关键词: 精神障碍, 疾病管理, 城市地区, 户籍类型, 北京

Abstract: Objective　To investigate the difference between local and non-local residents with severe mental disorders under management living in urban areas，providing evidence for scientific management of such patients in urban areas.Methods　The sample was selected from patients with severe mental disorders under management living in an urban district of Beijing in June 2016.Sociodemographic data （including hukou information） and data concerning illness status and management stemmed from the mental health information system of a mental health center in the district.Logistic regression models were used to explore the difference in management methods between Beijingers and non-Beijingers with severe mental disorders.Results　Beijingers and non-Beijingers with severe mental disorders had differences in age，educational attainment，marital status，employment status，types of severe mental illnesses，duration of suffering from the illness，current treatment status，status and methods of management as well as prevalence of developmental disabilities（P<0.05）.Logistic regression analysis suggested that educational attainment and type of hukou were significantly associated with the interview management methods（outpatient department，entering the household） for patients with severe mental disorders（P<0.05）.Conclusion　Non-Beijingers were middle-aged and young people without disability，while the number of schizophrenic patients with long course and untreated condition was less，and the number of patients with bipolar affective disorder manifested by mood change was more.Educational attainment and type of hukou were significantly associated with the interview management methods for patients with severe mental disorders.The management of patients with severe mental disorders in urban areas should focus on the characteristics of the illness and the utilization of health services to improve the management effect.

Key words: Mental disorders, Disease management, Urban area, Type of hukou, Beijing