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Ethnic density and other neighbourhood associations for mortality in severe mental illness: A retrospective cohort study with multi-level analysis from an urbanised and ethnically diverse location in the UK

The Lancet Psychiatry May 24, 2019

Das-Munshi J, et al. - In those with severe mental illness, researchers examined how neighborhood-level features and individual-level factors influence all-cause, natural-cause, and unnatural-cause mortality in an ethnically diverse and urban location. Using a case-registry from a large secondary mental health-care trust in an ethnically diverse and urban location in south London, UK, they conducted this retrospective cohort study of a total of 18,201 individuals, with a median follow-up of 6.36 years. In 1,767 (9.7%) of them death was reported; of these, 1,417 (7.8%) died from natural causes, and 192 (11%) died from unnatural causes. Observations revealed lower mortality for ethnic minority groups with severe mental illness who resided in areas of greater own-group ethnic density vs white British groups with severe mental illness.

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