What is behind the 17-year life expectancy gap between individuals with schizophrenia and the general population?

https://www.nature.com/articles/s41537-025-00667-1

Schizophrenia is associated with significantly increased premature mortality, primarily due to preventable physical illnesses and violent deaths. Early intervention, sustained treatment adherence, and integrated medical care are essential to improve survival outcomes.

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Good. They mentioned APs as a potential cause for asphyixiation from choking or something. At least it’s a start, they need to blame the Meds more. And take us seriously more. And change the culture to one of fixing the meds rather than putting up with the meds. More intention and ambition pharma dudes pleaase!! (if you see this post)

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I thought this line was important:

“Moreover, life expectancy estimates are population-based averages and do not reflect individual variability.”

If you take your medication, exercise, eat right, get regular medical check-ups, don’t do drugs or drink, and manage not to commit suicide then your life expectancy will go up.

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The study was conducted in Romania :romania:, so it’d be interesting to see if the rates of violent causes of death (suicide) and non-violent causes of death (ex. heart attack, cardiovascular disease, etc.) would be similar or different in other developed nations.

Also interesting to compare public health programs— ie: access to care, affordability of care, psychosocial education, hospitalization, support and follow-up treatment, etc.— and how each country measures up in providing comprehensive care to those with SZ-spectrum conditions.

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Life for people with schizophrenia in Romania is challenging, marked by a significantly reduced life expectancy and a high reliance on family caregivers who face considerable burdens. Patients often struggle with functional deficits, poor quality of life, and a lack of social integration, with limited access to employment opportunities and societal support contributing to isolation. While there is no legal discrimination, financial difficulties and reduced societal tolerance hinder integration and employment for many with mental illnesses.

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I’m resigned to the fact that my days are numbered.

They’ve been pumping me full of Abilify for the last 20 years…can’t be good. I’ll be lucky to see 70. I’ll turn 60 this upcoming February.

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Part of it is failure to give us the same quality of treatment for our physical health problems than the general public gets. The way I was treated re my falls being a prime example of it. Followed by using my autism and mental illness to discredit any claims of negligence. The reality? My daughter, branch manager of a home care service, made the claim on my behalf. Why? She was disgusted with the way I was treated.The dishonesty and stigmatising attitudes of far too many health professionals is every bit as much responsible for our shortened life expectancy than our lifestyles are.

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