Predictors of 5-year mortality following inpatient/residential group treatment for substance use disorders.
This study examined the prevalence and predictors of 5-year mortality following treatment for substance use disorders. The predictors were assessed at baseline, at discharge, and at a 1-year follow-up for 3698 male veterans, and included demographic, substance use, medical, and psychological functioning, social support, and continuing care. The annual mortality rate was 2.38%, with an observed/expected ratio of 3.05. After accounting for significant demographic, substance use, psychological, and medical conditions, not having a spouse or partner at intake independently predicted 5-year mortality. After accounting for intake variables, more depression at discharge and more medical conditions, a diagnosis of HIV or AIDS, more ounces of ethanol on a maximum drinking day, and lack of a spouse or partner at the 1-year follow-up independently predicted 5-year mortality. Unexpectedly, good quality relationships were related to a higher mortality risk. Results can be used to increase at-risk patients' motivation for recovery.
Johnson
Jennifer E
JE
Center for Health Care Evaluation, Department of Veterans Affairs, 795 Willow Road, Menlo Park, California 94025, United States. Jennifer_Johnson@brown.edu
Finney
John W
JW
Moos
Rudolf H
RH
D000223:Adaptation, Psychological; D000328:Adult; D000437:Alcoholism / Q000401:mortality / Q000523:psychology / Q000534:rehabilitation; D017831:Diagnosis, Dual (Psychiatry); D005500:Follow-Up Studies; D015658:HIV Infections / Q000523:psychology; D006760:Hospitalization; D006801:Humans; D007398:Interpersonal Relations; D008134:Long-Term Care; D008297:Male; D001523:Mental Disorders / Q000401:mortality / Q000523:psychology; D008875:Middle Aged; D012307:Risk Factors; D012657:Self-Help Groups / Q000706:statistics & numerical data; D012944:Social Support; D019966:Substance-Related Disorders / Q000401:mortality* / Q000523:psychology / Q000534:rehabilitation; D014481:United States / Q000453:epidemiology; D014728:Veterans / Q000523:psychology