Challenges in the End‐of‐Life Care for Patients With Severe Persistent Mental Illness: A Case Series

Early recognition of treatment futility and poor prognosis could have prompted earlier palliative care involvement, enhancing patient comfort and family support. A dynamic interplay between multimorbidity, frailty and dementia in the context of SPMI is observed, with these co-occurring conditions collectively influencing clinical trajectories and service responses. This study emphasises the importance of improved clinician training, clearer referral pathways and integrated care models in addressing this disparity. Implementing these measures will aid in addressing longstanding inequalities and ensure individuals with SPMI receive appropriate and timely palliative and EOL care.