0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
ANALYSIS OF MORTALITY AND CAUSES OF DEATH IN A MENTAL HOSPITAL
HERMAN JOSEPHY
Am J Psychiatry 1949;106:185-189.
View Author and Article Information

The Chicago State Hospital, Chicago, Ill.

text A A A
PDF of the full text article.
Abstract

In spite of the fact that the rate of admissions to the Chicago State Hospital has increased in 1945/47 as compared with 1935/37, the number of deaths during these two periods has not increased. The death rate, expressed as percentage of admissions, has essentially declined for 1945/47.There were more deaths of old age patients in 1945/47 than in 1935/37. This corresponds to an increased influx of senile patients.Deaths from exhaustion in the course of acute schizophrenia have markedly decreased. The same is true for deaths from general paresis. Delirium tremens has disappeared as cause of death, at least from the Chicago State Hospital.Malignant tumors seem to be rarer among mental patients than in the general population.The senile patients are becoming a special problem to the hospital, as they are admitted in increased numbers. Two points should be kept in mind. A considerable percentage of these old-agers die very soon after admission. It seems justified to ask, whether these patients (who, of course, are senile psychotics) could not have died at home as well as in the hospital. It is very likely that they did not benefit from the transport from home to the Psychopathic Hospital and from there to the State Hospital. It should be emphasized that this question involves social problems, as housing shortage and care and supervision by the family. On the other hand, there are quite a number of senile patients who survive in the mental hospital for several years. It is questionable whether for all of them the mental hospital is the right environment. The American Psychiatric Association, by setting different standards for "acute" and senile patients, has implicitly touched upon this question. increased life expectancy probably will allow more and more people to live up to the age of senile dementia, and society will have to face this problem sooner or later.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Web of Science® Times Cited: 11

Related Content
Books
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
Manual of Clinical Psychopharmacology, 7th Edition > Chapter 10.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 62.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 27.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 33.  >
Topic Collections
Psychiatric News
PubMed Articles