Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study
Abstract Purpose Identify risk factors of death or imprisonment within classes defined by demographic factors and diagnoses within one year of first psychiatric admission. Methods Nationwide data was obtained from hospital registers from psychiatric hospitals in Iceland 1983–2007. Mortality and caus...
Published in: | European Psychiatry |
---|---|
Main Authors: | , , , , |
Other Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Cambridge University Press (CUP)
2017
|
Subjects: | |
Online Access: | http://dx.doi.org/10.1016/j.eurpsy.2016.08.003 https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/plain https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/xml https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0924933800068401 |
id |
crcambridgeupr:10.1016/j.eurpsy.2016.08.003 |
---|---|
record_format |
openpolar |
spelling |
crcambridgeupr:10.1016/j.eurpsy.2016.08.003 2024-06-09T07:47:13+00:00 Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study Carlsen, H.K. Steingrimsson, S. Sigurdsson, M.I. Sigfússon, S. Magnússon, A. Public Health Institute of Iceland The Scientific Fund of Landspitali - National University Hospital 2017 http://dx.doi.org/10.1016/j.eurpsy.2016.08.003 https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/plain https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/xml https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0924933800068401 en eng Cambridge University Press (CUP) https://www.cambridge.org/core/terms https://www.elsevier.com/tdm/userlicense/1.0/ European Psychiatry volume 39, page 93-98 ISSN 0924-9338 1778-3585 journal-article 2017 crcambridgeupr https://doi.org/10.1016/j.eurpsy.2016.08.003 2024-05-15T13:05:25Z Abstract Purpose Identify risk factors of death or imprisonment within classes defined by demographic factors and diagnoses within one year of first psychiatric admission. Methods Nationwide data was obtained from hospital registers from psychiatric hospitals in Iceland 1983–2007. Mortality and cause of death as well as information about imprisonments during the study period, and discharge diagnoses for the first year after initial admission were obtained for each individual. Individuals aged 18 during the study period with at least one year of follow-up were included. Latent Class Analysis was used to identify groups with distinguishable risk of either being alive, dead or having been imprisoned at the end of follow-up. Results Among psychiatric patients, 4677 were included, average age was 27 years (range 18–43). Four latent classes were identified with different risks of adverse outcomes. Class B (16%), predominantly males with substance use disorder (SUD) diagnoses, had highly increased risk of imprisonment and death accounting for 85 and 34% of these outcomes, respectively. Class A (12%), all with alcohol use disorder, had similar mortality rate as the general population and no imprisonments. Class C (23%) were younger at first admission with some SUD and increased risk of mortality. Class D (46%) had increased mortality rate, SUDs were rare but depression common. Conclusions Risk of mortality and criminal trends among psychiatric inpatients can be described as distinct clusters of risk factors present at first admission to a psychiatric hospital. Treatment and interventions to reduce mortality and criminality should take these risk differences into account. Article in Journal/Newspaper Iceland Cambridge University Press European Psychiatry 39 93 98 |
institution |
Open Polar |
collection |
Cambridge University Press |
op_collection_id |
crcambridgeupr |
language |
English |
description |
Abstract Purpose Identify risk factors of death or imprisonment within classes defined by demographic factors and diagnoses within one year of first psychiatric admission. Methods Nationwide data was obtained from hospital registers from psychiatric hospitals in Iceland 1983–2007. Mortality and cause of death as well as information about imprisonments during the study period, and discharge diagnoses for the first year after initial admission were obtained for each individual. Individuals aged 18 during the study period with at least one year of follow-up were included. Latent Class Analysis was used to identify groups with distinguishable risk of either being alive, dead or having been imprisoned at the end of follow-up. Results Among psychiatric patients, 4677 were included, average age was 27 years (range 18–43). Four latent classes were identified with different risks of adverse outcomes. Class B (16%), predominantly males with substance use disorder (SUD) diagnoses, had highly increased risk of imprisonment and death accounting for 85 and 34% of these outcomes, respectively. Class A (12%), all with alcohol use disorder, had similar mortality rate as the general population and no imprisonments. Class C (23%) were younger at first admission with some SUD and increased risk of mortality. Class D (46%) had increased mortality rate, SUDs were rare but depression common. Conclusions Risk of mortality and criminal trends among psychiatric inpatients can be described as distinct clusters of risk factors present at first admission to a psychiatric hospital. Treatment and interventions to reduce mortality and criminality should take these risk differences into account. |
author2 |
Public Health Institute of Iceland The Scientific Fund of Landspitali - National University Hospital |
format |
Article in Journal/Newspaper |
author |
Carlsen, H.K. Steingrimsson, S. Sigurdsson, M.I. Sigfússon, S. Magnússon, A. |
spellingShingle |
Carlsen, H.K. Steingrimsson, S. Sigurdsson, M.I. Sigfússon, S. Magnússon, A. Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
author_facet |
Carlsen, H.K. Steingrimsson, S. Sigurdsson, M.I. Sigfússon, S. Magnússon, A. |
author_sort |
Carlsen, H.K. |
title |
Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
title_short |
Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
title_full |
Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
title_fullStr |
Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
title_full_unstemmed |
Latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
title_sort |
latent classes in diagnoses among psychiatric inpatients predicting mortality and imprisonment – a nationwide cohort study |
publisher |
Cambridge University Press (CUP) |
publishDate |
2017 |
url |
http://dx.doi.org/10.1016/j.eurpsy.2016.08.003 https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/plain https://api.elsevier.com/content/article/PII:S0924933816300979?httpAccept=text/xml https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0924933800068401 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
European Psychiatry volume 39, page 93-98 ISSN 0924-9338 1778-3585 |
op_rights |
https://www.cambridge.org/core/terms https://www.elsevier.com/tdm/userlicense/1.0/ |
op_doi |
https://doi.org/10.1016/j.eurpsy.2016.08.003 |
container_title |
European Psychiatry |
container_volume |
39 |
container_start_page |
93 |
op_container_end_page |
98 |
_version_ |
1801378159664300032 |