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Schizophrenia Spectrum

K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Applyby, R T Webb

ID
PH706
Version ID
1412
Type
Disease or Syndrome
Data Sources
Valid event data range
01/01/2002 - 31/12/2011
Sex
♀  Female ♂  Male
Agreement Date
2016-09-21
Coding system
Read codes v2
Collections
ClinicalCodes Repository Phenotype Library
Tags
No tags

Definition

Background:

Little is known about the precursors of suicide risk among primary-care patients. This study aimed to examine suicide risk in relation to patterns of clinical consultation, psychotropic drug prescribing, and psychiatric diagnoses.

Method:

Nested case-control study in the Clinical Practice Research Datalink (CPRD), England. Patients aged516 years who died by suicide during 2002–2011 (N = 2384) were matched on gender, age and practice with up to 20 living control patients (N = 46 899).

Results:

Risk was raised among non-consulting patients, and increased sharply with rising number of consultations in the preceding year [512 consultations v. 1: unadjusted odds ratio (OR) 6.0, 95% confidence interval (CI) 4.9–7.3]. Markedly elevated risk was also associated with the prescribing of multiple psychotropic medication types (55 types v. 0: OR 62.6, CI 44.3–88.4) and with having several psychiatric diagnoses (54 diagnoses v. 0: OR 31.1, CI 19.3–50.1). Risk was also raised among patients living in more socially deprived localities. The confounding effect of multiple psychotropic drug types largely accounted for the rising risk gradient observed with increasing consultation frequency.

Conclusions:

A greater proportion of patients with several psychiatric diagnoses, those prescribed multiple psychotropic medication types, and those who consult at very high frequency might be considered for referral to mental health services by their general practitioners. Non-consulters are also at increased risk, which suggests that conventional models of primary care may not be effective in meeting the needs of all people in the community experiencing major psychosocial difficulties.

Publications

  • K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Appleby, R T Webb, Suicide risk linked with clinical consultation frequency, psychiatric diagnoses and psychotropic medication prescribing in a national study of primary-care patients. Psychological Medicine, 46, 3407-3417, 2016.

