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Research article:

Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient care v. those treated in the community

Reference:

Rebecca Musgrove, Matthew J Carr, Nav Kapur, Carolyn A Chew-Graham, Faraz Mughal, Darren M Ashcroft, Roger T Webb(2022) Suicide and death by other causes among patients with a severe mental illness: cohort study comparing risks among patients discharged from inpatient care v. those treated in the community. Epidemiology and psychiatric sciences, doi: https://doi.org/10.1017/S2045796022000075

Link to article
Abstract
Abstract Aims People diagnosed with a severe mental illness (SMI) are at elevated risk of dying prematurely compared to the general population. We aimed to understand the additional risk among people with SMI after discharge from inpatient psychiatric care, when many patients experience an acute phase of their illness. Methods In the Clinical Practice Research Datalink (CPRD) GOLD and Aurum datasets, adults aged 18 years and older who were discharged from psychiatric inpatient care in England between 2001 and 2018 with primary diagnoses of SMI (schizophrenia, bipolar disorder, other psychoses) were matched by age and gender with up to five individuals with SMI and without recent hospital stays. Using survival analysis approaches, cumulative incidence and adjusted hazard ratios were estimated for all-cause mortality, external and natural causes of death, and suicide. All analyses were stratified by younger, middle and older ages and also by gender. Results In the year after their discharge, the risk of dying by all causes examined was higher than among individuals with SMI who had not received inpatient psychiatric care recently. Suicide risk was 11.6 times (95% CI 6.4–20.9) higher in the first 3 months and remained greater at 2–5 years after discharge (HR 2.3, 1.7–3.2). This risk elevation remained after adjustment for self-harm in the 6 months prior to the discharge date. The relative risk of dying by natural causes was raised in the first 3 months (HR 1.6, 1.3–1.9), with no evidence of elevation during the second year following discharge. Conclusions There is an additional risk of death by suicide and natural causes for people with SMI who have been recently discharged from inpatient care over and above the general risk among people with the same diagnosis who have not recently been treated as an inpatient. This mortality gap shows the importance of continued focus, following discharge, on individuals who require inpatient care.
Author for correspondence
Rebecca Musgrove
Email for correspondence
rebecca.musgrove@postgrad.manchester.ac.uk

Code list: res196: SMI_SNOMED

235 codes in list

Code Coding system Description Entity type List name medcode snomedctconceptid
10864710 SNOMED Recurrent reactive depressive episodes, severe, with psychosis diagnostic res196: SMI_SNOMED 8.46496E+15 1.08647E+15
11148200 SNOMED Subchronic schizophrenia with acute exacerbations diagnostic res196: SMI_SNOMED 4.19615E+15 111482003
11148300 SNOMED Schizophrenia, catatonic, in remission diagnostic res196: SMI_SNOMED 4.19617E+15 111483008
11148400 SNOMED Atypical schizophrenia diagnostic res196: SMI_SNOMED 1219653018 111484002
12939007 SNOMED Chronic hebephrenic schizophrenia diagnostic res196: SMI_SNOMED 294737010 12939007
13313007 SNOMED Unspecified bipolar affective disorder, mild diagnostic res196: SMI_SNOMED 294882016 13313007
13746004 SNOMED Unspecified manic-depressive psychoses diagnostic res196: SMI_SNOMED 294892012 13746004
