Clients with MMI diagnoses died at younger ages than clients with non-MMI diagnoses in 14 out of 16 comparisons made for the six states providing data (Table 3). Clients with MMI diagnoses died 1 to 10 years earlier on average (mean age at time of death) than clients with non-MMI diagnoses in the same state during the same year. In five states, clients with MMI diagnoses had shorter lives on average during all years compared, whereas in Missouri, they had shorter lives on average for 2 of 4 years.