ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023
Physical health disparities and severe mental illness: A longitudinal comparative cohort study using hospital data in Northern Ireland.
Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Tackling healthcare providers bias: a systematic review of interventions with implications for inclusive clinical research.EClinicalMedicine · 2025Article
- A social prescribing model for tackling the health and social inequalities of people living with severe mental illness: a protocol paper.BMC public health · 2025Article
- Stage at diagnosis and breast cancer-specific mortality in breast cancer patients treated with antidepressants, anxiolytics, and antipsychotics: a population-based cohort study from Northern Ireland.Breast cancer research and treatment · 2025Article
- Breaking Barriers Transforming Primary Care to Serve the Physical Health Needs of Individuals With SMI in the NHS.International journal of mental health nursing · 2025Review
- Prevalence and patient characteristics associated with cardiovascular disease risk factor screening in UK primary care for people with severe mental illness: an electronic healthcare record study.BMJ mental health · 2025Article
- Parental physical activity, parental mental health, children's physical activity, and children's mental health.Frontiers in psychiatry · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundPeople with severe mental illness (SMI) die prematurely, mostly due to preventable causes.
objectiveTo examine multimorbidity and mortality in people living with SMI using linked administrative datasets.
methodAnalysis of linked electronically captured routine hospital administrative data from Northern Ireland (2010-2021). We derived sex-specific age-standardised rates for seven chronic life-limiting physical conditions (
resultsAnalysis was based on 929,412 hospital patients aged 20 years and above, of whom 10,965 (1.3%) recorded a diagnosis of SMI. Higher likelihoods of an SMI diagnosis were associated with living in socially deprived circumstances, urbanicity. SMI patients were more likely to have more comorbid physical conditions than non-SMI patients, and younger at referral to hospital for each condition, than non-SMI patients. Finally, in fully adjusted models, SMI patients had a twofold excess all-cause mortality.
conclusionMultiple morbidities associated with SMI can drive excess mortality. While SMI patients are younger at referral to treatment for these life-limiting conditions, their relatively premature death suggests that these conditions are also quite advanced. There is a need for a more aggressive approach to improving the physical health of this population.
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