Mental health – Treatment of Psychotic Disorders

In 2024, over 4,000 people were diagnosed with psychosis.

A total of 4,008 individuals received a diagnosis of nonaffective psychotic disorder (ICD-10 F20-F29) for the first time in 2024. The information is based on the Finnish Quality of Psychosis Care Register (FQPCR), one of THL’s national quality registers.

The quality register includes 109,404 individuals who have received a psychosis diagnosis. Of these, 85,826 were alive at the end of 2024.

Regional differences in the use of institutional and housing services in social care

The use of social care institutional and housing services among people with a psychosis diagnosis has decreased since 2015.

At the end of 2024, 9.3% of persons aged 7–64 included in the Psychosis Care Quality Register were using social care institutional or housing services.

The share was highest in Kymenlaakso (13.8%) and lowest in Vantaa–Kerava (6.5%).

Among individuals aged 65 and over with a psychosis diagnosis, one in four lived in institutional or housing services at the end of 2024. For this age group, the largest share of use was in residential and 24-hour care services intended for older adults.

Prevalence of psychoses is lowest in Western Finland and highest in Eastern Finland

The prevalence of psychoses is lowest in the Ostrobothnia wellbeing services county (1.2%) and highest in the North Karelia wellbeing services county (2.0%). The prevalence has been higher in Eastern Finland than in Western Finland for decades.

Prevalence is higher among individuals aged 65 and over than among those aged 7–64.

Fewer than one in five with a treatment contact had a hospitalization in 2024

In 2024, 18.5% of all individuals with a current mental health treatment contact were admitted to hospital.

In 2015, one in four individuals with a treatment contact had been hospitalized. After that, the proportion decreased until 2022. Since 2022, there have been no significant changes in the proportion of those hospitalized.

Mortality gap compared to the general population has widened

In 2024, the mortality rate among individuals diagnosed with psychosis was 2.6 times higher than in the general population.

The Standardized Mortality Ratio (SMR), which describes the mortality difference relative to a comparison population of the same age, has increased in recent years, especially in the 7–64 age group.

More than half have their first outpatient visit within a week after hospital discharge

In 2024, 60% had their first outpatient visit within one week and 84% within one month after discharge from hospital. Continuity of care from inpatient to outpatient services improved between 2015 and 2021. Since then, no further change has been observed.

Explore the statistics in more detail

Go to the Psychosis Care Register Report (in Finnish)

Reported indicators

• Prevalence of psychotic disorders
• Distribution of specific psychosis diagnoses
• Mortality
• Employment
• Volume of hospital care in the population
• Social care institutional and housing services
• Continuity of care after hospital discharge
• Return to psychiatric inpatient care
• Pharmacological treatment

Background information

• Dataset description (Dataset catalogue)
• Privacy notice

Source

Quality of Psychosis Care Register 

Description of the statistics

The Quality of Psychosis Care Register collects information on the treatment and quality of care for individuals with psychosis. The register enables monitoring of how well quality criteria for care are met, as well as regional and temporal comparisons of long term outcomes among people diagnosed with psychosis.

The register includes all individuals who, since 1 January 2010, have had at least one diagnosis recorded in the Care Register for Health Care (Hilmo) from ICD 10 diagnostic group F20–F29 – Schizophrenia, schizotypal disorder and delusional disorders, or an ICPC 2 diagnosis issued in primary care by a medical doctor: P72 – Schizophrenia or P98 – Psychosis, unspecified/other.

Data for the Quality of Psychosis Care Register have been compiled from the Care Register for Health and Social Care (Hilmo), the registers of Kela, and Statistics Finland for the years 1995–2024.

Update schedule

The data in the Quality of Psychosis Care Register is updated once a year.