This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Preventative Features

Erwin N. Koranyi, MD

Arch Gen Psychiatry. 1977;34(10):1137-1142.

Abstract
• During a three-year period 28 fatalities, twice the rate in the general population, were found in a sample of 2,070 psychiatric outpatients. Death occurred in these psychiatric patients approximately 20 years earlier than is expected. All three modalities of death: accidents, suicide, and natural causes, were higher than that in the population at large. Three suicides were thought to be preventable by psychiatric approaches. The importance of the patient's initial visits was stressed. At least four, and possibly five, cases of death were avoidable by appropriate medicosurgical means. The rate of physical illnesses in all three groups was more than 80%, of which one third were inadequately diagnosed by their referring physicians. The importance of the physical evaluation of psychiatric patients was emphasized.

Author Affiliations
From the Department of Psychiatry, Ottawa General Hospital and the University of Ottawa, Ottawa, Ontario, Canada.

Footnotes
Accepted for publication June 20, 1977.

Reprint requests to Adult Psychiatric OPD, Ottawa General Hospital, 197 Cumberland St, Ottawa, Ontario, Canada KIN 7H4 (Dr Koranyi).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Mortality Among Discharged Psychiatric Patients in Florence, Italy
Meloni et al.
Psychiatr. Serv. 2006;57:1474-1481.
ABSTRACT | FULL TEXT  

Managing the Clinical Consequences of Psychiatric Illness and Antipsychotic Treatment: A Discussion of Obesity, Diabetes, and Hyperprolactinemia
Vreeland and Kim
J Am Psychiatr Nurses Assoc 2004;10:S17-S24.
ABSTRACT  

A continuum of premature death. Meta-analysis of competing mortality in the psychosocially vulnerable
Neeleman
Int J Epidemiol 2001;30:154-162.
ABSTRACT | FULL TEXT  

The Role of Psychiatrists in Primary Care of Patients With Severe Mental Illness
Golomb et al.
Psychiatr. Serv. 2000;51:766-773.
ABSTRACT | FULL TEXT  

A Twin Study of Mortality in Schizophrenia and Neurosis
Kendler
Arch Gen Psychiatry 1986;43:643-649.
ABSTRACT  

Mortality in a Follow-up of 500 Psychiatric Outpatients: I. Total Mortality
Martin et al.
Arch Gen Psychiatry 1985;42:47-54.
ABSTRACT  

Mortality in a Follow-up of 500 Psychiatric Outpatients: II. Cause-Specific Mortality
Martin et al.
Arch Gen Psychiatry 1985;42:58-66.
ABSTRACT  

Mortality Studies in Psychiatry: Should They Stop or Proceed?
Tsuang and Simpson
Arch Gen Psychiatry 1985;42:98-103.
ABSTRACT  

Use of General Medical Care Services by Persons With Mental Disorders
Hankin et al.
Arch Gen Psychiatry 1982;39:225-231.
ABSTRACT  

Mortality Among Psychiatric Inpatients: Age-Adjusted Comparison of Populations Before and After Psychotropic Drug Era
Craig and Lin
Arch Gen Psychiatry 1981;38:935-938.
ABSTRACT  

Psychiatry
Freedman
JAMA 1980;243:2208-2210.
ABSTRACT  

Neglect of the Chronically Mentally III Patient
Roeske
Arch Intern Med 1979;139:511-513.
ABSTRACT  

Morbidity and Rate of Undiagnosed Physical Illnesses in a Psychiatric Clinic Population
Koranyi
Arch Gen Psychiatry 1979;36:414-419.
ABSTRACT  

Short and Long Sleep and Sleeping Pills: Is Increased Mortality Associated?
Kripke et al.
Arch Gen Psychiatry 1979;36:103-116.
ABSTRACT  

Psychiatry
Freedman
JAMA 1978;239:510-512.