Mortality rate in patients in a long-term psychiatric care facility in Johannesburg

South African Journal of Psychiatry

 
 
Field Value
 
Title Mortality rate in patients in a long-term psychiatric care facility in Johannesburg
 
Creator Mathekga, Mokgokong Mdaka, Nokhutula Talatala, Mvuyiso
 
Subject Psychiatry long-term care, severe mental illness, mortality, schizophrenia, standardised mortality ratio.
Description Background: Limited research exists on mortality rates and contributing factors among individuals with severe mental illness (SMI) in long-term psychiatric care, especially in low- and middle-income countries (LMICs).Aim: To analyse mortality rates and associated factors at Solomon Stix Morewa Memorial Hospital (SSMMH), a long-term psychiatric care facility in Johannesburg, South Africa.Setting: SSMMH, a private facility in Selby Park, Johannesburg, has been contracted by the Gauteng Department of Health since March 2017 to provide inpatient care for SMI patients.Methods: A retrospective analysis was conducted on records of 406 SMI patients admitted to SSMMH from March 2017 to February 2022. Mortality rates were calculated, and associated factors were analysed using descriptive statistics and logistic regression.Results: Of the 406 participants, 34 (8%) died over five years, yielding a standardised mortality ratio (SMR) of 1.28 (95% CI: 0.85–1.71). Mortality was highest in the 60–69 years age group (SMR 2.7), with most deaths occurring in 2020–2021, likely due to COVID-19. Cardiovascular conditions were the leading cause of death (53%). Age at admission (OR: 2.35, 95% CI: 1.55–3.58) and transfer site (OR: 0.58, 95% CI: 0.42–0.81) were significant predictors of mortality.Conclusion: Individuals with SMI face elevated mortality rates, with age, diagnosis, and comorbidities as key factors.Contribution: This study provides insights into the comprehensive management of people with SMI to reduce mortality. Further research is needed to guide psychosocial and palliative care approaches.
 
Publisher AOSIS
 
Contributor
Date 2024-11-27
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective analysis
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v30i0.2329
 
Source South African Journal of Psychiatry; Vol 30 (2024); 7 pages 2078-6786 1608-9685
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.org.za/index.php/sajp/article/view/2329/3667 https://sajp.org.za/index.php/sajp/article/view/2329/3668 https://sajp.org.za/index.php/sajp/article/view/2329/3669 https://sajp.org.za/index.php/sajp/article/view/2329/3670
 
Coverage South Africa, Johannesburg March 2017 to February 2022 Age, Gender,Marital status,Level of education, Psychiatric diagnosis, Medical comorbidity
Rights Copyright (c) 2024 Mokgokong Mathekga, Nokhutula Mdaka, Mvuyiso Talatala https://creativecommons.org/licenses/by/4.0
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