Minerva

Beware of “Instant Slim” and other stories . . .

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6133 (Published 16 October 2013) Cite this as: BMJ 2013;347:f6133

A study in the British Journal of Psychiatry (2013, doi:10.1192/bjp.bp.112.123992) finds that, for people with mental disorders, accidental death is a greater hazard than suicide. They found that 26.0% of 22 419 people who died from accidents in Sweden had a diagnosis of any psychiatric disorder, compared with 9.4% in the general population. The risk of accidental death was fourfold to sevenfold higher in patients with personality disorders; sixfold to sevenfold higher in dementia; and twofold to fourfold higher in schizophrenia, bipolar disorder, depression, or anxiety disorders. It was not fully explained by comorbid substance use. But Minerva wonders how much is attributable to drugs and how much to the underlying disorder.

Because the greatest harm from type 2 diabetes comes in the form of macrovascular disease, reducing such disease is the most important aim of treatment. Angiotensin receptor blockers (ARBs, or “sartans”) are generally considered safe and effective in reducing blood pressure in …

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