Orygen, Parkville, VIC, Australia.
Centre for Youth Mental Health, University of Melbourne, Parkville, VIC, Australia.
Ir J Psychol Med. 2021 Mar;38(1):1-5. doi: 10.1017/ipm.2021.4.
People affected by severe mental health disorders have a greatly reduced life expectancy compared to their non-affected peers. Cardiovascular disease is the main contributor to this early mortality, caused by higher rates of smoking, physical inactivity, unhealthy diet, sleep disturbance, excessive alcohol use or substance abuse and medication side effects. Therefore, we need to take a preventative approach and translate effective interventions for physical health into routine clinical practice. These interventions should be delivered across all stages of mental health disorders and could also have the added benefit of leading to improvements in mental health. Furthermore, we need to advocate to ensure that people affected by severe mental health disorders receive the appropriate medical assessments and treatments when indicated. This themed issue highlights that physical health is now an urgent priority for funding and development in mental health services. The widespread implementation of evidence-based interventions into routine clinical practice is an essential need for consideration by clinicians and policymakers.
与未受影响的同龄人相比，患有严重精神健康障碍的人预期寿命大大缩短。心血管疾病是导致这种早逝的主要原因，其原因是吸烟、缺乏身体活动、不健康饮食、睡眠障碍、过度饮酒或药物滥用以及药物副作用的发生率较高。因此，我们需要采取预防措施，并将针对身体健康的有效干预措施转化为常规临床实践。这些干预措施应该在精神健康障碍的所有阶段实施，并且还可能带来改善精神健康的额外好处。此外，我们需要倡导确保受严重精神健康障碍影响的人在需要时得到适当的医疗评估和治疗。本期特刊强调，身体健康现在是精神卫生服务中需要紧急优先考虑的事项。将基于证据的干预措施广泛应用于常规临床实践，是临床医生和政策制定者必须考虑的重要问题。