14291003 SNOMED Subchronic disorganized schizophrenia with acute exacerbations diagnostic res196: SMI_SNOMED 2.72627E+15 14291003
16146400 SNOMED [V]Personal history of schizophrenia diagnostic res196: SMI_SNOMED 460273017 161464003
16146800 SNOMED History of schizophrenia diagnostic res196: SMI_SNOMED 4.53993E+15 161468000
162004 SNOMED Severe bipolar I disorder, most recent episode manic, without psychotic features diagnostic res196: SMI_SNOMED 2.50101E+15 162004
16506000 SNOMED Other mixed manic-depressive psychoses diagnostic res196: SMI_SNOMED 294895014 16506000
16990005 SNOMED Subchronic schizophrenia diagnostic res196: SMI_SNOMED 28758018 16990005
19152500 SNOMED Other specified non-organic psychoses diagnostic res196: SMI_SNOMED 294949018 191525009
19152600 SNOMED Schizophrenic psychoses NOS diagnostic res196: SMI_SNOMED 8.82281E+14 191526005
19152700 SNOMED Simple schizophrenia NOS diagnostic res196: SMI_SNOMED 294734015 191527001
19153100 SNOMED Acute exacerbation of chronic schizophrenia diagnostic res196: SMI_SNOMED 294731011 191531007
19153900 SNOMED Acute exacerbation of chronic hebephrenic schizophrenia diagnostic res196: SMI_SNOMED 294739013 191539009
19154200 SNOMED Unspecified catatonic schizophrenia diagnostic res196: SMI_SNOMED 294744018 191542003
19154700 SNOMED Subchronic catatonic schizophrenia with acute exacerbation diagnostic res196: SMI_SNOMED 4.76373E+15 191547009
19154800 SNOMED Chronic catatonic schizophrenia with acute exacerbation diagnostic res196: SMI_SNOMED 4.76375E+15 191548004
19155400 SNOMED Subchronic paranoid schizophrenia with acute exacerbation diagnostic res196: SMI_SNOMED 4.76377E+15 191554003
19155500 SNOMED Chronic paranoid schizophrenia with acute exacerbation diagnostic res196: SMI_SNOMED 4.76379E+15 191555002
19155900 SNOMED Unspecified latent schizophrenia diagnostic res196: SMI_SNOMED 294765012 191559008
19156100 SNOMED Subchronic latent schizophrenia diagnostic res196: SMI_SNOMED 294766013 191561004
19156200 SNOMED Chronic latent schizophrenia diagnostic res196: SMI_SNOMED 294767016 191562006
19156300 SNOMED Acute exacerbation of subchronic latent schizophrenia diagnostic res196: SMI_SNOMED 294768014 191563001
19156400 SNOMED Acute exacerbation of chronic latent schizophrenia diagnostic res196: SMI_SNOMED 294769018 191564007
19156500 SNOMED Latent schizophrenia, in remission diagnostic res196: SMI_SNOMED 4.76386E+15 191565008
19156700 SNOMED Unspecified schizo-affective schizophrenia diagnostic res196: SMI_SNOMED 7.8531E+13 191567000
19156900 SNOMED Subchronic schizo-affective schizophrenia diagnostic res196: SMI_SNOMED 1.23611E+14 191569002
19157000 SNOMED Chronic schizo-affective schizophrenia diagnostic res196: SMI_SNOMED 5.56631E+14 191570001
19157100 SNOMED Acute exacerbation subchronic schizo-affective schizophrenia diagnostic res196: SMI_SNOMED 4.56801E+14 191571002
19157200 SNOMED Acute exacerbation of chronic schizo-affective schizophrenia diagnostic res196: SMI_SNOMED 4.56731E+14 191572009
19157400 SNOMED Schizophrenia, schizoaffective, in remission diagnostic res196: SMI_SNOMED 4.76395E+15 191574005
19157700 SNOMED Coenesthopathic schizophrenia diagnostic res196: SMI_SNOMED 294787015 191577003
19158300 SNOMED Single manic episode, mild diagnostic res196: SMI_SNOMED 294803011 191583000
19158400 SNOMED Single manic episode, moderate diagnostic res196: SMI_SNOMED 294804017 191584006
19158600 SNOMED Single manic episode, severe, with psychosis diagnostic res196: SMI_SNOMED 294806015 191586008
19158800 SNOMED Single manic episode in full remission diagnostic res196: SMI_SNOMED 294808019 191588009
