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Life expectancy at birth and all-cause mortality among people with personality disorder.

Fok, ML-Y. and Hayes, R.D. and Chang, C-K. and Stewart, R. and Callard, F. and Moran, P. (2012) 'Life expectancy at birth and all-cause mortality among people with personality disorder.', Journal of psychosomatic research., 73 (2). pp. 104-107.


Objective: It is well established that serious mental illness is associated with raised mortality, yet few studies have looked at the life expectancy of people with personality disorder (PD). This study aims to examine the life expectancy and relative mortality in people with PD within secondary mental health care. Methods: We set out to examine this using a large psychiatric case register in southeast London, UK. Mortality was obtained through national mortality tracing procedures. In a cohort of patients with a primary diagnosis of PD (n = 1836), standardised mortality ratios (SMRs) and life expectancies at birth were calculated, using general population mortality statistics as the comparator. Results: Life expectancy at birth was 63.3 years for women and 59.1 years for men with PD—18.7 years and 17.7 years shorter than females and males respectively in the general population in England and Wales. The SMR was 4.2 (95% CI: 3.03–5.64) overall; 5.0 (95% CI: 3.15–7.45) for females and 3.5 (95% CI: 2.17–5.47) for males. The highest SMRs were found in the younger age groups for both genders. Conclusion: People with PD using mental health services have a substantially reduced life expectancy, highlighting the significant public health burden of the disorder.

Item Type:Article
Keywords:Epidemiology, Life expectancy, Mental health services, Mortality, Personality disorders.
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Publisher statement:NOTICE: this is the author’s version of a work that was accepted for publication in the Journal of Psychosomatic Research. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in: Journal of Psychosomatic Research, 73, 2, August 2012, 10.1016/j.jpsychores.2012.05.001.
Record Created:03 Jul 2012 12:35
Last Modified:28 Jul 2015 13:24

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