In a study of the prevalence of tuberculosis infection and risk factor
s for infection among people with severe mental illness, 71 participan
ts in a psychiatric day program were given a tuberculin skin test. Twe
lve of the 71 subjects (17 percent) had positive results. None had act
ive tuberculosis. Those with tuberculosis infection were more likely t
o be immigrants and to be above the study group's median age of 32. El
even of the 12 infected subjects had experienced at least one of seven
risk factors for tuberculosis infection, which suggests that more cli
nical attention should be placed on tuberculosis infection in this pop
ulation.