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Sudden deaths in the mentally handicapped

Published online by Cambridge University Press:  09 July 2009

G. Carter*
Affiliation:
From the Stoke Park Group of Hospitals, Bristol and the Department of Mental Health, University of Bristol
J. Jancar
Affiliation:
From the Stoke Park Group of Hospitals, Bristol and the Department of Mental Health, University of Bristol
*
1Address for correspondence: Dr G. Carter, Stoke Park Hospital, Stapleton, Bristol BS16 1QU.

Synopsis

Trends in the incidence and causes of sudden deaths in a hospital group for the mentally handicapped were identified during a 50-year period, and the two halves of the period were compared. There were significantly more deaths in the second 25-year period than in the first. Longevity was greater during the second period, and a decrease in deaths due to status epilepticus was outweighed by an increase in deaths from arterial degenerative disease in the larger number of older patients. In the second period there was also a significant rise in sudden deaths due to asphyxia, probably attributable to modern medication with side-effects giving rise to feeding difficulties.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1984

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References

REFERENCES

Bradshaw, J. R., Thomson, J. L. G. & Campbell, M. J. (1983). Computed tomography in the investigation of dementia. British Medical Journal 286, 277280.CrossRefGoogle ScholarPubMed
Carter, G. & Jancar, J. (1983). Mortality in the mentally handicapped: a fifty-year survey at the Stoke Park Group of Hospitals. Journal of Mental Deficiency Research 27, 143156.Google Scholar
Craig, T. J. (1980). Medication use and deaths attributed to asphyxia among psychiatric patients. American Journal of Psychiatry 137, 13661373.Google ScholarPubMed
Farber, I. J. (1957). Drug fatalities. American Journal of Psychiatry 114, 371372.CrossRefGoogle Scholar
Feldman, P. E. (1957). An unusual death associated with tranquillizer therapy. American Journal of Psychiatry 113, 10321033.CrossRefGoogle ScholarPubMed
Heimlich, H. J. (1975). A life-saving manoeuvre to prevent food choking. Journal of the American Medical Association 234, 398401.CrossRefGoogle ScholarPubMed
Hussar, A. E. (1962). Effect of tranquillizers on medical morbidity and mortality in a mental hospital. Journal of the American Medical Association 179, 682686.CrossRefGoogle Scholar
James, D. H. (1983). Monitoring drugs in hospitals for the mentally handicapped. British Journal of Psychiatry 142, 163165.CrossRefGoogle ScholarPubMed
Jancar, J. (1983). Familial mental handicap. Bristol Medico-Chirurgical Journal 98, 2327.Google ScholarPubMed
Jancar, J., Eastham, R. D. & Carter, G. (1984). Hypocholesterolaemia in cancer and other causes of death in the mentally handicapped. British Journal of Psychiatry (in the press).CrossRefGoogle Scholar
Moore, M. T. & Book, M. H. (1970). Sudden death in phenothiazine therapy. Psychiatric Questions 44, 389402.Google ScholarPubMed
Plachta, A. (1965). Asphyxia relatively inherent to tranquillization. Archives of General Psychiatry 12, 152158.CrossRefGoogle Scholar
Reinert, R. E. & Hermann, C. G. (1960). Unexplained deaths during chlorpromazine therapy. Journal of Nervous and Mental Disease 131, 435442.CrossRefGoogle ScholarPubMed
Wardell, D. W. (1957). Untoward reactions to tranquillizing drugs. American Journal of Psychiatry 113, 745.CrossRefGoogle Scholar