19159000 SNOMED Recurrent manic episodes, unspecified diagnostic res196: SMI_SNOMED 294811018 191590005
19159200 SNOMED Recurrent manic episodes, mild diagnostic res196: SMI_SNOMED 294812013 191592002
19159300 SNOMED Recurrent manic episodes, moderate diagnostic res196: SMI_SNOMED 294813015 191593007
19159500 SNOMED Recurrent manic episodes, severe, with psychosis diagnostic res196: SMI_SNOMED 294815010 191595000
19159700 SNOMED Recurrent manic episodes, in full remission diagnostic res196: SMI_SNOMED 294817019 191597008
19160400 SNOMED Single major depressive episode, severe, with psychosis diagnostic res196: SMI_SNOMED 294828015 191604000
19161300 SNOMED Recurrent major depressive episodes, severe, with psychosis diagnostic res196: SMI_SNOMED 294840015 191613003
19161800 SNOMED Manic-depressive - now manic diagnostic res196: SMI_SNOMED 294847017 191618007
19162000 SNOMED Bipolar affective disorder, currently manic, mild diagnostic res196: SMI_SNOMED 294849019 191620005
19162100 SNOMED Bipolar affective disorder, currently manic, moderate diagnostic res196: SMI_SNOMED 294850019 191621009
19162300 SNOMED Bipolar affect disord, currently manic,severe with psychosis diagnostic res196: SMI_SNOMED 5.13701E+14 191623007
19162500 SNOMED Bipolar affective disorder, currently manic, full remission diagnostic res196: SMI_SNOMED 5.13811E+14 191625000
19162700 SNOMED Manic-depressive - now depressed diagnostic res196: SMI_SNOMED 294860011 191627008
19162900 SNOMED Bipolar affective disorder, currently depressed, mild diagnostic res196: SMI_SNOMED 294862015 191629006
19163000 SNOMED Bipolar affective disorder, currently depressed, moderate diagnostic res196: SMI_SNOMED 294863013 191630001
19163400 SNOMED Bipolar affective disorder, now depressed, in full remission diagnostic res196: SMI_SNOMED 5.13861E+14 191634005
19163600 SNOMED Mixed bipolar affective disorder, unspecified diagnostic res196: SMI_SNOMED 294870013 191636007
19163800 SNOMED Mixed bipolar affective disorder, mild diagnostic res196: SMI_SNOMED 294871012 191638008
19163900 SNOMED Mixed bipolar affective disorder, moderate diagnostic res196: SMI_SNOMED 294872017 191639000
19164100 SNOMED Mixed bipolar affective disorder, severe, with psychosis diagnostic res196: SMI_SNOMED 294874016 191641004
19164300 SNOMED Mixed bipolar affective disorder, in full remission diagnostic res196: SMI_SNOMED 294876019 191643001
19165800 SNOMED Atypical manic disorder diagnostic res196: SMI_SNOMED 294893019 191658009
19166700 SNOMED Paranoid psychosis NOS diagnostic res196: SMI_SNOMED 294913019 191667009
19167000 SNOMED Shared paranoid disorder diagnostic res196: SMI_SNOMED 294909014 191670008
19167200 SNOMED Paranoia querulans diagnostic res196: SMI_SNOMED 294911017 191672000
19167600 SNOMED Reactive depressive psychosis diagnostic res196: SMI_SNOMED 294917018 191676002
19168000 SNOMED Psychogenic paranoid psychosis diagnostic res196: SMI_SNOMED 294924017 191680007
19168700 SNOMED Psychosis with origin in childhood diagnostic res196: SMI_SNOMED 4.76451E+15 191687005
19236200 SNOMED Bipolar affective disorder, current episode mixed diagnostic res196: SMI_SNOMED 4.76731E+15 192362008
19743510 SNOMED Paranoid schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97435E+15 1.97435E+15
19743910 SNOMED Paranoid schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97439E+15 1.97439E+15
19744310 SNOMED Paranoid schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.97443E+15 1.97443E+15
19744510 SNOMED Paranoid schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97445E+15 1.97445E+15
19744810 SNOMED Paranoid schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97448E+15 1.97448E+15
