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What can we do to reduce the burden of avoidable deaths in those with serious mental illness?

Published online by Cambridge University Press:  11 April 2011

David Crompton ,
Aaron Groves  and
John McGrath
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Abstract

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Individuals with schizophrenia have higher mortality rates compared to the general community. Apart from an increased risk of suicide, people with schizophrenia have an increased risk of death related to a wide range of comorbid physical conditions. There is evidence to suggest that much of this mortality is avoidable. The provision of assertive management of comorbid physical disorders has the potential to help close the differential mortality gap. While the primary data are robust, there is less empirical evidence to guide policy makers and service providers when dealing with these problems. Focused clinical programs aimed at reducing risk factors (e.g. smoking, obesity) and shared care between mental health teams and primary care providers can help reduce the burden of avoidable deaths. In light of recent evidence suggesting that the mortality gap has widened in recent decades, there is an urgent need to address the burden of avoidable deaths in those with serious mental illnesses.

Type
Editorials
Information
Epidemiology and Psychiatric Sciences , Volume 19 , Issue 1 , March 2010 , pp. 4 - 7
Copyright
Copyright © Cambridge University Press 2010

References

Allison, D.B. & Casey, D.E. (2001). Antipsychotic-induced weight gain: a review of the literature. Journal of Clinical Psychiatry 62, Suppl. 7, 22–31.Google ScholarPubMed
Amaddeo, F., Barbui, C., Perini, G., Biggeri, A. & Tansella, M. (2007). Avoidable mortality of psychiatric patients in an area with a community-based system of mental health care. Acta Psychiatrica Scandinavica 115, 320–325.CrossRefGoogle Scholar
Bennedsen, B.E., Mortensen, P.B., Olesen, A.V. & Henriksen, T.B. (2001). Congenital malformations, stillbirths, and infant deaths among children of women with schizophrenia. Archives of General Psychiatry 58, 674–679.CrossRefGoogle ScholarPubMed
Booth, M.L., Bernard, D., Quine, S., Kang, M.S., Usherwood, T., Alperstein, G. & Bennett, D.L. (2004). Access to health care among Australian adolescents young people's perspectives and their sociodemographic distribution. Journal of Adolescent Health 34, 97–103.CrossRefGoogle ScholarPubMed
Coghlan, R., Lawrence, D., Holman, C.D.J. & Jablensky, A.V. (2001). Duty to Care: Physical Illness in People with Mental Illness. The University of Western Australia: Perth.Google Scholar
Coumarelos, C. & Wei, Z. (2009). The Legal Needs of People with Different Types of Chronic Illness or Disability. Law and Justice Foundation: Sidney.Google Scholar
Fagiolini, A.-A. (2009). The effects of undertreated chronic medical illnesses in patients with severe mental disorders. Journal of Clinical Psychiatry 70, Suppl. 3, 22–29.CrossRefGoogle ScholarPubMed
Fontaine, K.R., Heo, M., Harrigan, E.P., Shear, C.L., Lakshminarayanan, M., Casey, D.E. & Allison, D.B. (2001). Estimating the consequences of anti-psychotic induced weight gain on health and mortality rate. Psychiatry Research 101, 277–288.CrossRefGoogle ScholarPubMed
Ghent, A. (2008). Overcoming migrants' barriers to health. Bulletin of the World Health Organization 86, 583–584.Google Scholar
Hale-Robertson, K. & Scott, K.S. (2008). Improving the physical health of people with SMI. Synergy 3, 11.Google Scholar
Harris, M.F. & Telfer, B.L. (2001). The health needs of asylum seekers living in the community. Medical Journal of Australia 175, 58–592.CrossRefGoogle ScholarPubMed
Harris, M. & Zwar, N. (2005). Refugee health. Australian Family Physician 34, 825–829.Google Scholar
Hauck, Y., Rock, D., Jackiewicz, T. & Jablensky, A. (2008). Healthy babies for mothers with serious mental illness: a case management framework for mental health clinicians. International Journal of Mental Health Nursing 17, 383–391.CrossRefGoogle ScholarPubMed
Hennekens, C.H., Hennekens, A.R., Hollar, D. & Casey, D.E. (2005). Schizophrenia and increased risks of cardiovascular disease. American Heart Journal 150, 1115–1121.CrossRefGoogle ScholarPubMed
Killackey, E., Jorm, A., Alvarez-Jimenez, M., McCann, T.V., Hides, L. & Couineau, A.L. (2008). Do we do what we know works, and if not why not? Australian and New Zealand Journal of Psychiatry 42, 439–444.CrossRefGoogle Scholar
Kisely, S., Smith, M., Lawrence, D., Cox, M., Campbell, L.A. & Maaten, S. (2007). Inequitable access for mentally ill patients to some medically necessary procedures. Canadian Medical Association Journal 176, 779–784.CrossRefGoogle ScholarPubMed
Kisely, S., Sadek, J., MacKenzie, A., Lawrence, D. & Campbell, L.A. (2008). Excess cancer mortality in psychiatric patients. Canadian Journal of Psychiatry 53, 753–761.CrossRefGoogle ScholarPubMed
Lawrence, D.M., Holman, C.D., Jablensky, A.V. & Hobbs, M.S. (2003). Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–1998. British Journal of Psychiatry 182, 31–36.CrossRefGoogle ScholarPubMed
Marder, S.R., Essock, S.M., Miller, A.L., Buchanan, R.W., Casey, D.E., Davis, J.M., Kane, J.M., Lieberman, J.A., Schooler, N.R., Covell, N., Stroup, S., Weissman, E.M., Wirshing, D.A., Hall, C.S., Pogach, L., Pi-Sunyer, X., Bigger, J.T. Jr., Friedman, A., Kleinberg, D., Yevich, S.J., Davis, B. & Shon, S. (2004). Physical health monitoring of patients with schizophrenia. American Journal of Psychiatry 161, 1334–1349.CrossRefGoogle ScholarPubMed
Mitchell, A.J. & Malone, D. (2006). Physical health and schizophrenia. Current Opinion in Psychiatry 19, 432–437.CrossRefGoogle ScholarPubMed
Mitchell, P. (2009). Mental health care roles of non-medical primary health and social care services. Health and Social Care in the Community 17, 71–82.CrossRefGoogle ScholarPubMed
Murray, C.J. & Lopez, A.D. (1994). Global and regional cause-of-death patterns in 1990. Bulletin of the World Health Organization 72, 447–480.Google ScholarPubMed
Office of Mental Health (2004). Who Is Your GP? Department of Health, Government of Western Australia: Perth.Google Scholar
Quine, S., Bernard, D., Booth, M., Kang, M., Usherwood, T., Alperstein, G. & Bennett, D. (2003). Health and access issues among Australian adolescents: a rural-urban comparison. Rural Remote Health 3, 245.Google ScholarPubMed
Saha, S., Chant, D. & McGrath, J. (2007). A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time? Archives of General Psychiatry 64, 1123–1131.CrossRefGoogle ScholarPubMed
Sederer, L.I. (2009). Science to practice: making what we know what we actually do. Schizophrenia Bulletin 35, 714–718.CrossRefGoogle Scholar
Thomson, N., Burns, J., Hardy, A., Krom, I., Stumpers, S. & Murquhart, B. (2008). Overview of Australian Indigenous Health Status October 2008. Retrieved December 10, 2009, from http://www.healthinfonet.ecu.edu.au/ouroverview.Google Scholar