Mortality in people with depressive, anxiety and alcohol use disorders in Finland

Markkula, Niina; Harkanen, Tommi; Perala, Jonna; Patti, Krista; Pena, Sebastian; Koskinen, Seppo; Lonnqvist, Jouko; Suvisaari, Jaana; Saarni, Samuli I.

Abstract

Background Mental disorders are associated with increased mortality, but population-based surveys with reliable diagnostic procedures controlling for somatic health status are scarce. Aims To assess excess mortality associated with depressive, anxiety and alcohol use disorders and the principal causes of death. Method In a nationally representative sample of Finns aged 30-70 years, psychiatric disorders were diagnosed with the Composite International Diagnostic Interview. After an 8-year follow-up period, vital status and cause of death of each participant was obtained from national registers. Results After adjusting for sociodemographic factors, health status and smoking, depressive (hazard ratio (HR)=1.97) and alcohol use disorders (HR=1.72) were statistically significantly associated with mortality. Risk of unnatural death was increased among individuals diagnosed with anxiety disorders or alcohol dependence. Conclusions Individuals with depressive and alcohol use disorders have an increased mortality risk comparable with many chronic somatic conditions, that is only partly attributable to differences in sociodemographic, somatic health status and hazardous health behaviour.

Más información

Título según WOS: ID WOS:000301319000010 Not found in local WOS DB
Título de la Revista: BRITISH JOURNAL OF PSYCHIATRY
Volumen: 200
Número: 2
Editorial: CAMBRIDGE UNIV PRESS
Fecha de publicación: 2012
Página de inicio: 143
Página final: 149
DOI:

10.1192/bjp.bp.111.094904

Notas: ISI