IDEAS home Printed from https://ideas.repec.org/a/sae/socpsy/v60y2014i5p426-435.html
   My bibliography  Save this article

Mortality and psychiatric disorders among public mental health care clients in Utrecht: A register-based cohort study

Author

Listed:
  • Fabian Termorshuizen
  • Addi PL van Bergen
  • Ronald BJ Smit
  • Hugo M Smeets
  • Erik JC van Ameijden

Abstract

Background: Different studies have shown similar or even lower mortality among homeless persons with compared to homeless persons without a severe mental disorder. Aims: To clarify the association between presence of a psychiatric diagnosis and mortality among the socially marginalized. Methods: The Public Mental health care (PMHc) is a legal task of the municipal authority aiming at prevention and intervention in case of (imminent) homelessness among persons with a serious shortage of self-sufficiency. The data of PMHc clients (N=6,724) and personally matched controls (N=66,247) were linked to the registries of Statistics Netherlands and analysed in a Cox model. Results: The increased mortality among PMHc clients, compared to the general population (HR=2.99, 95%-CI: 2.63-3.41), was associated with a broad range of death causes. Clients with a record linkage to the Psychiatric Case Registry Middle Netherlands (‘PMHc+’) had an increased risk of suicide (HR=2.63, 0.99-7.02, P=0.052), but a lower risk of natural death causes (HR=0.71, 0.54-0.92, P=0.011), compared to clients without this record linkage (‘PMHc-’). Compared to controls, however, ‘PMHc-’ clients experienced substantially increased risks of suicide (HR=3.63, 1.42-9.26, P=0.007) and death associated with mental and behavioural disorders (ICD-10 Ch.V) (HR=7.85, 3.54-17.43, P

Suggested Citation

  • Fabian Termorshuizen & Addi PL van Bergen & Ronald BJ Smit & Hugo M Smeets & Erik JC van Ameijden, 2014. "Mortality and psychiatric disorders among public mental health care clients in Utrecht: A register-based cohort study," International Journal of Social Psychiatry, , vol. 60(5), pages 426-435, August.
    • Handle: RePEc:sae:socpsy:v:60:y:2014:i:5:p:426-435
    DOI: 10.1177/0020764013491942
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/0020764013491942
    Download Restriction: no
    File URL: https://libkey.io/10.1177/0020764013491942?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Barrow, S.M. & Herman, D.B. & Córdova, P. & Struening, E.L., 1999. "Mortality among homeless shelter residents in New York City," American Journal of Public Health, American Public Health Association, vol. 89(4), pages 529-534.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Fran Calvo & Oriol Turró-Garriga & Carles Fàbregas & Rebeca Alfranca & Anna Calvet & Mercè Salvans & Cristina Giralt & Sandra Castillejos & Mercè Rived-Ocaña & Paula Calvo & Paz Castillo & Josep Garre, 2021. "Mortality Risk Factors for Individuals Experiencing Homelessness in Catalonia (Spain): A 10-Year Retrospective Cohort Study," IJERPH, MDPI, vol. 18(4), pages 1-10, February.
    2. Coline van Everdingen & Peter Bob Peerenboom & Koos van der Velden & Philippe Delespaul, 2023. "Vital Needs of Dutch Homeless Service Users: Responsiveness of Local Services in the Light of Health Equity," IJERPH, MDPI, vol. 20(3), pages 1-16, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.
    2. Downes, Henry & Phillips, David C. & Sullivan, James X., 2022. "The effect of emergency financial assistance on healthcare use," Journal of Public Economics, Elsevier, vol. 208(C).
    3. Darmon, Nicole & Briend, André, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Cahiers d'Economie et de Sociologie Rurales (CESR), Institut National de la Recherche Agronomique (INRA), vol. 79.
    4. Vincent A. Fusaro & Helen G. Levy & H. Luke Shaefer, 2018. "Racial and Ethnic Disparities in the Lifetime Prevalence of Homelessness in the United States," Demography, Springer;Population Association of America (PAA), vol. 55(6), pages 2119-2128, December.
    5. Nicole Darmon & André Briend, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Cahiers d'Economie et Sociologie Rurales, INRA Department of Economics, vol. 79, pages 53-66.
    6. Guirguis-Younger, Manal & Runnels, Vivien & Aubry, Tim & Turnbull, Jeff, 2006. "Carrying out a social autopsy of deaths of persons who are homeless," Evaluation and Program Planning, Elsevier, vol. 29(1), pages 44-54, February.
    7. William N. Evans & David C. Phillips & Krista Ruffini, 2021. "Policies To Reduce And Prevent Homelessness: What We Know And Gaps In The Research," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 914-963, June.
    8. Nicole Darmon & André Briend, 2006. "Prévention des déficiences chez les personnes sans-abri : intérêt d’un aliment de rue enrichi," Post-Print hal-01201123, HAL.
    9. Fernando Fajardo-Bullón & Jesús Pérez-Mayo & Igor Esnaola, 2021. "The Association of Interpersonal Relationships and Social Services with the Self-Rated Health of Spanish Homelessness," IJERPH, MDPI, vol. 18(17), pages 1-18, September.
    10. William N. Evans & David C. Philips & Krista J. Ruffini, 2019. "Reducing and Preventing Homelessness: A Review of the Evidence and Charting a Research Agenda," NBER Working Papers 26232, National Bureau of Economic Research, Inc.
    11. Kuehnle, Daniel & Johnson, Guy & Tseng, Yi-Ping, 2023. "JUE Insight: Making it home? Evidence on the long-run impact of an intensive support program for the chronically homeless on housing, employment and health," Journal of Urban Economics, Elsevier, vol. 133(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:socpsy:v:60:y:2014:i:5:p:426-435. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.