[Increased somatic morbidity in patients with severe mental illness].

Patients with severe mental illness suffer an increased somatic mortality and morbidity from cardiovascular disease, diabetes and cancer. Furthermore, they are less likely to have adequate diagnostic and therapeutic procedures for somatic disorders. Life style issues, side effects of pharmacotherapy, cognitive impairment and suboptimal organization of the health care system all contribute. In total, a challenging situation that has to be addressed by the health care system. In Region Västra Götaland, Sweden, new medical routines for psychiatric patients are currently implemented. All patients should be offered an annual medical somatic checkup, including blood tests and ECG, and be advised about their life style, i.e. diet, exercise, smoking and alcohol. At the Department of psychosis, Sahlgrenska University Hospital, Göteborg, Sweden, a new permanent position as senior consultant in internal medicine/liaison physician has been established.