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Improving life expectancy in people with serious mental illness: Should we place more emphasis on primary prevention?

  • Athif Ilyas (a1), Edward Chesney (a2) and Rashmi Patel (a2)
Summary

People with serious mental illness have a reduced life expectancy that is partly attributable to increased cardiovascular disease. One approach to address this is regular physical health monitoring. However, physical health monitoring is poorly implemented in everyday clinical practice and there is little evidence to suggest that it improves physical health. We argue that greater emphasis should be placed on primary prevention strategies such as assertive smoking cessation, dietary and exercise interventions and more judicious psychotropic prescribing.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.
Corresponding author
Rashmi Patel, Institute of Psychiatry, King's College London, Box PO 63, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. Email: rcpsych@rpatel.co.uk
Footnotes
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R.P. has received support from a UK Medical Research Council (MRC) Clinical Research Training Fellowship (MR/K002813/1) and a Starter Grant for Clinical Lecturers (SGL015/1020) supported by the Academy of Medical Sciences, The Wellcome Trust, MRC, British Heart Foundation, Arthritis Research UK, the Royal College of Physicians and Diabetes UK.

Declaration of interest

None.

Footnotes
References
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Improving life expectancy in people with serious mental illness: Should we place more emphasis on primary prevention?

  • Athif Ilyas (a1), Edward Chesney (a2) and Rashmi Patel (a2)
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