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Death certification in a psychiatric hospital

Published online by Cambridge University Press:  02 January 2018

Emad Salib
Emad Salib*
Affiliation:
Winwick Hospital, Warrington
*
16 Carriage Drive, Frodsham, Cheshire WA6 6DX
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Abstract

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Aims and method

A retrospective review of death certificates issued at a large psychiatric hospital in North Cheshire during the 1980s and 1990s.

Results

Dementia, which was the recorded clinical diagnosis in 78% of all deceased, was reported in 31% of death certificates, while other psychiatric disorders (22% of all deceased) appeared in only 2% of certificates. Autopsy appears to have very little or no value in improving the quality of death certificates in psychiatry.

Clinical implications

The onus is on the clinicians to produce adequate death certificates. Recording chronic conditions present at death, such as dementia and other psychiatric disorders, in addition to those directly causing or contributing to death would improve the epidemiological value of death certificates.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 10 , October 1998 , pp. 624 - 629
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

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