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In This Issue of JAMA Psychiatry
December 2015


JAMA Psychiatry. 2015;72(12):1157. doi:10.1001/jamapsychiatry.2014.1924

Adults with schizophrenia are at a markedly increased risk for premature death. Olfson and coauthors study mortality ratios in a large, longitudinal schizophrenia cohort of patients aged 20 to 64 years old. Adults with schizophrenia were more than 3.5 times as likely to die in the follow-up period as adults in the general population. Cardiovascular disease had the highest mortality rate. In an editorial, Suetani and colleagues discuss the importance of physical health for the mentally ill.


Physicians are at high risk for suicide, particularly during internship, with suicidal ideation increasing 4-fold. Guille and colleagues conduct a randomized clinical trial of web-based cognitive behavioral therapy (wCBT) in 199 interns from multiple specialties. During at least 1 point in the internship, 12% of interns in the wCBT group and 21.2% of interns in the control group endorsed suicidal ideation. The relative risk to endorse suicidal ideation in the wCBT group was 0.40. In an editorial, Reynolds reviews the importance of addressing mental health needs in training physicians.