ning LI
1
;
Wu LI
1
Author Information
1. Shandong Daizhuang Hospital， Jining 272000， China
- Publication Type:Journal Article
- Keywords:
Severe mental disorders;
Cause of death;
Years of life lost;
Jining city
- From:
Sichuan Mental Health
2023;36(1):32-38
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo analyze the causes of death and years of life lost among patients with severe mental disorders in Jining city， in order to provide references for improving the management level of the patients. MethodsA total of 3 638 patients with severe mental disorders who were recorded in the National Information System for Severe Mental Disorders in Jining and died between January 1， 2014 and December 31， 2020 were included in the study. The general information and the status of mortality were extracted via checking management files. Thereafter， the causes of death of patients with different characteristics were discussed， and the years of life lost due to severe mental disorders was analyzed through calculating potential years of life lost （PYLL）， average years of life lost （AYLL） and potential years of life lost rate （PYLLR）. ResultsThe majority of patients who died from severe mental disorders were those with schizophrenia， accounting for 77.68% （2 826/3 638）. The most common cause of death among patients with severe mental disorders was physical illness with 1 869 cases （51.37%）. Among the selected subjects， patients with mental retardation and comorbid mental disorders had the youngest age of disease onset ［（22.49±20.14） years］， the youngest age at death ［（51.72±18.32） years］ and the longest duration of disease ［（29.26±19.35） years］. The PYLL， AYLL and PYLLR of patients with severe mental disorders in Jining were 68 941.06 person-years， 18.95 years and 382.36‰， respectively. The mental retardation and comorbid mental disorders had the highest AYLL at 27.21 years， and epilepsy-induced mental disorder had the highest PYLLR at 892.73‰. ConclusionComorbid physical illness is the main causes of death in patients with severe mental disorders in Jining city， and epilepsy-induced mental disorder have occupied the first place in terms of the years of life lost.
