Excess Mortality Among Psychiatric Patients

Eric Masterson, MB; Brian O'Shea, MB, MRCP
JAMA. 1985;254(3):360. doi:10.1001/jama.1985.03360030050016.
Text Size: A A A
Published online

To the Editor.—  We would like to discuss some points raised by Black et al.1 The phenomenally high incidence of deaths from suicides and accidents—32% of all deaths and 67% of excess deaths—remains difficult to comprehend despite an awareness of the increased mortality from suicide in psychiatric populations and the strong association between physical and psychiatric disorder.2 In our own study,3 schizophrenics died at a younger age than members of the general population as a result of an excess of cases of pneumonia as well as an increased incidence of suicide (18.9% died of pneumonia; 6.6% committed suicide—9.7% of males and 3.3% of females). One wonders about the difference between American and Irish smoking patterns and the distribution of unnatural deaths among the different subclasses of psychiatric disorder in the study by Black et al.The authors attempt to discover common themes in mortality patterns. It seems


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.