TY  - JOUR
PY  - 2023//
TI  - Premature mortality in young people accessing early intervention youth mental healthcare: data-linkage cohort study
JO  - BJPsych open
A1  - McHugh, Catherine M.
A1  - Iorfino, Frank
A1  - Zmicerevska, Natalia
A1  - Song, Yun Ju Christine
A1  - Skinner, Adam
A1  - Scott, Elizabeth M.
A1  - Hickie, Ian B.
SP  - e76
EP  - e76
VL  - 9
IS  - 3
N2  - BACKGROUND: Understanding premature mortality risk from suicide and other causes in youth mental health cohorts is essential for delivering effective clinical interventions and secondary prevention strategies. AIMS: To establish premature mortality risk in young people accessing early intervention mental health services and identify predictors of mortality. <br><br>METHOD: State-wide data registers of emergency departments, hospital admissions and mortality were linked to the Brain and Mind Research Register, a longitudinal cohort of 7081 young people accessing early intervention care, between 2008 and 2020. Outcomes were mortality rates and age-standardised mortality ratios (SMR). Cox regression was used to identify predictors of all-cause mortality and deaths due to suicide or accident. <br><br>RESULTS: There were 60 deaths (male 63.3%) during the study period, 25 (42%) due to suicide, 19 (32%) from accident or injury and eight (13.3%) where cause was under investigation. All-cause SMR was 2.0 (95% CI 1.6-2.6) but higher for males (5.3, 95% CI 3.8-7.0). The mortality rate from suicide and accidental deaths was 101.56 per 100 000 person-years. Poisoning, whether intentional or accidental, was the single greatest primary cause of death (26.7%). Prior emergency department presentation for poisoning (hazard ratio (HR) 4.40, 95% CI 2.13-9.09) and psychiatric admission (HR 4.01, 95% CI 1.81-8.88) were the strongest predictors of mortality. <br><br>CONCLUSION: Premature mortality in young people accessing early intervention mental health services is greatly increased relative to population. Prior health service use and method of self-harm are useful predictors of future mortality. Enhanced care pathways following emergency department presentations should not be limited to those reporting suicidal ideation or intent.<p />  <p>Language: en</p>
LA  - en
SN  - 2056-4724
UR  - http://dx.doi.org/10.1192/bjo.2023.43
ID  - ref1
ER  -