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Although patients with schizophrenia have a mortality two to three
times higher than the general population, little is known about the
time trends in mortality. On page 483 Osby et al describe a
retrospective cohort study in patients with schizophrenia in Stockholm
county in 1976-95. They found that standardised mortality ratios for
all causes of deaths increased 1.7-fold in men with schizophrenia and
1.3-fold in women. The authors believe that changes in psychiatric
care policy in Sweden, from inpatient to outpatient care, may be responsible.