Table 3.
Mean Age at Time of Death and Mean Years of Potential Life Lost (YPLL) for Public Mental Health Clients With Major Mental Illness (MMI) Diagnoses and Clients With Other Non-MMI Diagnosesa
| State and Year | Mean Age at Time of Death, y | Difference in Mean Age at Time of Death (Clients With MMI – Clients With Other Non-MMI Diagnoses), y | Mean YPLLc | Additional YPLL Among Clients With MMI Diagnosesb | ||
|---|---|---|---|---|---|---|
| Clients With MMI Diagnosesb | Clients With Other Non-MMI Diagnosesb | Clients With MMI Diagnosesb | Clients With Other Non-MMI Diagnosesb | |||
| Missouri | ||||||
| 1997 | 59.6 | 56.2 | +3.4 | 25.1 | 28.2 | −3.1 |
| 1998 | 57.1 | 56.5 | +0.6 | 27.0 | 27.7 | −0.7 |
| 1999 | 56.9 | 59.9 | −3.0 | 27.6 | 25.4 | +2.2 |
| 2000 | 54.3 | 59.2 | −4.9 | 29.5 | 25.7 | +3.8 |
| Oklahoma | ||||||
| 1997 | 56.7 | 62.8 | −6.1 | 27.2 | 23.1 | +4.1 |
| 1998 | 56.6 | 63.2 | −6.6 | 27.3 | 22.9 | +4.4 |
| 1999 | 53.7 | 64.3 | −10.6 | 29.7 | 22.7 | +7.0 |
| Rhode Island | ||||||
| 2000 | 59.1 | 61.7 | −2.6 | 25.4 | 24.3 | +1.1 |
| Texas | ||||||
| 1997 | 54.3 | 57.2 | −2.9 | 28.9 | 27.1 | +1.8 |
| 1998 | 54.6 | 56.6 | −2.0 | 29.0 | 27.9 | +1.1 |
| 1999 | 53.8 | 55.1 | −1.3 | 29.4 | 28.9 | +0.5 |
| Utah | ||||||
| 1998 | 53.0 | 57.0 | −4.0 | 30.5 | 28.0 | +2.5 |
| 1999 | 57.8 | 58.8 | −1.0 | 26.7 | 27.0 | −0.3 |
| Virginia | ||||||
| 1998 | 65.5 | 75.6 | −10.1 | 21.0 | 12.9 | +8.1 |
| 1999 | 67.5 | 77.2 | −9.7 | 19.0 | 12.0 | +7.0 |
| 2000 | 70.0 | 76.5 | −6.5 | 16.4 | 12.6 | +3.8 |
Data analyzed were submitted by public mental health agencies in six states for the years 1997 through 2000 for the Sixteen-State Study on Mental Health Performance Measures, funded by the Center for Mental Health Services in collaboration with the National Association of State Mental Health Program Directors (9). Only the six states included in this table (out of 16) were able to submit data on the causes of death for their clients.
Diagnoses of MMI include Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), schizophrenia, major depressive disorders, bipolar disorders, delusional and psychotic disorders, and attention deficit/hyperactivity disorders. Other non-MMI diagnoses are DSM-IV diagnoses other than those designated as MMI.
The YPLL for all clients who died was added and then divided by the number of deceased clients to calculate the mean YPLL for all public mental health clients who died each year in each state.