Relationship between diabetes and mortality among persons with co-occurring psychotic and substance use disorders.
OBJECTIVE
Individuals with diabetes and individuals with serious mental illness are more likely than the general population to die prematurely. The study examined the impact of diabetes on mortality among 197 individuals with co-occurring psychotic and substance use disorders who participated in a randomized controlled study of integrated mental health and substance abuse treatment.


METHODS
The authors examined Medicaid claims for evidence of diabetes and applied survival analyses to examine whether time from study entry until death was different for individuals with and without evidence of diabetes.


RESULTS
Of individuals with co-occurring psychotic and substance use disorders, 21% had evidence of diabetes. In a 12-year period, 41% of those with evidence of diabetes died compared with 10% of those without evidence of diabetes.


CONCLUSIONS
Interventions targeted for diabetes prevention and diabetes management are critical for persons with serious mental illness, particularly among those who also abuse substances.
Jackson
Carlos T
CT
Department of Psychiatry, Mount Sinai School of Medicine, New York City, NY 10029, USA. carlos.jackson@mssm.edu
Covell
Nancy H
NH
Drake
Robert E
RE
Essock
Susan M
SM
D000328:Adult; D000367:Age Factors; D000437:Alcoholism / Q000175:diagnosis / Q000401:mortality* / Q000534:rehabilitation; D019090:Case Management; D002423:Cause of Death; D003156:Community Mental Health Services; D015897:Comorbidity; D003237:Connecticut; D019033:Delivery of Health Care, Integrated; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000401:mortality* / Q000534:rehabilitation; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011618:Psychotic Disorders / Q000175:diagnosis / Q000401:mortality* / Q000534:rehabilitation; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000401:mortality* / Q000534:rehabilitation; D016019:Survival Analysis