Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas

Liu, Nancy H., Daumit, Gail L., Dua, Tarun, Aquila, Ralph, Charlson, Fiona, Cuijpers, Pim, Druss, Benjamin, Dudek, Kenn, Freeman, Melvyn, Fujii, Chiyo, Gaebel, Wolfgang, Hegerl, Ulrich, Levav, Itzhak, Laursen, Thomas Munk, Ma, Hong, Maj, Mario, Elena Medina-Mora, Maria, Nordentoft, Merete, Prabhakaran, Dorairaj, Pratt, Karen, Prince, Martin, Rangaswamy, Thara, Shiers, David, Susser, Ezra, Thornicroft, Graham, Wahlbeck, Kristian, Wassie, Abe Fekadu, Whiteford, Harvey and Saxena, Shekhar (2017) Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas. World Psychiatry, 16 1: 30-40. doi:10.1002/wps.20384


Author Liu, Nancy H.
Daumit, Gail L.
Dua, Tarun
Aquila, Ralph
Charlson, Fiona
Cuijpers, Pim
Druss, Benjamin
Dudek, Kenn
Freeman, Melvyn
Fujii, Chiyo
Gaebel, Wolfgang
Hegerl, Ulrich
Levav, Itzhak
Laursen, Thomas Munk
Ma, Hong
Maj, Mario
Elena Medina-Mora, Maria
Nordentoft, Merete
Prabhakaran, Dorairaj
Pratt, Karen
Prince, Martin
Rangaswamy, Thara
Shiers, David
Susser, Ezra
Thornicroft, Graham
Wahlbeck, Kristian
Wassie, Abe Fekadu
Whiteford, Harvey
Saxena, Shekhar
Title Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas
Journal name World Psychiatry   Check publisher's open access policy
ISSN 20515545 17238617
Publication date 2017-02-01
Year available 2017
Sub-type Article (original research)
DOI 10.1002/wps.20384
Open Access Status Not yet assessed
Volume 16
Issue 1
Start page 30
End page 40
Total pages 11
Place of publication HOBOKEN
Publisher Blackwell Publishing Ltd
Language eng
Abstract Excess mortality in persons with severe mental disorders (SMD) is a major public health challenge that warrants action. The number and scope of truly tested interventions in this area remain limited, and strategies for implementation and scaling up of programmes with a strong evidence base are scarce. Furthermore, the majority of available interventions focus on a single or an otherwise limited number of risk factors. Here we present a multilevel model highlighting risk factors for excess mortality in persons with SMD at the individual, health system and socio-environmental levels. Informed by that model, we describe a comprehensive framework that may be useful for designing, implementing and evaluating interventions and programmes to reduce excess mortality in persons with SMD. This framework includes individual-focused, health system-focused, and community level and policy-focused interventions. Incorporating lessons learned from the multilevel model of risk and the comprehensive intervention framework, we identify priorities for clinical practice, policy and research agendas.
Keyword bipolar disorder
community level and policy-focused interventions
depression
Excess mortality
health system-focused interventions
individual-focused interventions
physical health
risk factors
schizophrenia
severe mental disorders
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
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Citation counts: TR Web of Science Citation Count  Cited 23 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 21 times in Scopus Article | Citations
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