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In Ethiopia, people with schizophrenia are at higher risk of 5-year mortality than the general population

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Question

Question

Are people with schizophrenia in low- and middle-income countries at increased risk of mortality?

Population

321 community dwelling adults (aged between 15 and 49 years) resident in the rural Butajira district of Ethiopia meeting the International Classification of Diseases-10 diagnostic criteria for schizophrenia. To identify participants, an initial screen targeted the estimated 83 282 adults in the district. 68 378 individuals completed the screening survey to identify those potentially having severe mental disorders. 2878 of these screened positive and underwent diagnostic interview. 321 individuals were diagnosed with schizophrenia.

Setting

Butajira district, Ethiopia; time period not stated.

Prognostic factors

Schizophrenia diagnosis. Diagnoses were made in two stages: first a door-to-door screening survey using the affective and psychoses modules of the WHO's Composite International Diagnostic Interview – version 2.1; second, a confirmatory diagnostic interview of all screen positive participants, using the WHO Schedule for Clinical Assessment in Neuropsychiatry – version 2.1. Survival analysis included sociodemographic factors (rural or urban residence, antipsychotic use, and marital and educational status), and clinical factors (age of onset, duration …

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