19745110 SNOMED Paranoid schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97451E+15 1.97451E+15
19746010 SNOMED Hebephrenic schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.9746E+15 1.9746E+15
19746110 SNOMED Hebephrenic schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97461E+15 1.97461E+15
19746210 SNOMED Hebephrenic schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.97462E+15 1.97462E+15
19746410 SNOMED Hebephrenic schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97464E+15 1.97464E+15
19746710 SNOMED Hebephrenic schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97467E+15 1.97467E+15
19746910 SNOMED Hebephrenic schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97469E+15 1.97469E+15
19747210 SNOMED Hebephrenic schizophrenia, course uncertain, period of observation too short diagnostic res196: SMI_SNOMED 1.97472E+15 1.97472E+15
19747510 SNOMED Catatonic schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97475E+15 1.97475E+15
19747810 SNOMED Catatonic schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97478E+15 1.97478E+15
19748010 SNOMED Catatonic schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.9748E+15 1.9748E+15
19748310 SNOMED Catatonic schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97483E+15 1.97483E+15
19748610 SNOMED Catatonic schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97486E+15 1.97486E+15
19748910 SNOMED Catatonic schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97489E+15 1.97489E+15
19749510 SNOMED Undifferentiated schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97495E+15 1.97495E+15
19749710 SNOMED Undifferentiated schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97497E+15 1.97497E+15
19750010 SNOMED Undifferentiated schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.975E+15 1.975E+15
19750210 SNOMED Undifferentiated schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97502E+15 1.97502E+15
19750510 SNOMED Undifferentiated schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97505E+15 1.97505E+15
19750810 SNOMED Undifferentiated schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97508E+15 1.97508E+15
19751910 SNOMED Post-schizophrenic depression, continuous diagnostic res196: SMI_SNOMED 1.97519E+15 1.97519E+15
19752110 SNOMED Post-schizophrenic depression, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97521E+15 1.97521E+15
19752310 SNOMED Post-schizophrenic depression, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.97523E+15 1.97523E+15
19752610 SNOMED Post-schizophrenic depression, episodic remittent diagnostic res196: SMI_SNOMED 1.97526E+15 1.97526E+15
19752810 SNOMED Post-schizophrenic depression, incomplete remission diagnostic res196: SMI_SNOMED 1.97528E+15 1.97528E+15
19753010 SNOMED Post-schizophrenic depression, complete remission diagnostic res196: SMI_SNOMED 1.9753E+15 1.9753E+15
19753210 SNOMED Post-schizophrenic depression, course uncertain, period of observation too short diagnostic res196: SMI_SNOMED 1.97532E+15 1.97532E+15
19753510 SNOMED Residual schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97535E+15 1.97535E+15
19753810 SNOMED Residual schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97538E+15 1.97538E+15
19754010 SNOMED Residual schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.9754E+15 1.9754E+15
19754310 SNOMED Residual schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97543E+15 1.97543E+15
19754410 SNOMED Residual schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97544E+15 1.97544E+15
