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Related Experiment Video

Updated: Nov 3, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Exploring high mortality rates among people with multiple and complex needs: a qualitative study using peer research

Rachel Perry1, Emma A Adams2, Jill Harland1

  • 1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.

BMJ Open
|June 4, 2021
PubMed
Summary
This summary is machine-generated.

High mortality in individuals with multiple and complex needs is linked to dual diagnosis and lack of support during life transitions. Early prevention and improved service navigation are key to reducing premature deaths.

Keywords:
preventive medicinepublic healthqualitative research

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Area of Science:

  • Public Health
  • Qualitative Research
  • Health Services Research

Background:

  • Individuals with multiple and complex needs face disproportionately high mortality rates.
  • Understanding the perceived reasons for this disparity is crucial for targeted interventions.

Purpose of the Study:

  • To explore the perceived reasons for high mortality rates among people with multiple and complex needs.
  • To gather insights from individuals with lived experience and support staff.

Main Methods:

  • Qualitative study utilizing peer research methods.
  • Conducted three focus group discussions with people with lived experience, front-line staff, and managers/commissioners.

Main Results:

  • Dual diagnosis (mental ill health and substance misuse) identified as a significant factor in premature mortality.
  • Critical life events and transitions (e.g., bereavement, release from prison) were perceived as key opportunities for intervention.
  • Early prevention, especially for young people with adverse childhood experiences, was highlighted as a priority.

Conclusions:

  • Addressing dual diagnosis, enhancing support during critical life events, and investing in early prevention can reduce mortality.
  • Interventions should consider the complex nature of these needs and improve service access and navigation.