Kristian Wahlbeck|Jeanette Westman|Merete Nordentoft|Mika Gissler|Thomas Munk Laursen
Outcomes of Nordic mental health systems: life expectancy of patients with mental disorders
Nordic School of Public Health|Nordic School of Public Health|Bispebjerg Hospital|Nordic School of Public Health|Nordic School of Public Health|Nordic School of Public Health|Aarhus University
people mental disorders evince excess mortality due natural unnatural deaths relative life expectancy people mental disorders proxy measure effectiveness social policy health service provisionto evaluate trends health outcomes people serious mental disorderswe examined nationwide 5year consecutive cohorts people admitted hospital mental disorders denmark finland sweden 19872006 country risk population identified hospital discharge registers mortality data retrieved causeofdeath registers main outcome measure life expectancy age 15 yearspeople admitted hospital mental disorder two threefold higher mortality general population three countries studied gap life expectancy pronounced men women gap decreased 1987 2006 countries especially women notable exception swedish men mental disorders spite positive general trend men mental disorders still live 20 years less women 15 years less general populationduring era deinstitutionalisation life expectancy gap people mental disorders somewhat diminished three nordic countries results support development nordic welfare state model ie taxfunded communitybased public services social protection health promotion actions improved access healthcare prevention suicides violence needed reduce life expectancy gap