---
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  Abstract: 'BACKGROUND: Climate change is expected to have significant effects on human health, partly through an increase in extreme events such as heatwaves. People with mental illness may be at particular risk. AIMS: To estimate risk conferred by high ambient temperature on patients with psychosis, dementia and substance misuse. METHOD: We applied time-series regression analysis to data from a nationally representative primary care cohort study. Relative risk of death per 1 degrees C increase in temperature was calculated above a threshold. RESULTS: Patients with mental illness showed an overall increase in risk of death of 4.9% (95% CI 2.0-7.8) per 1 degrees C increase in temperature above the 93rd percentile of the annual temperature distribution. Younger patients and those with a primary diagnosis of substance misuse demonstrated greatest mortality risk. CONCLUSIONS: The increased risk of death during hot weather in patients with psychosis, dementia and substance misuse has implications for public health strategies during heatwaves.'
  Author: 'Page, L. A.; Hajat, S.; Kovats, R. S.; Howard, L. M.'
  DOI: 10.1192/bjp.bp.111.100404
  Date: Jun
  ISSN: 1472-1465
  Issue: 6
  Journal: The British Journal of Psychiatry
  Keywords: Adult; Aged; Cohort Studies; Dementia/ mortality; England/epidemiology; Hot Temperature/ adverse effects; Humans; Middle Aged; Psychotic Disorders/ mortality; Residence Characteristics; Risk Factors; Seasons; Substance-Related Disorders/ mortality; Young Adult
  Language: eng
  Notes: "Page, Lisa A Hajat, Shakoor Kovats, R Sari Howard, Louise M Medical Research Council/United Kingdom Wellcome Trust/United Kingdom Research Support, Non-U.S. Gov't England Br J Psychiatry. 2012 Jun;200(6):485-90. doi: 10.1192/bjp.bp.111.100404."
  Pages: 485-490
  Title: 'Temperature-related deaths in people with psychosis, dementia and substance misuse'
  Volume: 200
  Year: 2012
  _record_number: 4949
  _uuid: 2a9775ae-a280-4260-985f-0e66d0ef8c11
  reftype: Journal Article
child_publication: /article/10.1192/bjp.bp.111.100404
description: 'Temperature-related deaths in people with psychosis, dementia and substance misuse'
display_name: 'Temperature-related deaths in people with psychosis, dementia and substance misuse'
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publications:
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/temperature-related-death-and-illness/finding/some-populations-greater-risk
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/temperature-related-death-and-illness
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being
  - /report/usgcrp-climate-human-health-assessment-2016
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being/finding/specific-groups-people-higher-risk
  - /report/usgcrp-climate-human-health-assessment-2016/chapter/mental-health-and-well-being/finding/extreme-heat-increases-risks-people-mental-illness
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