Improving life expectancy in people with serious mental illness: should we place more emphasis on primary prevention?
The British Journal of Psychiatry
Fecha de publicación: Oct 2017
DOI: 10.1192/bjp.bp.117.203240
Autores: Athif Ilyas, Edward Chesney, Rashmi Patel
Background: 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.