Physical health disparities and mental illness: the scandal of premature mortality
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A 20-year mortality gap for men, and 15 years for women, is still experienced by people with mental illness in high-income countries. The combination of lifestyle risk factors, higher rates of unnatural deaths and poorer physical healthcare contribute to this scandal of premature mortality that contravenes international conventions for the 'right to health.'
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Poor adaptation of evidence-based programmes, such as insufficient intervention dosage due to conflicting demands and diagnostic overshadowing, threatens the effectiveness of lifestyle interventions in mental healthcare.
“Conversely, undesirable adaptation of such evidence-based programs, including the insufficient dosage of the interventional components due to conflicting demands and diagnostic overshadowing, 20 is a threat to the effectiveness of lifestyle interventions in mental healthcare.”
From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [20]
The risk of osteoporosis is increased over twelve-fold in anorexia.
“The risk of osteoporosis is increased over twelve-fold in the latter.20”
From The Lancet Psychiatry Commission: a blueprint for protecting physical health in people with mental illness (2019) · cites this paper as [20]
Health discrimination contributes to reduced life expectancy among people with mental health conditions.
“These forms of health discrimination contribute to reduced life expectancy among people with mental health conditions.43,[76][77][78]”
From The Lancet Commission on ending stigma and discrimination in mental health (2022) · cites this paper as [43]
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- Authors
- Thornicroft, G.
- Affiliations
- King's College London (GB)
- Corresponding author
- Thornicroft, Graham
- ORCID
- Thornicroft, Graham
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2011-12
- Volume
- 199
- Issue
- 6
- Pages
- 441-442
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2117146774
- Cited by
- 573
- References
- 2
- Citations by year
- 2026: 19 · 2025: 30 · 2024: 36 · 2023: 44 · 2022: 48 · 2021: 41 · 2020: 88 · 2019: 57 · 2018: 35 · 2017: 31 · 2016: 41 · 2015: 34 · 2014: 28 · 2013: 29 · 2012: 11
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- mental illness, premature mortality, health disparities, mortality gap, lifestyle risk factors, unnatural death, right to health, gender differences in mortality
- MeSH terms
- Mental Disorders, Female, Humans, Institutionalization, Life Expectancy, Male, Mental Health Services, Outcome Assessment, Health Care
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