The Cumulative Effect of Antipsychotic Usage on Mortality in Schizophrenia: A Nationwide Population-based Cohort Study in Korea

Clin Psychopharmacol Neurosci. 2022 Aug 31;20(3):573-577. doi: 10.9758/cpn.2022.20.3.573.

Abstract

Objective: To investigate the cumulative effect of antipsychotics at different dosages on mortality in patients with schizophrenia.

Methods: We analyzed data from the Korean National Health Insurance System-National Sample Cohort covering the 2002-2013 period. We used Cox regression analysis to calculate hazard ratios for mortality risks according to cumulative antipsychotic exposure levels (low, moderate, and high).

Results: Our analyses revealed no significant association between antipsychotic exposure and mortality (either all-cause or cause-specific) in patients with schizophrenia.

Conclusion: Our results imply that the excess mortality of patients with schizophrenia is attributable to factors other than antipsychotic usage.

Keywords: Antipsychotics; Mortality; Schizophrenia; South Korea.