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Why people with mental illness may have poorer physical health and early death

"Disparities in physical health outcomes for people with mental illness are currently viewed as a human rights scandal," said Joseph Firth, a research fellow at the University of Manchester and chair of the Lancet Psychiatry Commission, which published the research.

His team analyzed nearly 100 studies and found that most people with mental illness die early because of suicide – although these accounts for about 17% of unnatural deaths – but because of "poor physical health" that could be largely preventable

People with mental health disorders face up to twice the risk of cardiometabolic diseases such as diabetes and stroke, researchers found. In people with depression, for example, the risk of heart disease, diabetes or obesity is about 40% higher than in the general population

Mental illness can increase the risk of physical illness, and physical illness itself increases the risk of mental sickness, Firth said. "Having obesity or diabetes increases your risk of developing a psychiatric condition, and vice versa."

Sometimes, that's because treatments for mental illness can trigger or worsen physical health problems. The report found, for example, that many drugs used to treat mental illnesses ̵

1; including antidepressants, antipsychotics and mood stabilizers – may have adverse effects on metabolism and heart health

"As a result, patients who gain weight have a reduced adherence to treatment, which can lead to relapse and poor mental health outcomes, "the report said. The drugs still "do more good than harm," Firth added, but he stressed that doctors need to monitor and manage any adverse effects

People with mental illness receive poor care

Almost all mental Some people with mental illness tend to have more unhealthy lifestyles compared to the general population, "the report found.

 Many have been linked to some lifestyle risk factors - behaviors that make diseases such as heart disease more likely - (19659010) Many people with a major depression are more likely to smoke and be dependent on nicotine, for example, and have a significantly worse diet than the general population, according to the researchers. </p>
<p> But even after controlling for risk factors such as smoking, physical activity and body mass index, the report found that deaths remained higher in those with mental illness. That suggests that people with mental illness are less likely than those without psychiatric problems, researchers said. </p>
<p> For example, the report found that people with severe mental illness are less likely to have a physical examination than their peers. They also have more emergency departments visits and hospital admissions for conditions that would be avoidable could be prevented with appropriate primary care </p>
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