Psychotic experiences and risk of death in the general population: 24-27 year follow-up of the Epidemiologic Catchment Area study.
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Psychotic experiences are common in the general population and are associated with adverse psychiatric and social outcomes, even in the absence of a psychotic disorder.To examine the association between psychotic experiences and mortality over a 24-27 year period.We used data on 15 049 adult participants from four sites of the Epidemiologic Catchment Area baseline survey in the USA in the early 1980s, linked to the National Death Index and other sources of vital status up until 2007. Psychotic experiences were assessed by the Diagnostic Interview Schedule.Lifetime psychotic experiences at baseline (n = 855; weighted prevalence, 5.5%) were significantly associated with all-cause mortality at follow-up after adjustment for sociodemographic characteristics and psychiatric diagnoses, including schizophrenia spectrum disorders (P<0.05). Baseline psychotic experiences were associated with over 5 years' shorter median survival time. Among the underlying causes of death, suicide had a particularly high hazard ratio (9.16, 95% CI 3.19-26.29).Future research needs to explore the association of psychotic experiences with physical health and lifestyle factors that may mediate the relationship of psychotic experiences with mortality.
Proportional Hazards Models
Psychiatric Status Rating Scales
Catchment Area (Health)
Aged, 80 and over
Surveys and Questionnaires
Published Version (Please cite this version)10.1192/bjp.bp.113.143198
Publication InfoBurchett, Bruce; Wu, Li-Tzy; Sharifi, Vandad; Eaton, William W; Roth, Kimberly B; & Mojtabai, Ramin (2015). Psychotic experiences and risk of death in the general population: 24-27 year follow-up of the Epidemiologic Catchment Area study. The British journal of psychiatry : the journal of mental science, 207(1). pp. 30-36. 10.1192/bjp.bp.113.143198. Retrieved from https://hdl.handle.net/10161/19949.
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Assistant Professor in Psychiatry and Behavioral Sciences
This author no longer has a Scholars@Duke profile, so the information shown here reflects their Duke status at the time this item was deposited.
Professor in Psychiatry and Behavioral Sciences
Education/Training: Pre- and post-doctoral training in mental health service research, psychiatric epidemiology (NIMH T32), and addiction epidemiology (NIDA T32) from Johns Hopkins University School of Public Health (Maryland); Fellow of the NIH Summer Institute on the Design and Conduct of Randomized Clinical Trials.Director: Duke Community Based Substance Use Disorder Research Program.Node Principal Investigator/Director: Mid-Southern Node of the National Drug Abuse Trea
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