The NHS is thought of as a model health care system. It has experienced several reforms over the last 20 years, including greatly increased amounts of spending. So how have these changes affected the burden of disease due to mental health problems over this period, and how does the UK’s record in this area stack [read the full story…]
Depression increases risk of all cause mortality (not just heart disease) in diabetes
This blog is coming across the woodland in stereo as the Diabetes and Mental Elf join forces. In 2011 the Diabetes Elf highlighted Depression and Diabetes: a two way street? a systematic review looking at cause and effect of diabetes and depression and the link between diabetes and cardiovascular disease is not contested. However moving forward [read the full story…]
Released prisoners have an increased risk of death compared to the rest of the population, particularly from drugs, suicide and homicide
Nearly 10 million people were in prison in 2008, according to estimates provided by the World Prison Population List (Walmsley, 2009). The United States tops the imprisonment league table with 2.3 million individuals behind bars, that’s 756 per 100,000 of the population. Whatever your view on the US legal system and incarceration, it’s interesting to [read the full story…]
People with schizophrenia are significantly more likely to die from heart disease and cancer
Since starting this blog two years ago, I have written about a number of studies that highlight the health inequalities faced by people with severe mental illness. The evidence keeps piling up and it’s really quite shocking that we are not doing more to diagnose and treat physical health problems in people with conditions such [read the full story…]
SSRI use in pregnancy does not increase the risk of stillbirth, neonatal mortality or post-neonatal mortality
Studies have shown that the prevalence of depression in pregnant women is 7-19%. Being depressed during pregnancy can result in preterm delivery, which can in turn lead to illness and even death of the newborn child. Researchers have struggled to single out the causes of these risks. Is it the depression, the medical treatment being [read the full story…]
AMSTEL study finds that loneliness increases the risk of death in older men, but social isolation does not
Some of the older elves in the woodland don’t join in with our social activities as much as they used to. The younger elves call them ‘cranky’ and laugh at them sitting alone in their tree houses. Personally I worry that they might be feeling lonely and I doubt that shutting themselves away from the [read the full story…]
The risks of benzodiazepines, antidepressants and antipsychotics in adults with schizophrenia
Polypharmacy is the simultaneous use of two or more drugs to treat a single health condition. Polypharmacy is often used in the treatment of schizophrenia where people are regularly prescribed two or more antipsychotics, as well as antidepressants and/or benzodiazepines, although there is little evidence to prove that these combinations are more effective than monotherapy. [read the full story…]
The dose-response association between psychological distress and mortality, new BMJ meta-analysis shows the link
There is an increasing body of evidence showing that depression and anxiety are linked with other health conditions like cancer and cardiovascular disease. I’ve blogged about the link between depression and stroke, and there are a number of other studies that show an association between psychological distress (the symptoms of depression and anxiety) and mortality, [read the full story…]
Adults with serious mental illness have a mortality rate three times as high as the general population, according to new NHS statistics
People aged 18-74 with serious mental illness have a mortality rate three times as high as the general population, new data from the Health and Social Care Information Centre (HSCIC) show. Though previous research has looked at this area, this is the first time such figures have been calculated by linking mortality data to the [read the full story…]
Benzodiazepines and Z drugs may increase the risk of death and cancer, according to new cohort study
The prescribing of benzodiazepines and ‘Z drugs’ in general practice in England has stayed pretty consistent or increased slightly over the last 5 years, despite safety warnings about the risks of these drugs. I blogged about this back in May last year when the Department of Health highlighted two new studies by National Addiction Centre [read the full story…]