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정신건강복지센터 및 중독관리센터 이용 회원의 사망원인 분석
박우영(Woo-Young Park),홍지은(Ji-Eun Hong),왕수연(Soo-Yeon Wang),신재정(Jae-Jeong Shin),이주연(Ju-Yeon Lee),김선영(Seon-Young Kim),김재민(Jae-Min Kim),신일선(JIL-Seon Shin),윤진상(Jin-Sang Yoon),김성완(Sung-Wan Kim) 대한생물치료정신의학회 2019 생물치료정신의학 Vol.25 No.1
Objectives:Serious mental illnesses and substance use disorder have a high level of early mortality. This study aimed to identify the causes of their deaths among patients who had been under the care of community mental health and welfare centers and addiction management centers. Methods:We collected information on deceased individuals, whose mortality was attributable to various causes of death, from 10 Community Mental Health Centers and Addiction Centers in Gwangju Metropolitan City. The primary variables collected included psychiatric diagnosis, cause of death, smoking habits, admission history, and several socio-demographic factors. Results:A total of 214 deaths among service users were studies. In Community Mental Health Centers, 109 deaths were identified, with causes that may be itemized as follows : 27 suicides(24.8%), 56 physical illnesses(51.4%), 14 accidents(12.8%), and 12 unknown causes(11.0%). Among the physical illnesses reported, cardiovascular illness and cancer were the most common causes of death. A history of frequent admission was common among those that had died by suicide(88.9%), compared with that observed among general service users(62.0%). In Addiction Centers, 105 deaths were identified, with causes that may be itemized as follows : 7 suicides(6.7%), 71 physical illnesses(68.3%), 7 accidents(6.7%), and 20 unknown causes(19.0%). Among the physical illnesses reported, sudden death, hepatic disorder, cancer, and cardiovascular disorder were the most common causes of death. Conclusion:Case managers should give due consideration to and carefully manage the physical health of individuals accessing mental health services via community mental health centers and addiction centers.
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