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The trend in mental health-related mortality rates in Australia 1916-2004: implications for policy

机译:1916-2004年澳大利亚心理健康相关死亡率的趋势:对政策的影响

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摘要

BackgroundThis study determines the trend in mental health-related mortality (defined here as the aggregation of suicide and deaths coded as "mental/behavioural disorders"), and its relative numerical importance, and to argue that this has importance to policy-makers. Its results will have policy relevance because policy-makers have been predominantly concerned with cost-containment, but a re-appraisal of this issue is occurring, and the trade-off between health expenditures and valuable gains in longevity is being emphasised now. This study examines longevity gains from mental health-related interventions, or their absence, at the population level. The study sums mortality data for suicide and mental/behavioural disorders across the relevant ICD codes through time in Australia for the period 1916-2004. There are two measures applied to the mortality rates: the conventional age-standardised headcount; and the age-standardised Potential Years of Life Lost (PYLL), a measure of premature mortality. Mortality rates formed from these data are analysed via comparisons with mortality rates for All Causes, and with circulatory diseases, cancer and motor vehicle accidents, measured by both methods.
机译:背景本研究确定了与精神卫生有关的死亡率(这里定义为自杀和死亡的总和,被称为“精神/行为障碍”的总和)的趋势及其相对的数值重要性,并认为这对决策者很重要。其结果将具有政策意义,因为决策者一直主要关注成本控制,但是正在对该问题进行重新评估,并且现在强调了健康支出与长寿的宝贵收益之间的权衡。这项研究考察了与精神卫生相关的干预措施是否能使人们长寿,或在人口水平上没有这种干预措施。这项研究总结了1916-2004年间整个澳大利亚有关ICD代码中自杀和精神/行为障碍的死亡率数据。有两种衡量死亡率的方法:常规的年龄标准化的员工人数;以及年龄标准化的潜在生命丧失年(PYLL),这是衡量过早死亡的标准。通过与这两种方法测得的所有原因的死亡率以及循环系统疾病,癌症和机动车事故的比较,分析了由这些数据形成的死亡率。

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