{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:41:59Z","timestamp":1788950519939,"version":"build-2803163510"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","issue":"16","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"unspecified","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0033291724002824_sec_a1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The association between heatwave and heat-related outcomes in people with mental health conditions with and without psychotropics was unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291724002824_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We identified people with severe mental illness (SMI) and depression, respectively, using Japanese claim data of Ibaraki prefecture during 1\/1\/2014\u201331\/12\/2021. We conducted self-controlled case series to estimate the incidence rate ratio (IRR) of heat-related illness, myocardial infarction and delirium, respectively, during 5-day pre-heatwave, heatwave, and 5-day post-heatwave periods\n                      <jats:italic>v.<\/jats:italic>\n                      all other periods (baseline) within an individual, stratified by periods prescribed psychotropics and periods not prescribed psychotropics, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291724002824_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among people with SMI, heatwave was associated with an increased rate of heat-related illness\n                      <jats:italic>v.<\/jats:italic>\n                      baseline, with no evidence of a difference in the IRRs between those prescribed\n                      <jats:italic>v.<\/jats:italic>\n                      not prescribed antipsychotics (IRR: 1.48 [95% CI 1.40\u20131.56]; 1.45 [95% CI 1.35\u20131.56] respectively,\n                      <jats:italic>p<\/jats:italic>\n                      interaction: 0.53). Among people with depression, heatwave was similarly associated with heat-related illness, with no evidence of a difference in the IRRs between those prescribed\n                      <jats:italic>v.<\/jats:italic>\n                      not prescribed antidepressants (IRR: 1.54 [95% CI 1.46\u20131.64]; 1.64 [95% CI 1.57\u20131.71] respectively,\n                      <jats:italic>p<\/jats:italic>\n                      interaction: 0.33). Smaller increased rates of heat-related illness were also observed in pre- and post-heatwave periods,\n                      <jats:italic>v.<\/jats:italic>\n                      baseline in both cohorts. There was weak evidence of an increased risk of MI and delirium associated with heatwave\n                      <jats:italic>v.<\/jats:italic>\n                      baseline.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291724002824_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We showed an increased risk of heat-related illness, myocardial infarction and delirium associated with heatwave in people with mental health conditions regardless of whether being prescribed psychotropics. Risks of heat-related illness, myocardial infarction and delirium associated with heatwave might not be factors to influence decisions about the routine use of psychotropics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291724002824","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T02:35:55Z","timestamp":1733711755000},"page":"4658-4664","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":9,"title":["The role of psychotropics on the associations between extreme temperature and heat-related outcomes among people with mental health conditions: population-based study"],"prefix":"10.1017","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8618-7333","authenticated-orcid":false,"given":"Angel Y. S.","family":"Wong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masao","family":"Iwagami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Taniguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chitose","family":"Kawamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian J.","family":"Douglas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnan","family":"Bhaskaran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Sugiyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoaki","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothea","family":"Nitsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nanako","family":"Tamiya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"key":"S0033291724002824_ref7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz116"},{"key":"S0033291724002824_ref19","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000068821.29712.AC"},{"key":"S0033291724002824_ref33","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.122.063504"},{"key":"S0033291724002824_ref31","doi-asserted-by":"publisher","DOI":"10.1111\/jcpt.12294"},{"key":"S0033291724002824_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2022.158332"},{"key":"S0033291724002824_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2017.05.019"},{"key":"S0033291724002824_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2007.03.007"},{"key":"S0033291724002824_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2023.115678"},{"key":"S0033291724002824_ref11","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1810762"},{"key":"S0033291724002824_ref13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002629"},{"key":"S0033291724002824_ref29","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2019.04.023"},{"key":"S0033291724002824_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/neu.2015.29"},{"key":"S0033291724002824_ref2","doi-asserted-by":"publisher","DOI":"10.4103\/0253-7176.127270"},{"key":"S0033291724002824_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.167.20.ira70009"},{"key":"S0033291724002824_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e8050"},{"key":"S0033291724002824_ref17","doi-asserted-by":"publisher","DOI":"10.1111\/jcpt.12418"},{"key":"S0033291724002824_ref21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0243665"},{"key":"S0033291724002824_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0920-9964(03)00222-6"},{"key":"S0033291724002824_ref16","unstructured":"Ibaraki Prefectural Government. (2020). National health insurance business situation [Japanese]. Retrieved 9 Feb 2024 from https:\/\/www.pref.ibaraki.jp\/hokenfukushi\/koso\/kokumin\/koso\/nhi\/jigyoujyoukyou2020.html"},{"key":"S0033291724002824_ref1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19020832"},{"key":"S0033291724002824_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajp.2023.103719"},{"key":"S0033291724002824_ref25","first-page":"127","volume-title":"International profiles of health care systems","author":"Matsuda","year":"2020"},{"key":"S0033291724002824_ref8","doi-asserted-by":"publisher","DOI":"10.2165\/00002018-200831020-00002"},{"key":"S0033291724002824_ref34","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2017.00165"},{"key":"S0033291724002824_ref14","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.11339"},{"key":"S0033291724002824_ref30","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-007-0294-4"},{"key":"S0033291724002824_ref15","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.157.8.1327"},{"key":"S0033291724002824_ref27","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-012-0542-5"},{"key":"S0033291724002824_ref32","doi-asserted-by":"publisher","DOI":"10.1002\/sim.2302"},{"key":"S0033291724002824_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00228-019-02763-5"},{"key":"S0033291724002824_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-004-0207-5"},{"key":"S0033291724002824_ref23","doi-asserted-by":"publisher","DOI":"10.1136\/bmjmed-2022-000214"},{"key":"S0033291724002824_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0000000000000244"},{"key":"S0033291724002824_ref18","first-page":"e322","article-title":"Fatal exertional heat stroke in a patient receiving zuclopenthixol, quetiapine and benztropine","volume":"14","author":"Kao","year":"2007","journal-title":"The Canadian Journal of Clinical Pharmacology"}],"container-title":["Psychological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0033291724002824","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T22:00:46Z","timestamp":1747087246000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0033291724002824\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":34,"journal-issue":{"issue":"16","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["S0033291724002824"],"URL":"https:\/\/doi.org\/10.1017\/s0033291724002824","relation":{},"ISSN":["0033-2917","1469-8978"],"issn-type":[{"value":"0033-2917","type":"print"},{"value":"1469-8978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"Copyright \u00a9 London School of Hygiene and Tropical Medicine, 2024. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}