Mortality Rates and Trends Among Bologna Community Mental Health Service Users A 13-Year Cohort StudyBerardi, Domenico, MD*†; Pavarin, Raimondo Maria, D‡; Chierzi, Federico, MD*; Terzi, Laura, MD*; Manzo, Valentina, MD*; Piazza, Antonella, MD†; Menchetti, Marco, MD*†; Fioritti, Angelo, MD†The Journal of Nervous and Mental Disease: December 2018 - Volume 206 - Issue 12 - p 944–949 doi: 10.1097/NMD.0000000000000906 Original Articles Abstract Author InformationAuthors Article MetricsMetrics The present study aimed to determine mortality rates and trends among community mental health service users in Bologna (Italy) between 2001 and 2013. Standardized mortality ratios (SMRs) were calculated, and Poisson multiple regression analysis was performed. The cohort comprised 42,357 patients, of which 3556 died. The overall SMR was 1.62 (95% confidence interval = 1.57–1.67). SMRs for natural causes of death ranged from 1.25 to 2.30, whereas the SMR for violent deaths was 3.45. Both serious and common mental disorders showed a significant excess of mortality, although higher rates were found in severe mental disorders, especially in personality disorders. Different from most published studies, the overall SMR slightly decreased during the study period. The present study, though confirming that people with mental disorders present a higher risk of mortality, calls for prevention strategies oriented to all psychiatric diagnoses. *Department of Biomedical and NeuroMotor Science (DIBINEM), University of Bologna; †Department of Mental Health and Pathological Addictions, Local Health Trust of Bologna; and ‡Epidemiological Monitoring Center on Addiction, Department of Mental Health and Pathological Addictions, Local Health Trust of Bologna, Bologna, Italy. Send reprint requests to Domenico Berardi, MD, Department of Biomedical and NeuroMotor Science (DIBINEM), University of Bologna, Viale Pepoli, 5-40123 Bologna, Italy. E-mail: firstname.lastname@example.org. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.