We have the evidence that lifestyle interventions work. Now what? The third Lancet Psychiatry Commission focuses on the messy business of implementation.
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FINCH trial of 80 people showed crisis planning intervention was feasible to deliver in NHS settings. Results leaned towards fewer repeat detentions, but study not designed to prove effectiveness.
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Only 35% of people with severe mental illness received all six cardiovascular risk factor checks within one month in this UK primary care study. Financial incentives temporarily increased comprehensive screening but effects were uneven and short-lived. Young men of non-White ethnicity were most likely to miss screening, highlighting persistent inequalities.
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People with severe mental illness are more than twice as likely to die from respiratory disease than those without. This new systematic review highlights the scale of the problem and why action on public health and social inequality is just as vital as stop-smoking advice.
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The UPSIDES trial demonstrates that peer support is effective across diverse global contexts, from high-income to low-income countries. While overall social inclusion scores didn’t reach significance, participants showed reduced isolation and increased empowerment and hope. This landmark study proves peer support can be successfully adapted to different cultural settings while maintaining core recovery-oriented principles.
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People with severe mental illness often face years of poor health before diagnosis. A new study uses machine learning and clinical notes to map the early warning networks of symptoms that could help us intervene earlier.
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Fragmented systems leave many homeless women with severe mental illness excluded from care, re-traumatised, and at risk. This study developed a gender-sensitive housing model that integrates tertiary care, transitional homes, and community reintegration; centring dignity, safety, and recovery.
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A group of UCL MSc students summarise a cohort study in BMJ Mental Health, which suggests that we have previously underestimated the contribution of external causes of death such as accidents or suicides.
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Akansha Naraindas considers a new review which offers insights to support the evaluation and restructuring of services for people with comorbid severe mental problems and substance use conditions.
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Kris Deering considers a 2-year prospective observational study published in the Lancet Psychiatry which found strong links between stressful life events and relapse in first-episode psychosis.
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