19754710 SNOMED Residual schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97547E+15 1.97547E+15
19754910 SNOMED Simple schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97549E+15 1.97549E+15
19755010 SNOMED Simple schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.9755E+15 1.9755E+15
19755210 SNOMED Simple schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.97552E+15 1.97552E+15
19755510 SNOMED Simple schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97555E+15 1.97555E+15
19755710 SNOMED Simple schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97557E+15 1.97557E+15
19756010 SNOMED Simple schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.9756E+15 1.9756E+15
19756210 SNOMED Acute polymorphic psychot disord without symp of schizoph, without associated acute stress diagnostic res196: SMI_SNOMED 1.97562E+15 1.97562E+15
19756410 SNOMED Simple schizophrenia, course uncertain, period of observation too short diagnostic res196: SMI_SNOMED 1.97564E+15 1.97564E+15
19756710 SNOMED Acute polymorphic psychot disord without symp of schizoph, with associated acute stress diagnostic res196: SMI_SNOMED 1.97567E+15 1.97567E+15
19756810 SNOMED Acute polymorphic psychot disord with symp of schizophren, without associated acute stress diagnostic res196: SMI_SNOMED 1.97568E+15 1.97568E+15
19756910 SNOMED Acute polymorphic psychot disord with symp of schizophren, with associated acute stress diagnostic res196: SMI_SNOMED 1.97569E+15 1.97569E+15
19757110 SNOMED Acute schizophrenia-like psychotic disorder, without associated acute stress diagnostic res196: SMI_SNOMED 1.97571E+15 1.97571E+15
19757310 SNOMED Acute schizophrenia-like psychotic disorder, with associated acute stress diagnostic res196: SMI_SNOMED 1.97573E+15 1.97573E+15
19757510 SNOMED Other schizophrenia, continuous diagnostic res196: SMI_SNOMED 1.97575E+15 1.97575E+15
19757610 SNOMED Other acute predominantly delusional psychotic disorders, without associated acute stress diagnostic res196: SMI_SNOMED 1.97576E+15 1.97576E+15
19757710 SNOMED Other schizophrenia, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97577E+15 1.97577E+15
19757810 SNOMED Other acute predominantly delusional psychotic disorders, with associated acute stress diagnostic res196: SMI_SNOMED 1.97578E+15 1.97578E+15
19758010 SNOMED Other schizophrenia, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.9758E+15 1.9758E+15
19758210 SNOMED Other acute and transient psychotic disorders, without associated acute stress diagnostic res196: SMI_SNOMED 1.97582E+15 1.97582E+15
19758310 SNOMED Other schizophrenia, episodic remittent diagnostic res196: SMI_SNOMED 1.97583E+15 1.97583E+15
19758410 SNOMED Other schizophrenia, incomplete remission diagnostic res196: SMI_SNOMED 1.97584E+15 1.97584E+15
19758510 SNOMED Other acute and transient psychotic disorders, with associated acute stress diagnostic res196: SMI_SNOMED 1.97585E+15 1.97585E+15
19758710 SNOMED Acute and transient psychotic disorder, unspecified, without associated acute stress diagnostic res196: SMI_SNOMED 1.97587E+15 1.97587E+15
19758810 SNOMED Other schizophrenia, complete remission diagnostic res196: SMI_SNOMED 1.97588E+15 1.97588E+15
19759010 SNOMED Acute and transient psychotic disorder, unspecified, with associated acute stress diagnostic res196: SMI_SNOMED 1.9759E+15 1.9759E+15
19759110 SNOMED Other schizophrenia, course uncertain, period of observation too short diagnostic res196: SMI_SNOMED 1.97591E+15 1.97591E+15
19759310 SNOMED Bipolar affect disorder cur epi mild or moderate depressn, without somatic syndrome diagnostic res196: SMI_SNOMED 1.97593E+15 1.97593E+15
