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Cited by 275Mental Health Treatment and AccessPsychiatric care and mental health servicesSchizophrenia research and treatment

Mortality and Medical Comorbidity Among Patients With Serious Mental Illness

Miller, Brian J., Paschall, C. Bayard, Svendsen, Dale P.·2006·Psychiatric Services
DOI 10.1176/ps.2006.57.10.1482
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Abstract

OBJECTIVES: This study examined mortality and medical comorbidity among patients with serious mental illness in Ohio. METHODS: Data for 20,018 patients admitted to an Ohio public mental health hospital between 1998 and 2002 were matched against state death records, and 608 deaths were identified. Leading causes of death and medical comorbidities, years of potential life lost (YPLL), and standardized mortality ratios were calculated for this population. RESULTS: Heart disease (126 persons, or 21 percent) and suicides (108 persons, or 18 percent) were the leading causes of death. The mean+/-SD number of YPLL was 32.0+/-12.6 years. The highest cause-specific mean YPLL was for suicides (41.7+/-10.3 years). Deaths from unnatural causes had higher mean YPLL than deaths from any other causes. Cause-specific mean YPLL were higher for women than for men, except for homicides, pneumonia and influenza, and heart disease. The aggregated standardized mortality ratio from all causes of death was 3.2, corresponding to 417 excess deaths (p<.001). Obesity (144 persons, or 24 percent) and hypertension (136 persons, or 22 percent) were the most prevalent medical comorbidities. CONCLUSIONS: This study demonstrated excess mortality among patients in Ohio with serious mental illness. Results highlight the need to integrate delivery of currently fragmented mental and physical health services and to target interventions that improve quality-of-life outcomes for this population.

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Authors
Miller, B. J., Paschall, C. B., & Svendsen, D. P.
Affiliations
Augusta University (US)
ORCID
Miller, Brian J.
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2006-10
Volume
57
Issue
10
Pages
1482-1487
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/ps.2006.57.10.1482
OpenAlex
W2168857180
Cited by
275
References
6
Citations by year
2026: 1 · 2025: 7 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 11 · 2020: 13 · 2019: 13 · 2018: 13 · 2017: 20 · 2016: 18 · 2015: 18 · 2014: 17 · 2013: 23 · 2012: 24
FWCI
15.56
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Ohio Department of Mental Health
  • Ohio Department of Health
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
severe mental illness, mortality, comorbidities, suicide, heart disease, years of potential life lost, standardized mortality ratio, obesity, hypertension, Ohio
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Demography, Female, Health Status, Heart Diseases, Hospitals, Psychiatric, Humans, Hypertension, Influenza, Human, Male, Middle Aged, Obesity, Ohio, Pneumonia, Severity of Illness Index, Suicide

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