Clinical Code List

Rows: 194
Code Description Entity type Category Coding System (Read)
1464.00 H/O: schizophrenia res38: Schizophrenia spectrum diagnostic Read
146H.00 H/O: psychosis res38: Schizophrenia spectrum diagnostic Read
1BH..00 Delusions res38: Schizophrenia spectrum diagnostic Read
1BH..11 Delusion res38: Schizophrenia spectrum diagnostic Read
1BH0.00 Delusion of persecution res38: Schizophrenia spectrum diagnostic Read
1BH1.00 Grandiose delusions res38: Schizophrenia spectrum diagnostic Read
1BH2.00 Ideas of reference res38: Schizophrenia spectrum diagnostic Read
1BH3.00 Paranoid ideation res38: Schizophrenia spectrum diagnostic Read
225E.00 O/E - paranoid delusions res38: Schizophrenia spectrum diagnostic Read
225F.00 O/E - delusion of persecution res38: Schizophrenia spectrum diagnostic Read
285..11 Psychotic condition, insight present res38: Schizophrenia spectrum diagnostic Read
286..11 Poor insight into psychotic condition res38: Schizophrenia spectrum diagnostic Read
665E.00 Injectable neuroleptic given res38: Schizophrenia spectrum diagnostic Read
665F.00 On injectable neuroleptic res38: Schizophrenia spectrum diagnostic Read
E1...00 Non-organic psychoses res38: Schizophrenia spectrum diagnostic Read
E10..00 Schizophrenic disorders res38: Schizophrenia spectrum diagnostic Read
E100.00 Simple schizophrenia res38: Schizophrenia spectrum diagnostic Read
E100.11 Schizophrenia simplex res38: Schizophrenia spectrum diagnostic Read
E100000 Unspecified schizophrenia res38: Schizophrenia spectrum diagnostic Read
E100100 Subchronic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E100200 Chronic schizophrenic res38: Schizophrenia spectrum diagnostic Read
E100300 Acute exacerbation of subchronic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E100400 Acute exacerbation of chronic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E100500 Schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E100z00 Simple schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E101.00 Hebephrenic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E101000 Unspecified hebephrenic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E101400 Acute exacerbation of chronic hebephrenic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E101500 Hebephrenic schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E101z00 Hebephrenic schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E102.00 Catatonic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E102000 Unspecified catatonic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E102100 Subchronic catatonic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E102500 Catatonic schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E102z00 Catatonic schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E103.00 Paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
E103000 Unspecified paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
E103200 Chronic paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
E103300 Acute exacerbation of subchronic paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
E103400 Acute exacerbation of chronic paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
E103500 Paranoid schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E103z00 Paranoid schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E104.00 Acute schizophrenic episode res38: Schizophrenia spectrum diagnostic Read
E105.00 Latent schizophrenia res38: Schizophrenia spectrum diagnostic Read
E105000 Unspecified latent schizophrenia res38: Schizophrenia spectrum diagnostic Read
E105200 Chronic latent schizophrenia res38: Schizophrenia spectrum diagnostic Read
E105500 Latent schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E105z00 Latent schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E106.00 Residual schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107.00 Schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107.11 Cyclic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107000 Unspecified schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107100 Subchronic schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107200 Chronic schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107300 Acute exacerbation subchronic schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107400 Acute exacerbation of chronic schizo-affective schizophrenia res38: Schizophrenia spectrum diagnostic Read
E107500 Schizo-affective schizophrenia in remission res38: Schizophrenia spectrum diagnostic Read
E107z00 Schizo-affective schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E10y.00 Other schizophrenia res38: Schizophrenia spectrum diagnostic Read
E10y.11 Cenesthopathic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E10y000 Atypical schizophrenia res38: Schizophrenia spectrum diagnostic Read
E10y100 Coenesthopathic schizophrenia res38: Schizophrenia spectrum diagnostic Read
E10yz00 Other schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E10z.00 Schizophrenia NOS res38: Schizophrenia spectrum diagnostic Read
E11z.00 Other and unspecified affective psychoses res38: Schizophrenia spectrum diagnostic Read
E11z000 Unspecified affective psychoses NOS res38: Schizophrenia spectrum diagnostic Read
E11zz00 Other affective psychosis NOS res38: Schizophrenia spectrum diagnostic Read
E12..00 Paranoid states res38: Schizophrenia spectrum diagnostic Read
E120.00 Simple paranoid state res38: Schizophrenia spectrum diagnostic Read
E121.00 Chronic paranoid psychosis res38: Schizophrenia spectrum diagnostic Read
E122.00 Paraphrenia res38: Schizophrenia spectrum diagnostic Read