19759410 SNOMED Bipolar affect disorder cur epi mild or moderate depressn, with somatic syndrome diagnostic res196: SMI_SNOMED 1.97594E+15 1.97594E+15
19760010 SNOMED Schizophrenia, unspecified, continuous diagnostic res196: SMI_SNOMED 1.976E+15 1.976E+15
19760610 SNOMED Schizophrenia, unspecified, episodic with progressive deficit diagnostic res196: SMI_SNOMED 1.97606E+15 1.97606E+15
19761010 SNOMED Schizophrenia, unspecified, episodic with stable deficit diagnostic res196: SMI_SNOMED 1.9761E+15 1.9761E+15
19761210 SNOMED Schizophrenia, unspecified, episodic remittent diagnostic res196: SMI_SNOMED 1.97612E+15 1.97612E+15
19761410 SNOMED Schizophrenia, unspecified, incomplete remission diagnostic res196: SMI_SNOMED 1.97614E+15 1.97614E+15
19761510 SNOMED Schizophrenia, unspecified, complete remission diagnostic res196: SMI_SNOMED 1.97615E+15 1.97615E+15
19768810 SNOMED Paranoid schizophrenia, other diagnostic res196: SMI_SNOMED 1.97688E+15 1.97688E+15
19768910 SNOMED Hebephrenic schizophrenia, other diagnostic res196: SMI_SNOMED 1.97689E+15 1.97689E+15
19769010 SNOMED Catatonic schizophrenia, other diagnostic res196: SMI_SNOMED 1.9769E+15 1.9769E+15
19769110 SNOMED Undifferentiated schizophrenia, other diagnostic res196: SMI_SNOMED 1.97691E+15 1.97691E+15
19769210 SNOMED Post-schizophrenic depression, other diagnostic res196: SMI_SNOMED 1.97692E+15 1.97692E+15
19769310 SNOMED Residual schizophrenia, other diagnostic res196: SMI_SNOMED 1.97693E+15 1.97693E+15
19769410 SNOMED Simple schizophrenia, other diagnostic res196: SMI_SNOMED 1.97694E+15 1.97694E+15
19769510 SNOMED Other schizophrenia, other diagnostic res196: SMI_SNOMED 1.97695E+15 1.97695E+15
19769610 SNOMED Schizophrenia, unspecified, other diagnostic res196: SMI_SNOMED 1.97696E+15 1.97696E+15
19899100 SNOMED H/O: psychosis diagnostic res196: SMI_SNOMED 3.00411E+14 1.98991E+14
20095100 SNOMED Psychosis, schizophrenia + bipolar affective disord resolved diagnostic res196: SMI_SNOMED 9.96171E+14 2.00951E+14
23143700 SNOMED Reactive psychosis diagnostic res196: SMI_SNOMED 5.02339E+15 231437006
23148500 SNOMED Post-schizophrenic depression diagnostic res196: SMI_SNOMED 5.0239E+15 231485007
23148700 SNOMED [X]Persistent delusional disorders diagnostic res196: SMI_SNOMED 4.19861E+14 231487004
23148900 SNOMED [X]Other acute predominantly delusional psychotic disorders diagnostic res196: SMI_SNOMED 401859016 231489001
23149400 SNOMED Manic psychoses diagnostic res196: SMI_SNOMED 2.23601E+14 231494001
23149600 SNOMED Hypomanic psychoses diagnostic res196: SMI_SNOMED 7.89221E+14 231496004
23560001 SNOMED Schizoid disorder of childhood diagnostic res196: SMI_SNOMED 2.87599E+15 23560001
24780400 SNOMED Schizophrenic prodrome diagnostic res196: SMI_SNOMED 5.24896E+15 247804008
26025008 SNOMED Restzustand - schizophrenia diagnostic res196: SMI_SNOMED 1.69061E+14 26025008
26472000 SNOMED Paraphrenia diagnostic res196: SMI_SNOMED 44335019 26472000
26861700 SNOMED Acute schizophrenic episode diagnostic res196: SMI_SNOMED 401763015 268617001
26861900 SNOMED Single manic episode, unspecified diagnostic res196: SMI_SNOMED 294802018 268619003
26862200 SNOMED Sander's disease diagnostic res196: SMI_SNOMED 1.61371E+14 268622001
26862400 SNOMED Acute paranoid reaction diagnostic res196: SMI_SNOMED 401770015 268624000
26895700 SNOMED Psychotic condition, insight present diagnostic res196: SMI_SNOMED 402504012 268957000
27090100 SNOMED Mixed schizophrenic and affective psychosis diagnostic res196: SMI_SNOMED 5.51797E+15 270901009
27142800 SNOMED Schizophreniform psychosis, manic type diagnostic res196: SMI_SNOMED 5.52457E+15 271428004
