Premature Mortality Among People with Mental Illness: Advocacy in Academic Psychiatry

Roberts, Laura Weiss; Louie, Alan K.; Guerrero, Anthony P. S.; Balon, Richard; Beresin, Eugene V.; Brenner, Adam M.; Coverdale, John

doi:10.1007/s40596-017-0738-9

Cited by 24 publications

(15 citation statements)

References 36 publications

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“…People with severe mental health problems die 10–25 years earlier on average than the general population, mostly attributable to cardiovascular disease 46 . The incidence of vascular risk factors such as hypercholesterolemia, hypertension and diabetes has also been shown to be higher in this population, although the relative contributions of lifestyle factors, disease pathophysiology and adverse drug reactions is unclear 47 .…”

Section: Discussionmentioning

confidence: 99%

A cross sectional study of psychotropic medicine use in Australia in 2018: A focus on polypharmacy

Brett

Pearson

Daniels

et al. 2020

Brit J Clinical Pharma

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Aims To examine prescribed psychotropic medicine use on a given day in Australia (25 September 2018; World Pharmacists Day), with a focus on psychotropic polypharmacy. Methods We used a 10% sample of individual‐level nationwide dispensing claims to examine psychotropic medicine use on a given day. We estimated the prevalence of psychotropic medicine use in all ages stratified by age and sex. We also calculated the observed vs expected (had medicines been randomly combined) prevalence of psychotropic combinations used. We focused on combinations of clinical significance as well combinations of psychotropics with medicines prescribed to manage cardiovascular risk and disease. Results Serotonin reuptake inhibitors, serotonin–noradrenalin reuptake inhibitors/noradrenaline reuptake inhibitors, tricyclic antidepressants and gabapentinoids dominated psychotropic use. The use of any psychotropic as a proportion of people in the Australian population increased with age, peaking at the 85–89 year age group and declining thereafter. Combinations of medicines from the same subclass generally occurred at lower than expected frequencies. However, combinations including atypical antipsychotics occurred more frequently than expected; e.g. 7.4× with anticonvulsants and 2.2× with other atypical antipsychotics. This was also the case for combinations of sedatives, e.g. anxiolytic with hypnotic benzodiazepines (3.8×). Lipid‐lowering drugs and antidiabetic medicines were combined with psychotropics at frequencies close to those expected had they been randomly combined. Conclusion Psychotropic use in older adults and certain psychotropic combinations that are not well supported with evidence remain prevalent and greater consideration of the drivers of this potentially inappropriate prescribing is required.

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Section: Discussionmentioning

confidence: 99%

A cross sectional study of psychotropic medicine use in Australia in 2018: A focus on polypharmacy

Brett

Pearson

Daniels

et al. 2020

Brit J Clinical Pharma

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“…; Weiss Roberts et al . ; World Health Organisation ). Much of this excess mortality is due to physical illness, including metabolic syndrome, diabetes, and coronary heart disease, which are often the result of side effects of psychotropic treatment (DeHert et al .…”

Section: What Is the Problem And Why Are Mental Health Care Plans Neementioning

confidence: 99%

“…People with mental illness are among the most vulnerable people globally who on average die 10-25 years earlier than the general population (DeHert et al 2011;Weiss Roberts et al 2017;World Health Organisation 2013). Much of this excess mortality is due to physical illness, including metabolic syndrome, diabetes, and coronary heart disease, which are often the result of side effects of psychotropic treatment (DeHert et al 2011;Ewart et al 2016;McElroy 2009).…”

Section: What Is the Problem And Why Are Mental Health Care Plans Neementioning

confidence: 99%

A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

Rio

Fuller

Taylor

et al. 2019

Int J Mental Health Nurs

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It is mental health consumer's human right to lead a fulfilling life as they are empowered to actively manage their recovery. This can be facilitated through care planning, yet research suggests that the care plan is not routinely created, discussed, or updated in acute mental health settings. Research on care planning and the role of the mental health nurse highlights the importance of therapeutic communication in care plan development. This paper argues that the lack of meaningful care plan discussions between consumers and mental health nurses in an acute setting is a limitation to the practice of fully accountable mental health nursing care. We explore this limitation in quality care provision by examining literature on accountability and conclude that in mental health nursing, accountability is frequently enacted through an overarching focus on the organizational need to manage risks, rather than on therapeutic engagement.

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“…The survival of pets during Hurricane Katrina has been reported to be an important factor in mental health recovery for human owners in the years that ensued after the event (Servick, 2018). A finer focus on the interactions between extreme events and mental health is critical because these are important risks for premature death (Roberts, 2017). In the USA and Mexico depressive tweets rise with hotter temperatures, and also indicate increased upward shifts in mean suicide rates (Burke, 2018).…”

Section: We Need To Build Stronger Communitiesmentioning

confidence: 99%

Can we sustain success in reducing deaths to extreme weather in a hotter world?

Mehrabi

Donner

Rios

et al. 2019

World Development Perspectives

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Premature Mortality Among People with Mental Illness: Advocacy in Academic Psychiatry

Cited by 24 publications

References 36 publications

A cross sectional study of psychotropic medicine use in Australia in 2018: A focus on polypharmacy

A cross sectional study of psychotropic medicine use in Australia in 2018: A focus on polypharmacy

A lack of therapeutic engagement and consumer input in acute inpatient care planning limits fully accountable mental health nursing practice

Can we sustain success in reducing deaths to extreme weather in a hotter world?

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