This study investigated the lifetime prevalence and epidemiological features of psychotic disorders in the adult Finnish general population. The lifetime prevalence of psychotic disorders was higher than has been estimated in most recent general population studies. The most common disorder was schizophrenia. Psychoses were generally associated with socioeconomic disadvantage. The highest lifetime prevalence was found in northern and eastern parts of Finland, which should be taken into account when resources are allocated to health care. Alcohol-induced psychotic disorders were common in working aged men and associated with high mortality. Clinical features of delusional disorder were different from schizophrenia. Disorganized schizophrenia was a schizophrenia subtype associated with poor outcome. With a high lifetime prevalence exceeding 3%, psychotic disorders are a major public health concern.
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