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Comment & Response |

Analysis of Mortality in Mental Disorders

Melissa Raven, PhD1
[+] Author Affiliations
1Critical and Ethical Mental Health Research Group, University of Adelaide, Adelaide, South Australia, Australia
JAMA Psychiatry. 2015;72(11):1150. doi:10.1001/jamapsychiatry.2015.1362.
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To the Editor The analysis by Walker et al1 of mortality in mental disorders inappropriately generalizes mortality estimates derived from clinical (primarily tertiary) samples, including high proportions of patients with psychotic disorders, to cases identified in population surveys. This markedly exaggerates the population mortality due to mental disorders.

Walker et al1 claimed that 8 million deaths worldwide are attributable to mental disorders annually. This is based on a relative risk (RR) for mortality of 2.22, derived from their meta-analysis, applied to a lifetime prevalence of 26.1% (the median prevalence in 17 World Mental Health [WMH] surveys),2 resulting in a population-attributable risk estimate of 14.34%.

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April 1, 2015
Elizabeth Reisinger Walker, PhD, MPH, MAT; Robin E. McGee, MPH; Benjamin G. Druss, MD, MPH
1Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia
2Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia
JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.
November 1, 2015
Elizabeth Reisinger Walker, PhD, MPH, MAT; Robin E. McGee, MPH; Benjamin G. Druss, MD, MPH
1Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia
2Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia
JAMA Psychiatry. 2015;72(11):1150-1151. doi:10.1001/jamapsychiatry.2015.1568.
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