Statisties of the Insane

the term "psychoses with other brain and nervous diseases," includes several significant types. In this group there were 166 cases of arteriosclerosis; 45 cases of cerebral syphilis; 38 cases of cerebral embolus or hemorrhage and a few cases each of several other types.

In the alcoholic group there were 7 cases of pathological intoxication, 43 cases of alcoholic deterioration, 16 of delirium tremens, 108 of Korsakow's disease, 199 of acute hallucinoses, 12 of chronic hallucinoses, and 74 of paranoid states. Of the 23 cases of toxic insanity, 19 were cases of morphinism and 4 of gas poisoning.

Of the 919 cases of dementia praecox, 441 were of the paranoid form; 65, of the katatonic form; 167, of the hebephrenic form; and 75, of the simple form.

The manic-depressive cases were subdivided as follows: Manic, 324; depressive, 168; circular, 36; and mixed, 70.

Of the 74 psychoneuroses, 26 were of the hysterical type; 16 of the psychasthenic type, and 27, of the neurasthenic type.

There is apparently a wide divergence in the relative proportions of the types of the principal psychoses admitted in the various hospitals. Whether the differences arise from unlike social and environmental influences or from lack of uniformity of diagnosis is not known.

Table 16. Psychoses of readmissions, page 379.

Table 16 gives the psychoses of the patients readmitted to each of the State hospitals during the year. Of the 1,541 readmissions, 509, or 33 per cent, were cases of manic-depressive insanity; 307, or 19.9 per cent, were cases of dementia praecox; and 117, or 7.6 per cent, were cases of alcoholic insanity. These three psychoses constitute 64.4 per cent. of the total cases.

A comparison of the percentages of the cases of the principal psychoses admitted to each of the State hospitals is seen in the following tabulation:

Statistics of the Insane

Per Cent Distribution of Certain Psychoses Among Readmissions, 1912

Hudson River, St. Lawrence, Long Island and Central Islip State Hospitals have relatively more alcoholic cases among the readmissions than the other hospitals, the percentages in the hospitals named ranging from 10 to 15.6. In Kings Park State Hospital only 3, or 1.7 per cent, of the readmissions were cases of alcoholic insanity. The percentages of dementia praecox cases among readmissions vary from 5.9 in Binghamton State Hospital to 35.9 in Rochester State Hospital. Manic-depressive cases predominate among readmissions except in Rochester State Hospital where the number of these cases is second to that of the dementia praecox cases. The allied to manic-depressive cases are especially prominent in Kings Park State Hospital, where they constitute 15.9 per cent of the whole number of readmissions.

Table 17. First admissions with residence in the various cities, villages and rural districts of the State classified according to psychoses, page 381.

Table 17 shows the number, sex and psychoses of the first admissions from each of the cities of the State and from the villages and rural districts. The cities are arranged according to the classification of the State Department of Health under the following divisions: First class cities over 175,000 population; second class cities, 50,000 to 175,000; third class cities, 20,000 to 50,000, third class cities, 10,000 to 20,000 and third class cities under 10,000. The first class cities include New

Statistics of the Insane

York, Buffalo and Rochester. These three cities combined have a population, according to the United States census estimate for 1912, of 5,793,519, approximately 60 per cent of the population of the State. The second class cities comprise Syracuse, Albany, Yonkers, Schenectady, Utica, Troy and Binghamton and have an aggregate population of 622,397. The third class cities with population from 20,000 to 50,000 have a combined population of 443,928. Those with population from 10,000 to 20,000 have an aggregate population of 374,381, and those under 10,000, a total population of 26,345. The villages with a population of less than 8,000 together with the rural districts have a total population of 2,331,688.

Of the 5,742 first admissions, 3,737, or 65.1 per cent, of the whole were residents of first class cities. New York city alone furnished 3,345 first admissions, or 58.3 per cent, of the whole. In New York city the male first admissions numbered 1,673 and the female, 1,672, while in the State at large the males numbered 3,010 and the females, 2,732. In the villages and rural districts the male first admissions numbered 577 and the female 480. It is evident, therefore, that the relative number of females admitted to the hospitals is greater in New York city than in the State at large or in the villages and rural districts. From the rural districts alone the male first admissions numbered 205 and the female 122. These statistics show the falsity of the popular notion that most of the women who become insane are farmers' wives. The rates of insanity computed from this table are shown in table 18.

Table 18. Rate of insanity and of principal psychoses in the cities, villages and rural districts of the State based on first admissions of 1912, page 391.

Table 18 sets forth the rate of insanity per 100,000 of the population in each of the cities of the State and also shows the rate of occurrence of the principal psychoses in each city. Taking the State as a whole the rate of insanity per 100,000 of population is 59.9; in the first class cities taken as a whole it is 64.5; in the combined second class cities, 54.1; in the third class cities with population from 20,000 to 50,000, 55.6; in the third