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May 21, 2013BMJOpen Access

The gap in life expectancy from preventable physical illness in psychiatric patients in Western Australia: retrospective analysis of population based registers

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Population

292,585 psychiatric patients registered with mental health services in Western Australia

Design

Cohort

Follow-up

1985-2005

Authors

DLDavid LawrenceCurtin UniversityKHKirsten HancockGoogle (United States)SKSteve KiselyGriffith University

Discussion

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Implication

May support enhanced CVD prevention in psychiatric care; extends observational data on widening mortality gaps without proving causality.

Structured PICO

P
Population
292,585 psychiatric patients registered with mental health services in Western Australia
C
Comparator
General population of Western Australia
O
Outcome
Trends in life expectancy and causes of excess mortality, including physical health conditions and unnatural causes of deathhard clinical

Psychiatric patients have a widening life expectancy gap compared to the general population, largely driven by preventable physical illnesses including cardiovascular disease.

Cite This Study

Lawrence et al. (2013) studied this question.

synapsesocial.com/papers/6a027a7ef57c648cc201d5b9https://doi.org/10.1136/bmj.f2539
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Death rate from ischaemic heart disease in Western Australian psychiatric patients 1980–19982003 · 275 citations
  2. 2Physical health disparities and mental illness: the scandal of premature mortality2011 · 579 citations
  3. 3Medical Comorbidity in Schizophrenia1996 · 626 citations