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Mortality of Geriatric and Younger Patients with Schizophrenia in the Community

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Title: Mortality of Geriatric and Younger Patients with Schizophrenia in the Community
Language: English
Authors: Ran, Mao-Sheng, Chan, Cecilia Lai-Wan, Chen, Eric Yu-Hai, Tang, Cui-Ping, Lin, Fu-Rong, Li, Li, Li, Si-Gan, Mao, Wen-Jun, Hu, Shi-Hui, Schwab, Gerhard, Conwell, Yeates
Source: Suicide and Life-Threatening Behavior. Apr 2008 38(2):143-151.
Availability: Guilford Press. 72 Spring Street, New York, NY 10012. Tel: 800-365-7006; Tel: 212-431-9800; Fax: 212-966-6708; e-mail: info@guilford.com; Web site: http://www.guilford.com
Peer Reviewed: Y
Page Count: 9
Publication Date: 2008
Document Type: Journal Articles
Reports - Research
Descriptors: Schizophrenia, Suicide, Death, Mortality Rate, Patients, Age Differences, Older Adults, Adults, Adolescents, Foreign Countries
Geographic Terms: China
DOI: 10.1521/suli.2008.38.2.143
ISSN: 0363-0234
Abstract: Little is known about the differences in mortality among non-institutionalized geriatric and younger patients with schizophrenia. In this study long-term mortality and suicidal behavior of all the geriatric (age greater than or equal to 65 years), middle-age (age 41-64 years), and young (age 15-40 years) subjects with schizophrenia living in a Chinese rural community were compared. A 10 year follow-up investigation among a 1994 cohort (n = 510) of patients with schizophrenia was conducted in Xinjin County, Chengdu, China. Compared with young subjects, geriatric subjects with schizophrenia were more likely to be female, have more previous physical illness, never accepted treatment, and practice religious (p less than or equal to 0.01). There were no significant differences of suicide attempts among the three groups. Young subjects had a higher rate of suicide (1,033.8 per 100,000 person-years), and geriatric subjects had a higher rate of deaths due to other causes (accident and natural causes) (4,314.2 per 100,000 person-years). Standardized mortality ratios for both suicide and deaths due to other causes were highest in young subjects and the lowest in geriatric subjects. Patients with schizophrenia in all age groups had a marked increase in mortality and suicide. Specific intervention strategies for decreasing mortality and suicide should be developed for patients with schizophrenia in different age groups.
Abstractor: Author
Entry Date: 2008
Accession Number: EJ792849
Database: ERIC
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  Data: Mortality of Geriatric and Younger Patients with Schizophrenia in the Community
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  Data: <searchLink fieldCode="AR" term="%22Ran%2C+Mao-Sheng%22">Ran, Mao-Sheng</searchLink><br /><searchLink fieldCode="AR" term="%22Chan%2C+Cecilia+Lai-Wan%22">Chan, Cecilia Lai-Wan</searchLink><br /><searchLink fieldCode="AR" term="%22Chen%2C+Eric+Yu-Hai%22">Chen, Eric Yu-Hai</searchLink><br /><searchLink fieldCode="AR" term="%22Tang%2C+Cui-Ping%22">Tang, Cui-Ping</searchLink><br /><searchLink fieldCode="AR" term="%22Lin%2C+Fu-Rong%22">Lin, Fu-Rong</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Li%22">Li, Li</searchLink><br /><searchLink fieldCode="AR" term="%22Li%2C+Si-Gan%22">Li, Si-Gan</searchLink><br /><searchLink fieldCode="AR" term="%22Mao%2C+Wen-Jun%22">Mao, Wen-Jun</searchLink><br /><searchLink fieldCode="AR" term="%22Hu%2C+Shi-Hui%22">Hu, Shi-Hui</searchLink><br /><searchLink fieldCode="AR" term="%22Schwab%2C+Gerhard%22">Schwab, Gerhard</searchLink><br /><searchLink fieldCode="AR" term="%22Conwell%2C+Yeates%22">Conwell, Yeates</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Suicide+and+Life-Threatening+Behavior%22"><i>Suicide and Life-Threatening Behavior</i></searchLink>. Apr 2008 38(2):143-151.
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  Data: Guilford Press. 72 Spring Street, New York, NY 10012. Tel: 800-365-7006; Tel: 212-431-9800; Fax: 212-966-6708; e-mail: info@guilford.com; Web site: http://www.guilford.com
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  Data: <searchLink fieldCode="DE" term="%22China%22">China</searchLink>
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  Data: Little is known about the differences in mortality among non-institutionalized geriatric and younger patients with schizophrenia. In this study long-term mortality and suicidal behavior of all the geriatric (age greater than or equal to 65 years), middle-age (age 41-64 years), and young (age 15-40 years) subjects with schizophrenia living in a Chinese rural community were compared. A 10 year follow-up investigation among a 1994 cohort (n = 510) of patients with schizophrenia was conducted in Xinjin County, Chengdu, China. Compared with young subjects, geriatric subjects with schizophrenia were more likely to be female, have more previous physical illness, never accepted treatment, and practice religious (p less than or equal to 0.01). There were no significant differences of suicide attempts among the three groups. Young subjects had a higher rate of suicide (1,033.8 per 100,000 person-years), and geriatric subjects had a higher rate of deaths due to other causes (accident and natural causes) (4,314.2 per 100,000 person-years). Standardized mortality ratios for both suicide and deaths due to other causes were highest in young subjects and the lowest in geriatric subjects. Patients with schizophrenia in all age groups had a marked increase in mortality and suicide. Specific intervention strategies for decreasing mortality and suicide should be developed for patients with schizophrenia in different age groups.
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        Value: 10.1521/suli.2008.38.2.143
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      – Text: English
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      – SubjectFull: Schizophrenia
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