Table 2.
Characteristics and death rate for patients with severe mental illness from Sichuan Province, China, 2009–2014 (n = 112 576)
| Characteristics | Value (n = 112 576) | Death rate (95% CI, per 1000 person-years) | Deaths, n (n = 1987) |
|---|---|---|---|
| Gender, n (%) | |||
| Male | 54 814 (48.7) | 12.6 (11.9–13.4) | 1101 |
| Female | 57 762 (51.3) | 9.6 (9.0–10.2) | 886 |
| Age at baseline, mean (s.d.) | 49.0 (13.9) | 11.0 (10.6–11.5) | 1987 |
| Indicators of community-based mental healthcare, n (%) | |||
| Progression of high-risk behaviour | |||
| No change | 77 609 (68.9) | 14.2 (13.5–14.9) | 1586 |
| Better | 32 782 (29.1) | 5.4 (4.9–6.0) | 352 |
| Worse | 2185 (1.9) | 12.6 (9.5–16.7) | 49 |
| Baseline high-risk behaviour | |||
| Low risk | 108 421 (96.3) | 10.9 (10.4–11.4) | 1888 |
| High-risk | 4155 (3.7) | 13.7 (11.2–16.7) | 99 |
| Progression of disease stability | |||
| No change | 77 244 (68.6) | 14.9 (14.2–15.7) | 1607 |
| Better | 30 207 (26.8) | 4.3 (3.8–4.8) | 269 |
| Worse | 5125 (4.6) | 11.5 (9.6–13.9) | 111 |
| Baseline disease stability | |||
| Stable | 103 310 (91.8) | 10.9 (10.4–11.4) | 1801 |
| Unstable | 9266 (8.2) | 12.2 (10.6–14.1) | 186 |
| Progression of medication adherence | |||
| No change | 76 233 (67.7) | 12.2 (11.6–12.9) | 1408 |
| Better | 15 962 (14.2) | 8.5 (7.5–9.7) | 242 |
| Worse | 20 381 (18.1) | 9.2 (8.3–10.3) | 337 |
| Baseline medication adherence | |||
| Adherent | 39 136 (34.8) | 8.3 (7.7–9.1) | 523 |
| Taking reduced doses of medicine or taking it at a reduced frequency than prescribed | 33 533 (29.8) | 11.4 (10.6–12.4) | 646 |
| Refusing to take medicine | 39 907 (35.5) | 13.4 (12.6–14.4) | 818 |
| Disorder-specific factors, n (%) | |||
| Diagnose | |||
| Schizophrenia | 100 482 (89.3) | 11.0 (10.5–11.5) | 1791 |
| Schizoaffective disorder | 1647 (1.5) | 10.3 (7.0–15.3) | 25 |
| Paranoiac psychosis | 361 (0.3) | 18.5 (10.3–33.4) | 11 |
| Bipolar affective disorder | 2999 (2.7) | 10.3 (7.7–13.7) | 47 |
| Psychotic disorder due to epilepsy | 3266 (2.9) | 13.4 (10.5–17.1) | 65 |
| Disorders of intellectual development with psychosis | 3821 (3.4) | 9.6 (7.2–12.8) | 48 |
| Family history of mental disorders | |||
| No | 108 076 (96.0) | 11.1 (10.6–11.6) | 1921 |
| Yes | 4500 (4.0) | 9.1 (7.2–11.6) | 66 |
| Socioeconomic position, n (%) | |||
| Education | |||
| High school or above | 7452 (6.6) | 5.3 (4.1–6.8) | 63 |
| Primary or middle school | 66 402 (59.0) | 9.1 (8.5–9.7) | 967 |
| No formal education or illiterate | 32 260 (28.7) | 16.2 (15.1–17.3) | 836 |
| Unknowna | 6462 (5.7) | 12.1 (10.1–14.4) | 121 |
| Occupation | |||
| Employedb–students or retired | 3405 (3.0) | 8.4 (6.2–11.2) | 45 |
| Unemployed | 6968 (6.2) | 9.9 (8.2–11.9) | 110 |
| Farmerc | 88 493 (78.6) | 11.6 (11.1–12.2) | 1665 |
| Unknowna | 13 710 (12.2) | 8.1 (7–9.5) | 167 |
| Economic statusd | |||
| Non-poverty | 19 471 (17.3) | 11.0 (9.9–12.2) | 344 |
| Poverty | 67 300 (59.8) | 11.6 (11.0–12.3) | 1259 |
| Unknowna | 25 805 (22.9) | 9.5 (8.6–10.5) | 384 |
| Cultural and societal factor, n (%) | |||
| Ethnicity | |||
| Han | 112 109 (99.6) | 11.0 (10.6–11.5) | 1979 |
| Minority | 467 (0.4) | 12.0 (6.0–24.0) | 8 |
| Social support, n (%) | |||
| Marital status | |||
| Married | 68 777 (61.1) | 10.3 (9.7–10.9) | 1134 |
| Unmarriede | 39 231 (34.9) | 12.4 (11.6–13.3) | 780 |
| Unknowna | 4568 (4.1) | 10.4 (8.3–13.1) | 73 |
a.
Unknow was included in the model analysis.
b.
Including professional/technical personnel, managerial personnel, industrial worker.
c.
Including agriculture, forestry, animal husbandry, fishery.
d.
Determined by whether they were above or below the poverty line as determined by the local government according to the local socioeconomic status.
e.
Including widowed, separated, divorced and never married.