our knowledge of mortality among people with severe mental illness and its correlates in low and middle income countries is very limited
in a 2007 review,86% of such studies came from industrialized countries.
In high income countries health literacy is higher, better quality services are available and there is overall better monitoring of the institutions and greater frequency of regular check-ups for physical health of people with mental illness
The situation is expected to be much worse in low and middle income countries where the resources are poor, the institution are poorly managed and access to sound mental health care and physical care is limited