27387000 SNOMED Subchronic hebephrenic schizophrenia diagnostic res196: SMI_SNOMED 294736018 27387000
27495200 SNOMED [X]Borderline schizophrenia diagnostic res196: SMI_SNOMED 3.67951E+14 274952002
27885300 SNOMED [X]Schizophrenic reaction diagnostic res196: SMI_SNOMED 4.25671E+14 278853003
28042700 SNOMED [X]Symptomatic psychosis NOS diagnostic res196: SMI_SNOMED 4.28451E+14 280427006
28475009 SNOMED Severe recurrent major depression with psychotic features diagnostic res196: SMI_SNOMED 2.95731E+15 28475009
28549100 SNOMED Bipolar affective disorder resolved diagnostic res196: SMI_SNOMED 4.92761E+14 2.85491E+14
28552100 SNOMED Schizophrenia resolved diagnostic res196: SMI_SNOMED 4.92821E+14 2.85521E+14
28555100 SNOMED Psychosis resolved diagnostic res196: SMI_SNOMED 4.92881E+14 2.85551E+14
30741700 SNOMED [X]Cycloid psychosis with symptoms of schizophrenia diagnostic res196: SMI_SNOMED 3.76281E+14 307417003
31027006 SNOMED Schizotypal personality diagnostic res196: SMI_SNOMED 1.55281E+14 31027006
31373002 SNOMED Hebephrenic schizophrenia in remission diagnostic res196: SMI_SNOMED 294740010 31373002
31446002 SNOMED Bipolar I disorder, most recent episode hypomanic diagnostic res196: SMI_SNOMED 3.00667E+15 31446002
31658008 SNOMED Chronic paranoid schizophrenia diagnostic res196: SMI_SNOMED 52897013 31658008
35252006 SNOMED Unspecified hebephrenic schizophrenia diagnostic res196: SMI_SNOMED 294735019 35252006
35489007 SNOMED Depressive psychoses diagnostic res196: SMI_SNOMED 6.13791E+14 35489007
35770500 SNOMED Cotard's syndrome diagnostic res196: SMI_SNOMED 6.20156E+15 357705009
36474008 SNOMED [X]Manic-depress psychosis,depressd,no psychotic symptoms diagnostic res196: SMI_SNOMED 3.96771E+14 36474008
37159600 SNOMED Bipolar 1 disorder diagnostic res196: SMI_SNOMED 6.35757E+15 371596008
38295006 SNOMED Involutional paraphrenia diagnostic res196: SMI_SNOMED 3.11671E+15 38295006
40099800 SNOMED History of manic depressive disorder diagnostic res196: SMI_SNOMED 6.64722E+15 400998002
41760100 SNOMED [X]Schizophrenia, schizotypal and delusional disorders diagnostic res196: SMI_SNOMED 1.24805E+16 4.17601E+14
41836007 SNOMED Unspecified bipolar affective disorder, in full remission diagnostic res196: SMI_SNOMED 294887010 41836007
42868002 SNOMED Subchronic catatonic schizophrenia diagnostic res196: SMI_SNOMED 71539017 42868002
42912400 SNOMED [V]Personal history of manic-depressive psychosis diagnostic res196: SMI_SNOMED 3.45141E+14 429124005
44170400 SNOMED Unspecified affective psychoses NOS diagnostic res196: SMI_SNOMED 294898011 441704009
4441000 SNOMED Unspecified bipolar affective disorder,severe with psychosis diagnostic res196: SMI_SNOMED 8.2171E+13 4441000
44906001 SNOMED Delusional misidentification syndrome diagnostic res196: SMI_SNOMED 3.22438E+15 44906001
46206005 SNOMED Affective psychoses diagnostic res196: SMI_SNOMED 4.73201E+14 46206005
48011100 SNOMED [X]Chronic hallucinatory psychosis diagnostic res196: SMI_SNOMED 3.70981E+14 4.80111E+14
48500005 SNOMED [X]Delusional disorder diagnostic res196: SMI_SNOMED 2.15841E+14 48500005
4926007 SNOMED Schizophrenia, in remission diagnostic res196: SMI_SNOMED 2.57794E+15 4926007
49512000 SNOMED Bipolar I disorder, most recent episode depressed, in partial remission diagnostic res196: SMI_SNOMED 3.30133E+15 49512000
52954000 SNOMED Unspecified schizoid personality disorder diagnostic res196: SMI_SNOMED 295049014 52954000
53049002 SNOMED Unspecified bipolar affective disorder, severe, no psychosis diagnostic res196: SMI_SNOMED 8.2151E+13 53049002
5464005 SNOMED Brief reactive psychosis diagnostic res196: SMI_SNOMED 10122017 5464005
