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

Mental disorders are associated with increased mortality, but population-based surveys with reliable diagnostic procedures controlling for somatic health status are scarce. To assess excess mortality associated with depressive, anxiety and alcohol use disorders and the principal causes of death. In...

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Bibliographic Details
Published in:British journal of psychiatry 2012-02, Vol.200 (2), p.143-149
Main Authors: Markkula, Niina, Härkänen, Tommi, Perälä, Jonna, Partti, Krista, Peña, Sebastián, Koskinen, Seppo, Lönnqvist, Jouko, Suvisaari, Jaana, Saarni, Samuli I.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Alcohol related disorders
Alcohol use
Alcohol-Related Disorders - mortality
Alcoholism
Anxiety
Anxiety Disorders - mortality
Cardiovascular disease
Cause of Death
Chronic mental disorders
Death
Death & dying
Depression
Depressive Disorder - mortality
Drug dependence
Female
Finland - epidemiology
Health Behavior
Health Status
Humans
Interview, Psychological
Male
Mental depression
Mental disorders
Middle Aged
Mortality
National registers
Population Surveillance
Proportional Hazards Models
Psychiatric disorders
Psychiatry
Smoking
Sociodemographics
Socioeconomic Factors
Substance use disorder
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Description
Summary:Mental disorders are associated with increased mortality, but population-based surveys with reliable diagnostic procedures controlling for somatic health status are scarce. To assess excess mortality associated with depressive, anxiety and alcohol use disorders and the principal causes of death. 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. 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. 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.
ISSN:0007-1250
1472-1465
DOI:10.1192/bjp.bp.111.094904