Excess mortality in persons with severe mental disorders: a multilevel intervention framework and priorities for clinical practice, policy and research agendas
Nancy H. Liu,Nancy H. Liu,Gail L. Daumit,Tarun Dua,Ralph Aquila,Fiona J Charlson,Pim Cuijpers,Benjamin G. Druss,Kenn Dudek,Melvyn Freeman,Chiyo Fujii,Wolfgang Gaebel,Ulrich Hegerl,Itzhak Levav,Thomas Munk Laursen,Hong Ma,Mario Maj,María Elena Medina-Mora,Merete Nordentoft,Dorairaj Prabhakaran,Karen Pratt,Martin Prince,Thara Rangaswamy,David Shiers,Ezra Susser,Graham Thornicroft,Kristian Wahlbeck,Abe Fekadu Wassie,Harvey Whiteford,Shekhar Saxena +29 more
TL;DR: A comprehensive framework that may be useful for designing, implementing and evaluating interventions and programmes to reduce excess mortality in persons with SMD is described, incorporating lessons learned from the multilevel model of risk and the comprehensive intervention framework.
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About: This article is published in World Psychiatry. The article was published on 01 Feb 2017. and is currently open access. The article focuses on the topics: Psychological intervention.
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TL;DR: Trained lay counsellors working within a collaborative-care model can reduce prevalence of common mental disorders, suicidal behaviour, psychological morbidity and disability days among those attending public primary care facilities.
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TL;DR: It would seem that the treatment for heart disease offered to individuals with severe mental disorder in Denmark is neither sufficiently efficient nor sufficiently intensive, and undertreatment may explain part of their excess mortality.
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