5703000 SNOMED Unspecified bipolar affect disord, partial/unspec remission diagnostic res196: SMI_SNOMED 8.2091E+13 5703000
58214004 SNOMED Unspecified schizophrenia diagnostic res196: SMI_SNOMED 294728010 58214004
61403008 SNOMED Severe bipolar I disorder, most recent episode depressed without psychotic features diagnostic res196: SMI_SNOMED 3.49764E+15 61403008
61831009 SNOMED Shared psychotic disorder diagnostic res196: SMI_SNOMED 3.50474E+15 61831009
63181006 SNOMED Paranoid schizophrenia, in remission diagnostic res196: SMI_SNOMED 3.52741E+15 63181006
63204009 SNOMED Bouffee delirante diagnostic res196: SMI_SNOMED 5.23481E+14 63204009
63249007 SNOMED Bipolar I disorder, most recent episode manic, in partial remission diagnostic res196: SMI_SNOMED 3.52868E+15 63249007
64905009 SNOMED Unspecified paranoid schizophrenia diagnostic res196: SMI_SNOMED 294754019 64905009
68890003 SNOMED [X]Schizoaffective psychosis NOS diagnostic res196: SMI_SNOMED 4.25551E+14 68890003
68995007 SNOMED Chronic catatonic schizophrenia diagnostic res196: SMI_SNOMED 114616017 68995007
69322001 SNOMED Psychotic episode NOS diagnostic res196: SMI_SNOMED 346895011 69322001
71282400 SNOMED [X]Acute polymorphic psychot disord without symp of schizoph diagnostic res196: SMI_SNOMED 3.62391E+14 712824002
71285000 SNOMED Acute polymorphic psychotic disorder with symptoms of schizophrenia diagnostic res196: SMI_SNOMED 7.69626E+15 712850003
73867007 SNOMED Psychotic depression diagnostic res196: SMI_SNOMED 3.70091E+15 73867007
75531100 SNOMED Non-organic psychosis in remission diagnostic res196: SMI_SNOMED 8.23254E+15 7.55311E+14
75532100 SNOMED Single major depressive episode, severe, with psychosis, psychosis in remission diagnostic res196: SMI_SNOMED 8.23257E+15 7.55321E+14
75533100 SNOMED Recurrent major depressive episodes, severe, with psychosis, psychosis in remission diagnostic res196: SMI_SNOMED 8.23259E+15 7.55331E+14
76072100 SNOMED Mixed bipolar affective disorder, partial/unspec remission diagnostic res196: SMI_SNOMED 7.01051E+14 7.60721E+14
76459100 SNOMED Mixed bipolar affective disorder, severe, without psychosis diagnostic res196: SMI_SNOMED 7.01071E+14 7.64591E+14
76462100 SNOMED Recurrent manic episodes, severe without mention psychosis diagnostic res196: SMI_SNOMED 1.82871E+14 7.64621E+14
76464100 SNOMED Single manic episode, severe without mention of psychosis diagnostic res196: SMI_SNOMED 294805016 7.64641E+14
76467100 SNOMED Recurrent manic episodes, partial or unspecified remission diagnostic res196: SMI_SNOMED 1.82861E+14 7.64671E+14
76473100 SNOMED Single manic episode in partial or unspecified remission diagnostic res196: SMI_SNOMED 294807012 7.64731E+14
76517600 SNOMED Bipolar affect disord, now depressed, severe with psychosis diagnostic res196: SMI_SNOMED 5.13721E+14 765176007
79584002 SNOMED Unspecified bipolar affective disorder, moderate diagnostic res196: SMI_SNOMED 294883014 79584002
79866005 SNOMED Subchronic paranoid schizophrenia diagnostic res196: SMI_SNOMED 132503015 79866005
83225003 SNOMED Bipolar 2 disorder diagnostic res196: SMI_SNOMED 3.8544E+15 83225003
83746006 SNOMED Chronic schizophrenic diagnostic res196: SMI_SNOMED 1234861017 83746006
84760002 SNOMED Schizophreniform psychosis, depressive type diagnostic res196: SMI_SNOMED 3.87861E+15 84760002
85248005 SNOMED Bipolar disorder, in remission diagnostic res196: SMI_SNOMED 3.88629E+15 85248005
85320100 SNOMED Obsessional compulsive psychosis diagnostic res196: SMI_SNOMED 8.53201E+14 8.53201E+14

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