Survival and causes of death of 429 subjects with mental handicap were
examined by following 212 inpatient and 217 outpatient subjects for t
wenty years or until death. Survival analysed in terms of aetiology sh
owed that congenital malformations and acquired postnatal disorders we
re associated with increasing mortality. There was a significant diffe
rence in survival between institutionalised and non-institutionalised
people and a very significant difference in survival between long-term
institutional residents and subjects living at home with their parent
s. Epilepsy shortened the life expectancy significantly among subjects
living outside the institution, especially in hostels. The most frequ
ent immediate cause of death, both within and outside institution, wer
e bronchopneumonia, cardiovascular disease and epileptic seizures.