{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T06:13:33Z","timestamp":1785564813094,"version":"3.56.0"},"reference-count":41,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002794","name":"Cancerfonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec id=\"S2056472424008214_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Understanding the place of death for individuals with mental and behavioural disorders (MBDs) is essential for identifying disparities in healthcare access and outcomes, as well as addressing broader health inequities within this population.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008214_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>To examine the place of death among individuals in Sweden with the underlying cause of death reported as a MBD and compare variations between diagnostic groups, as well as explore associations between place of death and individual, sociodemographic and clinical factors.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008214_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>This population-level analysis used death certificate data (gender, age, underlying cause of death and place of death) recorded between 2013 and 2019 and other national register data. MBD group differences were compared using chi-square tests (\u03c7<jats:sup>2<\/jats:sup>) and multinominal logistic regressions explored variations in place of death.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008214_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>The final sample consisted of 2875 individuals. Our regression model revealed that individuals with MBDs other than intellectual disabilities were less likely to die in hospitals (odds ratio 0.60\u20130.134 [95% CI = 0.014\u20130.651]) or care homes (odds ratio 0.11\u20130.97 [95% CI = 0.003\u20130.355]) than at home. Substance use disorders were the most common underlying cause of death (61.3%). This group consisted predominantly of men (78.8%, \u03c7<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic> &lt; 0.001), and tended to be younger (\u03c7<jats:sup>2<\/jats:sup>, <jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472424008214_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Individuals with intellectual and developmental disabilities are more likely to die in hospitals or care homes than at home. Those with MBDs, particularly substance use disorders, face a high risk of premature death, highlighting gaps in healthcare and palliative care provision for these populations.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2024.821","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T06:27:03Z","timestamp":1736490423000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Place of death and healthcare utilisation at the end of life among individuals with mental and behavioural disorders as underlying cause of death: population-level multiple-register study"],"prefix":"10.1192","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2228-5134","authenticated-orcid":false,"given":"Maja Magdalena","family":"Olsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6493-3817","authenticated-orcid":false,"given":"Christopher","family":"Holmberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3660-6306","authenticated-orcid":false,"given":"Cecilia","family":"Larsdotter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4998-0324","authenticated-orcid":false,"given":"Stina","family":"Nyblom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2429-8705","authenticated-orcid":false,"given":"Joakim","family":"\u00d6hl\u00e9n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"S2056472424008214_ref20","first-page":"26323524241238232","article-title":"Trends in the place of death in Sweden from 2013 to 2019 \u2013 disclosing prerequisites for palliative care","volume":"18","author":"Larsdotter","year":"2024","journal-title":"Palliat Care"},{"key":"S2056472424008214_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2007.05.001"},{"key":"S2056472424008214_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02314-X"},{"key":"S2056472424008214_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2020.04.027"},{"key":"S2056472424008214_ref4","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00855"},{"key":"S2056472424008214_ref12","volume-title":"End of Life Care for Adults: Service Delivery","year":"2019"},{"key":"S2056472424008214_ref29","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211037480"},{"key":"S2056472424008214_ref40","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-018-3210-y"},{"key":"S2056472424008214_ref19","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201200289"},{"key":"S2056472424008214_ref34","doi-asserted-by":"publisher","DOI":"10.1016\/j.psym.2020.06.003"},{"key":"S2056472424008214_ref21","year":"1992","journal-title":"The ICD-10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines"},{"key":"S2056472424008214_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-021-01501-1"},{"key":"S2056472424008214_ref37","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00213-9"},{"key":"S2056472424008214_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/1403494815595774"},{"key":"S2056472424008214_ref3","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.201900504"},{"key":"S2056472424008214_ref36","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2078-7"},{"key":"S2056472424008214_ref25","unstructured":"25 Socialstyrelsen [Swedish Board of Health and Welfare]. Insatser och st\u00f6d till personer med funktionsneds\u00e4ttning: L\u00e4gesrapport 2020 [Interventions and Support to People with Disabilities: Progress Report 2020]. Socialstyrelsen, 2020 (https:\/\/www.socialstyrelsen.se\/globalassets\/sharepoint-dokument\/artikelkatalog\/ovrigt\/2020-3-6686.pdf)."},{"key":"S2056472424008214_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-019-0502-x"},{"key":"S2056472424008214_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319867847"},{"key":"S2056472424008214_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12744"},{"key":"S2056472424008214_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)32316-5"},{"key":"S2056472424008214_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2012.09.013"},{"key":"S2056472424008214_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/1744629519886758"},{"key":"S2056472424008214_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/0269216320932774"},{"key":"S2056472424008214_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7954-12-11"},{"key":"S2056472424008214_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.08.007"},{"key":"S2056472424008214_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20128"},{"key":"S2056472424008214_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-001986"},{"key":"S2056472424008214_ref1","volume-title":"Mental Disorders","year":"2019"},{"key":"S2056472424008214_ref39","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317743961"},{"key":"S2056472424008214_ref32","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1398-5"},{"key":"S2056472424008214_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(19)30205-1"},{"key":"S2056472424008214_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(19)30187-2"},{"key":"S2056472424008214_ref2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202100661"},{"key":"S2056472424008214_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-016-0076-9"},{"key":"S2056472424008214_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(19)30132-4"},{"key":"S2056472424008214_ref30","volume-title":"Life Expectancy at Birth, Total (Years) \u2013 Sweden","year":"2022"},{"key":"S2056472424008214_ref41","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-017-0316-1"},{"key":"S2056472424008214_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/1359786810382058"},{"key":"S2056472424008214_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/jar.12417"},{"key":"S2056472424008214_ref24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0587.2012.07348.x"}],"container-title":["BJPsych Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056472424008214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T06:27:08Z","timestamp":1736490428000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056472424008214\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":41,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1]]}},"alternative-id":["S2056472424008214"],"URL":"https:\/\/doi.org\/10.1192\/bjo.2024.821","relation":{},"ISSN":["2056-4724"],"issn-type":[{"value":"2056-4724","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"Copyright \u00a9 The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e14"}}