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The mental trauma inflicted by Tsukuyomi is potentially fatal... It sent Kakashi to the hospital...
This is true.
It is possible, if you experiance enough trauma that you can get killed. Tsukuyomi, is certainly capable of inflicting that amount of trauma. However, itachi may not have the chakra reserves to use tsukuyomi long enough to inflict enough trauma to kill someone. Also how strong the victim is mentally, also is a major factor.
It is possible that some people, would not be able to be killed by tsukuyomi. However tsukuyomi could probably kill a young kid/regular person.
Since tsukuyomi seems to be quite tasking on itachis already limited chakra pool, i do not think he could kill someone with a mental strength like kakashi, without either running out of chakra, or haveing larger reserves.(more chakra=longer tsukuyomi)
To the op.
You are correct. Tsukuyomi is not a practical battle jutsu. Unless it is a single target close range battle. Then perhaps it would be effective. You are also incorrect. Tsukuyomi (the jutsu itself) is capable of killing someone. Enough stress on the mind can be deadly. However many times when the mind is stressed, it just shuts itself down to protect itself. So basically 9 times out of 10, the victim will go into a coma.
So this is basically what I think based off what I know about the mind and the jutsu. Its possible i could be completely wrong, but I dont think I am.