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General practice professionals' perspectives on cardiovascular risk assessment in patients diagnosed with mental

Nandakumar Ravichandran1, Niamh Murphy1, John Broughan2

  • 1School of Medicine, https://ror.org/05m7pjf47University College Dublin, Dublin, Ireland.

Irish Journal of Psychological Medicine
|December 15, 2025
PubMed

Insights

Cardiovascular disease (CVD) risk assessment for patients with mental health disorders (MHDs) in general practice is often opportunistic. Structured approaches and enhanced support are needed for systematic CVD risk management in this population.

Area of Science:

  • General Practice
  • Public Health
  • Cardiology

Background:

  • Cardiovascular disease (CVD) is a leading global cause of mortality.
  • Individuals with mental health disorders (MHDs) face a higher risk of developing CVD.
  • Gaps exist in understanding CVD risk management and prevention strategies for general practice patients with MHDs.

Purpose of the Study:

  • To investigate Irish general practice professionals' views on cardiovascular risk assessment for patients with MHDs.
  • To describe current methods for identifying patients with MHDs using the Mental Health Finder (MHF) tool.

Main Methods:

  • An embedded mixed-methods design incorporating constructivist grounded theory and the Social Ecological Model.
  • Analysis of aggregated data on MHF tool availability and usage from five general practices.
  • Semi-structured interviews with 12 general practitioners and three practice nurses, analyzed using thematic analysis.

Main Results:

  • Practices with the MHF tool reported higher MHD prevalence (18.7%) compared to those without (0.5-11.5%).
  • Qualitative findings revealed themes on MHD prevalence, the MHD-CVD risk association, CVD risk management in MHD patients, and holistic care.
  • Systematic identification of patients with MHDs is crucial for accurate prevalence data.

Conclusions:

  • CVD risk assessment and management for patients with MHDs in general practice are currently opportunistic and lack structure.
  • General practice professionals emphasize the need for structured frameworks, protocols, and improved support systems.
  • Systematic cardiovascular assessment and management are essential for patients with MHDs.
Abstract

Keywords:
cardiovascular diseasesgeneral practicemental healthprimary carequalitative research

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