Physical Morbidity and Mortality in Psychiatric Patients

1989 ◽  
pp. 29-47 ◽  
Author(s):  
H. Häfner ◽  
H. Bickel
Keyword(s):  
Psychiatric Patients ◽  
Morbidity And Mortality ◽  
Physical Morbidity

Improving the physical health of long-stay psychiatric in-patients

2004 ◽  
Vol 10 (2) ◽  
pp. 107-115 ◽  
Author(s):  
Irene Cormac ◽  
David Martin ◽  
Michael Ferriter
Keyword(s):  
Health Care ◽  
General Population ◽  
Physical Health ◽  
Research Evidence ◽  
Psychiatric Patients ◽  
Mortality Rates ◽  
Morbidity And Mortality ◽  
Physical Health Care

Research evidence has shown that morbidity and mortality rates are higher in psychiatric patients than in the general population. This article describes factors that affect the physical health of psychiatric patients living in institutions and the steps that can be taken to review, monitor and improve their physical health. The physical health care of long-stay patients should reach the same standards as those expected in the general population.

scholarly journals Psychiatric patients and their medical care

1992 ◽  
Vol 16 (2) ◽  
pp. 88-90
Author(s):  
Sunny Collings ◽  
Sara Myers
Keyword(s):  
Medical Care ◽  
Psychiatric Patients ◽  
Psychological Problem ◽  
Referral And Consultation ◽  
Medical Attention ◽  
Physical Medicine ◽  
Physical Problems ◽  
State Of Affairs ◽  
Psychiatric Problems ◽  
Physical Morbidity

Informal discussions between psychiatric trainees reveal frequent difficulties and frustrations in providing adequate medical care to psychiatric patients. Our writing this article was prompted by the death of a patient who had been referred to casualty with behavioural and physical problems, and who, once labelled as a ‘psychiatric patient, did not receive the medical attention he required. Other trainees will have their own similar examples, at best resulting in only inconvenience to the junior doctor. This may seem surprising given the knowledge that people with psychiatric problems suffer increased physical morbidity. We were all taught as medical students that a physical presentation may mask a psychological problem and vice versa, and that both problems may co-exist. However, this knowledge does not always impinge on hospital clinical practice. From the viewpoint of junior psychiatrists, cross-specialty referral and consultation, and the provision of adequate medical care to our patients can be difficult. In this discussion, we will deal briefly with the contribution of ‘physical’ medicine to this state of affairs and then turn in more detail to the influence of psychiatry. Recommendations for improvement are made.

scholarly journals Physical morbidity of psychiatric patients

1989 ◽  
Vol 155 (5) ◽  
pp. 717-717
Author(s):  
C. G. Ballard
Keyword(s):  
Psychiatric Patients ◽  
Physical Morbidity

Physical Illness in Psychiatric Patients

1968 ◽  
Vol 114 (516) ◽  
pp. 1365-1369 ◽  
Author(s):  
G. P. Maguire ◽  
K. L. Granville-Grossman
Keyword(s):  
Catchment Area ◽  
Psychiatric Illness ◽  
Psychiatric Patients ◽  
Physical Illness ◽  
The Other ◽  
Factors Affecting ◽  
Mental Disturbance ◽  
High Incidence ◽  
Psychiatric Problems ◽  
Physical Morbidity

The practice of psychiatry overlaps appreciably that of the other branches of Medicine. A high incidence of psychiatric illness has been found in out-patients attending medical and surgical clinics (Shepherd, Davies and Culpan, 1960; and Davies, 1964), and among in-patients in general medical and surgical wards (Meyer and Mendelson, 1960; Fleminger and Mallett, 1962; Eilenberg, 1965; Granville-Grossman, 1967). Other studies have shown an appreciable incidence of physical illness in out-patients attending psychiatric clinics (Davies, 1965), in psychiatric in-patients in a teaching hospital (Marshall, 1949; and Herridge, 1960), and in patients with mental disturbance attending general practitioners (Shepherd, Cooper, Brown and Kalton, 1964, 1966). The extent to which ordinary psychiatric in-patient practice involves dealing with non-psychiatric problems does not appear to have been extensively studied, although Davies, D. W. (1964) has indicated the presence of considerable physical morbidity within a psychiatric hospital population. We here describe an investigation into the incidence of physical morbidity among in-patients admitted to a general hospital psychiatric unit with a total responsibility to a catchment area population of 90,000, and into some of the factors affecting this incidence.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

Rhabdomyolysis in Retrospect: Are Psychiatric Patients Predisposed to this Little-Known Syndrome?

1988 ◽  
Vol 17 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Steven B. Johnson ◽  
William A. Alvarez ◽  
Jack P. Freinhar
Keyword(s):  
Skeletal Muscle ◽  
Muscle Injury ◽  
Clinical Presentation ◽  
Psychiatric Patients ◽  
Morbidity And Mortality ◽  
Laboratory Findings ◽  
Skeletal Muscle Injury

Rhabdomyolysis is a potentially lethal syndrome that follows skeletal muscle injury, both traumatic and nontraumatic. The literature on this syndrome remains sketchy, and rhabdomyolysis may often go unrecognized. The history, clinical presentation, laboratory findings, etiology, and treatment of rhabdomyolysis are reviewed. Factors which predispose psychiatric patients in particular to this syndrome are discussed. Recommendations to reduce morbidity and mortality are offered.

scholarly journals 20‐year follow‐up study of physical morbidity and mortality in relationship to antipsychotic treatment in a nationwide cohort of 62,250 patients with schizophrenia (FIN20)

2020 ◽  
Vol 19 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Heidi Taipale ◽  
Antti Tanskanen ◽  
Juha Mehtälä ◽  
Pia Vattulainen ◽  
Christoph U. Correll ◽  
...  
Keyword(s):  
Morbidity And Mortality ◽  
Antipsychotic Treatment ◽  
Follow Up Study ◽  
Physical Morbidity

A study of long-attending psychiatric day-patients and the services provided for them

1983 ◽  
Vol 13 (4) ◽  
pp. 875-884 ◽  
Author(s):  
I. G. Pryce ◽  
C. A. Baughan ◽  
T. D. O. Jenkins ◽  
B. Venkatesan
Keyword(s):  
Service Provision ◽  
Urban Areas ◽  
Psychiatric Patients ◽  
Day Hospital ◽  
Elderly Men ◽  
Follow Up Study ◽  
Socially Isolated ◽  
Chronic Psychiatric Patients ◽  
Physical Morbidity

SynopsisA year's follow-up study of day-hospital long-attenders underlined doubts as to the adequacy of service provision in urban areas of England and Wales for the increasing numbers of chronic psychiatric patients living in the community. Very few of the 82 men and 53 women were married or capable of employment, and both psychiatric and physical morbidity were high; 2 young men committed suicide and 3 elderly men died within a year of discharge. Over the age of 45 men tended to be socially isolated and over the age of 60 they were also physically ill; a number probably required better residential care. Few women under 45 attended, possibly because the services offered were unacceptable.

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