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Related Experiment Videos

Mortality and mental illness.

Leslie R H Drew1

  • 1City Mental Health Service, Canberra, Australia. les.drew@act.gov.au

The Australian and New Zealand Journal of Psychiatry
|February 11, 2005
PubMed
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This study found that individuals with mental illness in the Australian Capital Territory (ACT) did not have significantly higher overall mortality rates compared to the general population, except for suicide. Methodological differences likely explain variations from previous research.

Area of Science:

  • Public Health
  • Epidemiology
  • Mental Health Services Research

Background:

  • Previous research indicated significantly higher mortality rates among mentally ill individuals in Western Australia.
  • The concept of mortality as an outcome measure for mental health services was proposed.
  • This study aimed to investigate these findings in a different geographical context.

Purpose of the Study:

  • To replicate a previous study on mortality rates in the mentally ill population.
  • To compare mortality rates in the Australian Capital Territory's (ACT) mentally ill population with the general population.
  • To assess the utility of mortality as an outcome measure for mental health services.

Main Methods:

  • Compiled a list of individuals who accessed ACT mental health services (1985-2000).

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  • Utilized the national death register to identify deaths among this cohort (1990-2000).
  • Compared mortality rates between the mentally ill and general populations in the ACT (1996-2000) using Australian Bureau of Statistics data.

    • Main Results:

    • Significant differences in age and gender distribution were observed between the mentally ill and general populations.
    • One-third of deaths in the mentally ill cohort occurred outside the ACT.
    • Mortality was only slightly elevated for all causes and ischemic heart disease, but markedly higher for suicide in the mentally ill group.

    Conclusions:

    • The study did not replicate the previously reported excessive overall mortality for mentally ill individuals, except for suicide.
    • Methodological challenges in population-based mortality studies were identified.
    • Discrepancies with prior research were attributed to differences in study methodologies, urging caution in using mortality data for public policy and service evaluation.