1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1176/ps.2010.61.7.663" target="_blank" rel="noreferrer noopener">http://doi.org/10.1176/ps.2010.61.7.663</a> Pages 663–668 Issue 7 Volume 61 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource An examination of premature mortality among decedents with serious mental illness and those in the general population. Publisher An entity responsible for making the resource available Psychiatric services (Washington, D.C.) Date A point or period of time associated with an event in the lifecycle of the resource 2010 2010-07 Subject The topic of the resource *Mortality; *Severity of Illness Index; 80 and over; 80 and Over; Aged; Cause of Death – Trends; Cause of Death/trends; Death Certificates; Female; Human; Humans; Male; Mental Disorders – Mortality; Mental Disorders/*mortality; Middle Age; Middle Aged; Mortality; Ohio; Ohio/epidemiology; Population Surveillance; Retrospective Design; Retrospective Studies; Severity of Illness Indices Creator An entity primarily responsible for making the resource Piatt Elizabeth E; Munetz Mark R; Ritter Christian Description An account of the resource OBJECTIVES: The primary aim of this retrospective study of death records was to determine whether there were significant differences in years of potential life lost (YPLL) between decedents with serious and persistent mental illness at a community mental health center (N=647) and decedents in the general population (N=15,517) after the analysis adjusted for sociodemographic factors and cause of death. METHODS: Clinical case management files from a community mental health center were matched to state death records from 1998 to 2004 to identify decedents being treated for a serious and persistent mental illness. Differences in leading causes of death and YPLL were calculated with descriptive and multivariate methods. RESULTS: Mean+/-SD YPLL for the decedents with serious and persistent mental illness was 14.5+/-10.6, compared with 10.3+/-6.7 for the general population. Heart disease was the leading cause of death for both groups. Mean differences in YPLL after adjustment for gender, race, marital status, and education ranged from 1.7 years for chronic lower respiratory disease to 13.1 years for accidents and were significant for every leading cause of death. Differences in cause of death did not explain the difference in YPLL. Suicide, cancer, accidents, liver disease, and septicemia were differentially associated with YPLL for persons with serious and persistent mental illness. CONCLUSIONS: Suicide, cancer, accidents, liver disease, and septicemia increased premature mortality among persons with serious and persistent mental illness. Along with ongoing suicide prevention programs, efforts to integrate primary and psychiatric care should focus on these preventable causes of early death. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1176/ps.2010.61.7.663" target="_blank" rel="noreferrer noopener">10.1176/ps.2010.61.7.663</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). *mortality *Severity of Illness Index 2010 80 and over Aged Cause of Death – Trends Cause of Death/trends College of Graduate Studies Death Certificates Department of Family & Community Medicine Department of Psychiatry Female Human Humans Male Mental Disorders – Mortality Mental Disorders/*mortality Middle Age Middle Aged Mortality Munetz Mark R NEOMED College of Graduate Studies NEOMED College of Medicine Ohio Ohio/epidemiology Piatt Elizabeth E Population Surveillance Psychiatric services (Washington, D.C.) Retrospective Design Retrospective Studies Ritter Christian Severity of Illness Indices