{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:59:34Z","timestamp":1780372774404,"version":"3.54.1"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"16","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0033291718000284_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Serious mental illness (SMI, including schizophrenia, schizoaffective disorder, and bipolar disorder) is associated with worse general health. However, admissions to general hospitals have received little investigation. We sought to delineate frequencies of and causes for non-psychiatric hospital admissions in SMI and compare with the general population in the same area.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291718000284_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Records of 18 380 individuals with SMI aged \u2a7e20 years in southeast London were linked to hospitalisation data. Age- and gender-standardised admission ratios (SARs) were calculated by primary discharge diagnoses in the 10th edition of the World Health Organization International Classification of Diseases (ICD-10) codes, referencing geographic catchment data.<\/jats:p><\/jats:sec><jats:sec id=\"S0033291718000284_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Commonest discharge diagnosis categories in the SMI cohort were urinary conditions, digestive conditions, unclassified symptoms, neoplasms, and respiratory conditions. SARs were raised for most major categories, except neoplasms for a significantly lower risk. Hospitalisation risks were specifically higher for poisoning and external causes, injury, endocrine\/metabolic conditions, haematological, neurological, dermatological, infectious and non-specific (\u2018Z-code\u2019) causes. The five commonest specific ICD-10 diagnoses at discharge were \u2018chronic renal failure\u2019 (N18), a non-specific code (Z04), \u2018dental caries\u2019 (K02), \u2018other disorders of the urinary system\u2019 (N39), and \u2018pain in throat and chest\u2019 (R07), all of which were higher than expected (SARs ranging 1.57\u20136.66).<\/jats:p><\/jats:sec><jats:sec id=\"S0033291718000284_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>A range of reasons for non-psychiatric hospitalisation in SMI is apparent, with self-harm, self-neglect and\/or reduced healthcare access, and medically unexplained symptoms as potential underlying explanations.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0033291718000284","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T07:12:58Z","timestamp":1519801978000},"page":"2676-2683","source":"Crossref","is-referenced-by-count":49,"title":["Acute general hospital admissions in people with serious mental illness"],"prefix":"10.1017","volume":"48","author":[{"given":"Nishamali","family":"Jayatilleke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard D.","family":"Hayes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chin-Kuo","family":"Chang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,2,28]]},"reference":[{"key":"S0033291718000284_ref17","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2014.1608"},{"key":"S0033291718000284_ref22","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.111.009068"},{"key":"S0033291718000284_ref21","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2006.57.10.1482"},{"key":"S0033291718000284_ref10","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-015-1107-6"},{"key":"S0033291718000284_ref11","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.55.11.1250"},{"key":"S0033291718000284_ref3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019590"},{"key":"S0033291718000284_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.081695"},{"key":"S0033291718000284_ref24","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008721"},{"key":"S0033291718000284_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-263"},{"key":"S0033291718000284_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2011.tb00014.x"},{"key":"S0033291718000284_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506001105"},{"key":"S0033291718000284_ref9","unstructured":"Health and Social Care Information Centre (2013) HES-MHMDS Data Linkage Report: Summary Statistics, 2011\/12 (Experimental Statistics) 12 (June 2013), pp. 1\u201324."},{"key":"S0033291718000284_ref23","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.1136"},{"key":"S0033291718000284_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10597-009-9280-x"},{"key":"S0033291718000284_ref33","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1093\/schbul\/sbq019","article-title":"Poor clinical outcomes among pneumonia patients with schizophrenia","volume":"37","author":"Yi-Hua","year":"2011","journal-title":"Schizophrenia Bulletin"},{"key":"S0033291718000284_ref8","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0044613"},{"key":"S0033291718000284_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.2007.01095.x"},{"key":"S0033291718000284_ref6","unstructured":"Fanton JH , Mcintyre RS and Cohen LM (2011) Psychiatric Issues for Patients with Renal Disease. Available at http:\/\/www.psychiatrictimes.com\/articles\/psychiatric-Issues-Patients-Renal-Disease (Last accessed 16 January 2018)."},{"key":"S0033291718000284_ref34","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2009.05044.x"},{"key":"S0033291718000284_ref28","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-9-51"},{"key":"S0033291718000284_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.09.036"},{"key":"S0033291718000284_ref20","doi-asserted-by":"publisher","DOI":"10.1159\/000360095"},{"key":"S0033291718000284_ref29","first-page":"121","article-title":"Violence and mental illness: an overview","volume":"2","author":"Stuart","year":"2003","journal-title":"World Psychiatry: Official Journal of the World Psychiatric Association (WPA)"},{"key":"S0033291718000284_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-013-0436-x"},{"key":"S0033291718000284_ref5","unstructured":"Dorning H , Davies A and Blunt I (2015) Focus on: People with Mental Ill Health and Hospital Use. The Health Foundation-Nuffield Trust. Available at http:\/\/www.qualitywatch.org.uk\/sites\/files\/qualitywatch\/field\/field_document\/QualityWatch_Mental_ill_health_and_hospital_use_full_report.pdf (Last accessed 16 January 2018)."},{"key":"S0033291718000284_ref16","doi-asserted-by":"publisher","DOI":"10.1080\/00981389.2015.1107016"},{"key":"S0033291718000284_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-71"},{"key":"S0033291718000284_ref14","first-page":"1","article-title":"Towards a definition of \u2018Self-Neglect\u2019 in psychiatric patients: descriptions of a case series","author":"Lamkin","year":"2016","journal-title":"Psychiatric Quarterly"},{"key":"S0033291718000284_ref32","doi-asserted-by":"crossref","unstructured":"World Health Organization (2010) The ICD-10 classification of mental and behavioural disorders. Available at http:\/\/www.who.int\/classifications\/icd\/en\/bluebook.pdf (Last accessed 2 February 2017).","DOI":"10.1002\/j.2051-5545.2011.tb00022.x"},{"key":"S0033291718000284_ref30","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-006777"},{"key":"S0033291718000284_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2017.07.004"},{"key":"S0033291718000284_ref1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2036.2001.01131.x"},{"key":"S0033291718000284_ref15","first-page":"f2539","article-title":"The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers","volume":"346","author":"Lawrence","year":"2013","journal-title":"BMJ (Clinical Research Ed.)"},{"key":"S0033291718000284_ref26","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002808"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291718000284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,12]],"date-time":"2019-10-12T00:45:26Z","timestamp":1570841126000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291718000284\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,28]]},"references-count":34,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["S0033291718000284"],"URL":"https:\/\/doi.org\/10.1017\/s0033291718000284","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,2,28]]}}}