Adverse psychosocial factors in near fatal (NFA) and fatal asthma
| NFA | Fatal | |
|---|---|---|
| Depression or other psychiatric illness currently or previously | +1 2 | +5-8 |
| Denial | +1 2 3 | +7 8 |
| Personality disorder | +5 | |
| Psychiatric caseness | +2 | +7 |
| Current or recent use of major tranquillisers or sedatives | +4 | +4 9 |
| Deliberate self harm | +8 | |
| Learning disability or mentally retarded | +3 | +8 |
| Psychiatric history in a first degree relative | +2 | +7 |
| Alcohol or drug abuse | +3 | +5 6 8 |
| Recent bereavement | +5 | |
| Severe domestic stress | +3 | +8 |
| Social isolation, living alone, homeless | +3 | +6 8 |
| Unemployment, self employment, threatened redundancy | +3 | +5 8 |
| Marital problems | +6 | |
| Separated or single parenthood | +3 | +8 |
| Extreme povety | +8 | |
| Childhood abuse | +6 8 | |
| Smoking or passive smoking | +3 | +8 |
| Legal problems | +6 |
2-1 Yellowlees and Ruffin23;2Campbell et al 24;3Innes et al 27;4Joseph et al 29; 5Reaet al 52; 6Wareham et al 37; 7Campbell et al 26; 8Mohan et al 39; 9Ryan et al 30.
Many patients had more than one adverse factor.