Cited by 203Mental Health Treatment and AccessSuicide and Self-Harm StudiesSchizophrenia research and treatment

Life expectancy and causes of death in a population treated for serious mental illness.

Dembling, Bruce P., Chen, Donna T., Vachon, Louis·1999·Psychiatric Services

Abstract

OBJECTIVE: This cross-sectional mortality linkage study describes the prevalence of specific fatal disease and injury conditions in an adult population with serious mental illness. The large sample of decedents and the use of multiple-cause-of-death data yield new clinical details relevant to those caring for persons with serious mental illness. METHODS: Age-adjusted frequency distributions and years of potential life lost were calculated by gender and causes of death for persons in the population of 43,274 adults served by the Massachusetts Department of Mental Health who died between 1989 and 1994. Means and frequencies of these variables were compared with those for persons in the general population of the state who did not receive departmental services and who died during the same period. RESULTS: A total of 1,890 adult decedents served by the department of mental health were identified by electronic linkage of patient and state vital records. They had a significantly higher frequency of deaths from accidental and intentional injuries, particularly poisoning by psychotropic medications. Deaths from cancer, diabetes, and circulatory disorders were significantly less frequently reported. On average, decedents who had been served by the department of mental health lost 8.8 more years of potential life than decedents in the general population-a mean of 14.1 years for men and 5.7 for women. The differential was consistent across most causes of death. CONCLUSIONS: Findings in this study are consistent with previous findings identifying excess mortality in a population with serious mental illness. The high rate of injury deaths, especially those due to psychotropic and other medications, should concern providers.

Integrity signals

Registry

Crossref · 10.1176/ps.50.8.1036

Cites

27 of 27 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Dembling, B. P., Chen, D. T., & Vachon, L.
Affiliations
University of Virginia (US)
Venue
Psychiatric Services
Published
1999-08
Volume
50
Issue
8
Pages
1036-1042
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
OpenAlex
W2116035776
Cited by
202
References
26
Citations by year
2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 4 · 2017: 40 · 2016: 3 · 2015: 5 · 2014: 9 · 2013: 11 · 2012: 8
FWCI
7.23
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (2t32mh019292-11, 5p50mh049173-06)
  • National Institute of Mental Health (P50-MH-49173-4A1, MH-19292-04)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords
severe mental illness, excess mortality, causes of death, years of potential life lost, trauma mortality, accidental death, cancer mortality, diabetes mortality, circulatory diseases, mental health service users, Massachusetts Department of Mental Health
MeSH terms
Adolescent, Adult, Mental Disorders, Cause of Death, Cross-Sectional Studies, Female, Humans, Life Expectancy, Male, Massachusetts, Poisoning, Psychotropic Drugs, Wounds and Injuries

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review