E123.00 Shared paranoid disorder res38: Schizophrenia spectrum diagnostic Read
E12y.00 Other paranoid states res38: Schizophrenia spectrum diagnostic Read
E12y000 Paranoia querulans res38: Schizophrenia spectrum diagnostic Read
E12yz00 Other paranoid states NOS res38: Schizophrenia spectrum diagnostic Read
E12z.00 Paranoid psychosis NOS res38: Schizophrenia spectrum diagnostic Read
E13..00 Other nonorganic psychoses res38: Schizophrenia spectrum diagnostic Read
E13..11 Reactive psychoses res38: Schizophrenia spectrum diagnostic Read
E130.00 Reactive depressive psychosis res38: Schizophrenia spectrum diagnostic Read
E130.11 Psychotic reactive depression res38: Schizophrenia spectrum diagnostic Read
E131.00 Acute hysterical psychosis res38: Schizophrenia spectrum diagnostic Read
E133.00 Acute paranoid reaction res38: Schizophrenia spectrum diagnostic Read
E134.00 Psychogenic paranoid psychosis res38: Schizophrenia spectrum diagnostic Read
E13y.00 Other reactive psychoses res38: Schizophrenia spectrum diagnostic Read
E13y100 Brief reactive psychosis res38: Schizophrenia spectrum diagnostic Read
E13yz00 Other reactive psychoses NOS res38: Schizophrenia spectrum diagnostic Read
E13z.00 Nonorganic psychosis NOS res38: Schizophrenia spectrum diagnostic Read
E13z.11 Psychotic episode NOS res38: Schizophrenia spectrum diagnostic Read
E14..00 Psychoses with origin in childhood res38: Schizophrenia spectrum diagnostic Read
E141.00 Disintegrative psychosis res38: Schizophrenia spectrum diagnostic Read
E141.11 Heller's syndrome res38: Schizophrenia spectrum diagnostic Read
E141100 Residual disintegrative psychoses res38: Schizophrenia spectrum diagnostic Read
E1y..00 Other specified non-organic psychoses res38: Schizophrenia spectrum diagnostic Read
E1z..00 Non-organic psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu02z12 [X] Presenile psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu0z.12 [X]Symptomatic psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu2..00 [X]Schizophrenia, schizotypal and delusional disorders res38: Schizophrenia spectrum diagnostic Read
Eu20.00 [X]Schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20000 [X]Paranoid schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20011 [X]Paraphrenic schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20100 [X]Hebephrenic schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20111 [X]Disorganised schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20200 [X]Catatonic schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20211 [X]Catatonic stupor res38: Schizophrenia spectrum diagnostic Read
Eu20212 [X]Schizophrenic catalepsy res38: Schizophrenia spectrum diagnostic Read
Eu20213 [X]Schizophrenic catatonia res38: Schizophrenia spectrum diagnostic Read
Eu20214 [X]Schizophrenic flexibilatis cerea res38: Schizophrenia spectrum diagnostic Read
Eu20300 [X]Undifferentiated schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20311 [X]Atypical schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20500 [X]Residual schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20511 [X]Chronic undifferentiated schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20600 [X]Simple schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20y00 [X]Other schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu20y12 [X]Schizophreniform disord NOS res38: Schizophrenia spectrum diagnostic Read
Eu20y13 [X]Schizophrenifrm psychos NOS res38: Schizophrenia spectrum diagnostic Read
Eu20z00 [X]Schizophrenia, unspecified res38: Schizophrenia spectrum diagnostic Read
Eu21.00 [X]Schizotypal disorder res38: Schizophrenia spectrum diagnostic Read
Eu21.11 [X]Latent schizophrenic reaction res38: Schizophrenia spectrum diagnostic Read
Eu21.12 [X]Borderline schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu21.13 [X]Latent schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu21.14 [X]Prepsychotic schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu21.15 [X]Prodromal schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu21.16 [X]Pseudoneurotic schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu22.00 [X]Persistent delusional disorders res38: Schizophrenia spectrum diagnostic Read
Eu22000 [X]Delusional disorder res38: Schizophrenia spectrum diagnostic Read
Eu22011 [X]Paranoid psychosis res38: Schizophrenia spectrum diagnostic Read
Eu22012 [X]Paranoid state res38: Schizophrenia spectrum diagnostic Read
Eu22013 [X]Paraphrenia - late res38: Schizophrenia spectrum diagnostic Read
Eu22014 [X]Sensitiver Beziehungswahn res38: Schizophrenia spectrum diagnostic Read
Eu22015 [X]Paranoia res38: Schizophrenia spectrum diagnostic Read
Eu22100 [X]Delusional misidentification syndrome res38: Schizophrenia spectrum diagnostic Read
Eu22111 [X]Capgras syndrome res38: Schizophrenia spectrum diagnostic Read
Eu22y00 [X]Other persistent delusional disorders res38: Schizophrenia spectrum diagnostic Read
Eu22y11 [X]Delusional dysmorphophobia res38: Schizophrenia spectrum diagnostic Read
Eu22y12 [X]Involutional paranoid state res38: Schizophrenia spectrum diagnostic Read
Eu22y13 [X]Paranoia querulans res38: Schizophrenia spectrum diagnostic Read
Eu22z00 [X]Persistent delusional disorder, unspecified res38: Schizophrenia spectrum diagnostic Read
Eu23.00 [X]Acute and transient psychotic disorders res38: Schizophrenia spectrum diagnostic Read
Eu23000 [X]Acute polymorphic psychot disord without symp of schizoph res38: Schizophrenia spectrum diagnostic Read
Eu23012 [X]Cycloid psychosis res38: Schizophrenia spectrum diagnostic Read
Eu23100 [X]Acute polymorphic psychot disord with symp of schizophren res38: Schizophrenia spectrum diagnostic Read
