ArticleBMJ open2021
Switching antipsychotics to support the physical health of people with severe mental illness: a qualitative study of healthcare professionals' perspectives.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 25 citations in OpenAlex.
- Lived experiences of shared decision-making in young adults prescribed antipsychotics: a qualitative interview study.International journal of clinical pharmacy · 2026Article
- Characteristics of people with severe mental illness excluded from incentivised physical health checks in the UK: electronic healthcare record study.The British journal of psychiatry : the journal of mental science · 2026Article
- Non-pharmacologicaL InterVEntions for Antipsychotic-Induced Weight Gain (RESOLVE) in People Living With Severe Mental Illness: A Realist Synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Review
- Reducing the Delay in the Diagnosis of Bipolar Disorder: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- 'Flattened, fattened, and forgotten': the 'dis-integrated' care of patients prescribed antipsychotics in the UK.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Antipsychotic management in general practice: serial cross-sectional study (2011-2020).The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Aripiprazole/Sertraline Combination: Clinical and Cost-Effectiveness in Comparison With Quetiapine for the Treatment of Bipolar Depression (ASCEnD Trial)-Protocol for a Nested Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Proportion of Antipsychotics with CYP2D6 Pharmacogenetic (PGx) Associations Prescribed in an Early Intervention in Psychosis (EIP) Cohort: A Cross-Sectional Study.Journal of psychopharmacology (Oxford, England) · 2024Article
- Nurses' practice of metabolic monitoring for patients on antipsychotics in Lesotho.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024Article
- Article
- Management of antipsychotics in primary care: Insights from healthcare professionals and policy makers in the United Kingdom.PloS one · 2024Article
- The role of pharmacists in supporting service users to optimise antipsychotic medication.International journal of clinical pharmacy · 2023Article
- Cardiovascular risk estimation in rural psychiatric inpatient populations: Cross-sectional preliminary study.Psychiatry research communications · 2023Article
- Article
- Eliciting the mechanisms of action of care navigators in the management of type 2 diabetes in people with severe mental illness: A qualitative study.Diabetic medicine : a journal of the British Diabetic Association · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe side effects of antipsychotic medications (APs) can increase the risk of developing physical health conditions. Some APs pose a higher risk than others. Evidence suggests switching to lower risk APs can support physical health outcomes. We sought to explore the views of healthcare professionals about switching antipsychotics to support physical health in people with severe mental illness (SMI).
designA qualitative study with semi-structured interviews conducted with general practitioners (GPs), psychiatrists and mental health nurses. The main focus was to explore participants' views on the physical health of people with SMI, the impact of APs and decision-making about switching medication to support physical health. Data were analysed thematically using principles of constant comparison. SETTINGS: Participants recruited through primary care and one mental health trust in the West Midlands.
participantsInterviews were conducted with 9 GPs, 10 psychiatrists and 4 mental health nurses.
resultsAwareness and knowledge of AP side-effects and risk profiles varied considerably between primary and secondary care clinicians. GPs reported limited awareness, while psychiatrists and nurses demonstrated a comprehensive understanding of AP risk profiles and side-effects. Mental health and control of symptoms were prioritised. Switching to promote physical health was considered as a reactive intervention, once side-effects or complications developed. There were a range of views over where responsibility lay for monitoring physical health and consideration of switching. Collaboration between primary and secondary care was identified as a way to address this.
conclusionsThis study presents multidisciplinary perspectives on awareness, decision making, perceived responsibility and barriers to switching APs to support physical health. Collaborative approaches that involve liaison between primary and secondary care, but tailored to the individual patient, may support switching, and present an opportunity to intervene to address the physical health inequalities experienced by individuals with SMI.
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