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

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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

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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.

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Authors: Dembling, B. P., Chen, D. T., & Vachon, L.
Affiliations: University of Virginia (US)
ORCID: Chen, Donna T.
Venue: Psychiatric Services
Publisher: American Psychiatric Association Publishing
Published: 1999-08
Volume: 50
Issue: 8
Pages: 1036-1042
ISSN: 0022-1597 (ISSN-L)
1075-2730
1557-9700
DOI: 10.1176/ps.50.8.1036
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: Health Sciences › Medicine › Psychiatry and Mental health › 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

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

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