Eu23112 [X]Cycloid psychosis with symptoms of schizophrenia res38: Schizophrenia spectrum diagnostic Read
Eu23200 [X]Acute schizophrenia-like psychotic disorder res38: Schizophrenia spectrum diagnostic Read
Eu23211 [X]Brief schizophreniform disorder res38: Schizophrenia spectrum diagnostic Read
Eu23212 [X]Brief schizophrenifrm psych res38: Schizophrenia spectrum diagnostic Read
Eu23214 [X]Schizophrenic reaction res38: Schizophrenia spectrum diagnostic Read
Eu23300 [X]Other acute predominantly delusional psychotic disorders res38: Schizophrenia spectrum diagnostic Read
Eu23312 [X]Psychogenic paranoid psychosis res38: Schizophrenia spectrum diagnostic Read
Eu23y00 [X]Other acute and transient psychotic disorders res38: Schizophrenia spectrum diagnostic Read
Eu23z00 [X]Acute and transient psychotic disorder, unspecified res38: Schizophrenia spectrum diagnostic Read
Eu23z11 [X]Brief reactive psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu23z12 [X]Reactive psychosis res38: Schizophrenia spectrum diagnostic Read
Eu25.00 [X]Schizoaffective disorders res38: Schizophrenia spectrum diagnostic Read
Eu25000 [X]Schizoaffective disorder, manic type res38: Schizophrenia spectrum diagnostic Read
Eu25011 [X]Schizoaffective psychosis, manic type res38: Schizophrenia spectrum diagnostic Read
Eu25012 [X]Schizophreniform psychosis, manic type res38: Schizophrenia spectrum diagnostic Read
Eu25100 [X]Schizoaffective disorder, depressive type res38: Schizophrenia spectrum diagnostic Read
Eu25111 [X]Schizoaffective psychosis, depressive type res38: Schizophrenia spectrum diagnostic Read
Eu25112 [X]Schizophreniform psychosis, depressive type res38: Schizophrenia spectrum diagnostic Read
Eu25200 [X]Schizoaffective disorder, mixed type res38: Schizophrenia spectrum diagnostic Read
Eu25212 [X]Mixed schizophrenic and affective psychosis res38: Schizophrenia spectrum diagnostic Read
Eu25y00 [X]Other schizoaffective disorders res38: Schizophrenia spectrum diagnostic Read
Eu25z00 [X]Schizoaffective disorder, unspecified res38: Schizophrenia spectrum diagnostic Read
Eu25z11 [X]Schizoaffective psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu2y.00 [X]Other nonorganic psychotic disorders res38: Schizophrenia spectrum diagnostic Read
Eu2y.11 [X]Chronic hallucinatory psychosis res38: Schizophrenia spectrum diagnostic Read
Eu2z.00 [X]Unspecified nonorganic psychosis res38: Schizophrenia spectrum diagnostic Read
Eu2z.11 [X]Psychosis NOS res38: Schizophrenia spectrum diagnostic Read
Eu32300 [X]Severe depressive episode with psychotic symptoms res38: Schizophrenia spectrum diagnostic Read
Eu32311 [X]Single episode of major depression and psychotic symptoms res38: Schizophrenia spectrum diagnostic Read
Eu32312 [X]Single episode of psychogenic depressive psychosis res38: Schizophrenia spectrum diagnostic Read
Eu32313 [X]Single episode of psychotic depression res38: Schizophrenia spectrum diagnostic Read
Eu32314 [X]Single episode of reactive depressive psychosis res38: Schizophrenia spectrum diagnostic Read
Eu32900 [X]Single major depr ep, severe with psych, psych in remiss res38: Schizophrenia spectrum diagnostic Read
Eu32A00 [X]Recurr major depr ep, severe with psych, psych in remiss res38: Schizophrenia spectrum diagnostic Read
Eu33300 [X]Recurrent depress disorder cur epi severe with psyc symp res38: Schizophrenia spectrum diagnostic Read
Eu33311 [X]Endogenous depression with psychotic symptoms res38: Schizophrenia spectrum diagnostic Read
Eu33313 [X]Recurr severe episodes/major depression+psychotic symptom res38: Schizophrenia spectrum diagnostic Read
Eu33314 [X]Recurr severe episodes/psychogenic depressive psychosis res38: Schizophrenia spectrum diagnostic Read
Eu33315 [X]Recurrent severe episodes of psychotic depression res38: Schizophrenia spectrum diagnostic Read
Eu33316 [X]Recurrent severe episodes/reactive depressive psychosis res38: Schizophrenia spectrum diagnostic Read
Eu44.14 [X]Hysterical psychosis res38: Schizophrenia spectrum diagnostic Read
Eu84312 [X]Disintegrative psychosis res38: Schizophrenia spectrum diagnostic Read
Eu84314 [X]Symbiotic psychosis res38: Schizophrenia spectrum diagnostic Read
R001.00 [D]Hallucinations res38: Schizophrenia spectrum diagnostic Read
R001000 [D]Hallucinations, auditory res38: Schizophrenia spectrum diagnostic Read
R001100 [D]Hallucinations, gustatory res38: Schizophrenia spectrum diagnostic Read
R001200 [D]Hallucinations, olfactory res38: Schizophrenia spectrum diagnostic Read
R001300 [D]Hallucinations, tactile res38: Schizophrenia spectrum diagnostic Read
R001400 [D]Visual hallucinations res38: Schizophrenia spectrum diagnostic Read
R001z00 [D]Hallucinations NOS res38: Schizophrenia spectrum diagnostic Read
Ryu5300 [X]Other hallucinations res38: Schizophrenia spectrum diagnostic Read
ZS7C611 Schizophrenic language res38: Schizophrenia spectrum diagnostic Read
ZV11000 [V]Personal history of schizophrenia res38: Schizophrenia spectrum diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH706/version/1412/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH706/version/1412/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH706', '1412', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH706/version/1412/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH706/version/1412/export/codes/?format=json
CSV site_root/phenotypes/PH706/version/1412/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH706', '1412', api_client=client)

Version History

Version
ID
Name Owner Publish date
1412 Schizophrenia Spectrum ieuan.scanlon 2021-10-06 currently shown

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