Mortality and medical comorbidity among patients with serious mental illness

Brian J Miller, C. Bayard Paschall, Dale P. Svendsen

Research output: Contribution to journalArticle

180 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1482-1487
Number of pages6
JournalPsychiatric Services
Volume57
Issue number10
DOIs
StatePublished - Jan 1 2006

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Life Expectancy
Comorbidity
Cause of Death
Mortality
Suicide
Heart Diseases
Death Certificates
Homicide
Public Hospitals
Mental Health Services
Psychiatric Hospitals
Human Influenza
Population
Pneumonia
Mental Health
Public Health
Obesity
Quality of Life
Hypertension

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Mortality and medical comorbidity among patients with serious mental illness. / Miller, Brian J; Paschall, C. Bayard; Svendsen, Dale P.

In: Psychiatric Services, Vol. 57, No. 10, 01.01.2006, p. 1482-1487.

Research output: Contribution to journalArticle

Miller, Brian J ; Paschall, C. Bayard ; Svendsen, Dale P. / Mortality and medical comorbidity among patients with serious mental illness. In: Psychiatric Services. 2006 ; Vol. 57, No. 10. pp. 1482-1487.
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